2 Dental Implant Complications You Should Know – Video by Burbank’s Dr. Amin

2 Dental Implant Complications You Should Know – Video by Burbank’s Dr. Amin

2 Dental Implant Complications You Should Know – Video by Burbank’s Dr. Amin

A patient in my Burbank office asked me about the long-term with implants. Dental implant complications can occur.  Most focus on the surgery, but what I am talking about is what happens later down the road. Later, meaning after the crown, bridge or full implant restoration has been attached to the implants.

This video reviews two problems that can occur with a dental implant months or years down the road.

Keep in mind that "regular dentistry" has complications too.  Fillings break, crowns wear out, root canals become lose their seal, etc…unfortunately nothing is forever.  But with good upkeep and regular visits, potential problems can be taken care of more easily than waiting. The skill and training of your dentist plays a huge role.  Dont choose your dentist by price alone.

 

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry
Burbank, California

79 Comments

  1. Mai-Britt Ehmsen

    I forgot to write that mucus threads also come from the implant. not inflammation. but white odorless mucus threads. And when I use floss up there, the floss smells rotten. But the dentist says there is no inflammation when he presses it or om the scan. The pain is always there, but some days it’s not so bad and other days is so bad

    July 2, 2019 at 11:34 am Reply
    1. Ramsey Amin

      Something is definitely wrong. You should have a 3-D scan done and be seen by a dental implant specialist. You likely have mucositis and some bone loss around the implant. Sorry 😐

      July 12, 2019 at 6:30 am Reply
  2. Mai-Britt Ehmsen

    Hey. I got an implant in my for tooth, 9 years ago. A year ago It started to hurt over the implant,and the tooth next to it. The pain also spreads to the entire left side. My implant dentist says it looks nice and I’ve been scanned. He says there is very little bone loss, but he does not think the pain comes from my implant. I have been to 3 other dentists who do not know what is wrong. I got caries made in tooth number 7, 6 and 5 and he said it could be the pain came from them. I also have a little arthritis in the left jaw. I have have so much pain all the time over the implant and at the tooth next to it and the entire left side. Hope you can give me some advice..

    July 2, 2019 at 11:13 am Reply
    1. Ramsey Amin

      Tough situation 😔 have you seen an endodontist ?

      July 2, 2019 at 2:09 pm Reply
  3. Maxine Diaz

    Hi. I’M 61 years old and recently had 3 teeth removed. I considered implants but decided against them for two reasons. The cost, and because I have Multiple Myeloma. I was told my body may reject them due to the MM, is this true?
    TIA,
    Maxine Diaz

    May 21, 2019 at 6:27 pm Reply
    1. Ramsey Amin

      Multiple myeloma is certainly something not to take risk. Many times you have been treated with intravenous bisphosphonates which can cause really severe complications. I would advise against dental implants. So sorry

      Multiple myeloma is a cancer that forms in a type of white blood cell called a plasma cell. Plasma cells help you fight infections by making antibodies that recognize and attack germs. Multiple myeloma causes cancer cells to accumulate in the bone marrow, where they crowd out healthy blood cells.

      May 22, 2019 at 11:49 pm Reply
  4. Jewell Conway

    I got all on 4 dental implants top & bottom in sept 2017. I went to a new dentist found out 2 screws were the wrong screws. I had them in for 11 mo. Could this have caused problems?? I have some pain (not bad) in 3 implants on the bottom and 1 implant on top. Bottom ones ach like a tooth ach, the top one twitches & throbs. I got them from Clear Choice they put teeth over the implants the same day. Should I be concerned? Implants started to bother me about 2 weeks ago.

    May 3, 2019 at 5:11 am Reply
    1. RamseyAminDDS

      You need to be seen ASAP to correct the problem. Pain in an implant is not normal and typically indicates a major problem 😱

      May 14, 2019 at 4:39 am Reply
  5. Jessica Hudson

    Do you know of anywhere in Thailand that provides Zirconia implants?

    I’ve been searching google for dental surgeries in Bangkok but having no luck.

    Many thanks in advance,

    Jessica

    April 6, 2018 at 1:36 am Reply
  6. my milk teeth was broken in 14 year and when x-ray was taken and my teeth bone was missing can anew teeth be placed.

    December 27, 2017 at 2:01 pm Reply
  7. Susan

    Hi Dr!

    I have a 1 year old dental implant that gives me no pain but i have always known it was there… it never felt 100% normal. Just this week, as i was brushing my teeth, i noticed the gums around the implant is painful and the tooth (crown or maybe the implant itself) is loose – it rocks slightly. Could this be an easy fix or more likely a sign of implant failure??

    January 22, 2017 at 5:42 am Reply
    1. RamseyAminDDS

      It is possible it could be a loose abutments screw or possibly the entire implant is loose. You need to be looked at ASAP.

      February 1, 2017 at 11:33 pm Reply
  8. Betty

    I dont have enough bons still I can have implant how much ot cost

    January 8, 2017 at 12:14 am Reply
    1. RamseyAminDDS

      There are options for severe bone loss in the upper jaw such as zygomatic implants which work very well. There are options and the lower jaw for severe bone loss such as nerve repositioning. These are things that I do on a routine basis that are available for the most severe of cases. I do not know enough of your information to tell you exactly what to do but just seen these 2 types of procedures should give you hope that pretty much anything can be done! Good luck!

      January 9, 2017 at 5:49 am Reply
  9. Desiree

    Hi doctor. Ive had 3 implants and 1 bridge a few years ago. Anyways, i havent had any problems since i had it done. Now i woke up with some sensitivity in the implant itself. Gums dont hurt, but if i touch the implant itself its sensitive. I cant say it hurts, cause its not really pain. Its more like eating cold ice cream on a sensitive real tooth. Im worried, i paid so much money and i dont want this to be for nothing. I read some bad stuff about my implant dentist so now im super worried. It helped my self esteem so much to fix my teeth. They became so weak during my 5 pregnancies. So it was nice that we were able to save and fix them. I cant afford to fix them now so im freaking out. I had a cleaning last week and was told they looked great. So now i dont know:(

    December 12, 2016 at 8:17 pm Reply
    1. RamseyAminDDS

      Hmm… something might be up. Look up peri-implantitis on my site.
      Have a scan done and make sure bone is good all the way around and that there is no cement left behind. Search the word cement in my search bar.

      December 15, 2016 at 2:48 am Reply
  10. Marla Siegel

    6 -8 months ago I was given a front tooth implant and crown. Since then I have a sensation of dull throbbing and pressure on that tooth. There is some inflammation on the sides of my 2 front teeth. My dentist removed the crown and I now have a temporary tooth while the dentist and eperiodontist figure out the problem. I was told the tooth next to it has a short root and bone loss. After teading some forums, I am now wondering if this long implant has perforated the sinus cavity. Any ideas? Thank you in advance for your time?

    October 26, 2016 at 3:47 pm Reply
    1. RamseyAminDDS

      A sinus perforation typically causes no pain or problems. The sinuses are located on the upper back teeth. Sounds like you have a front tooth.

      October 28, 2016 at 1:39 pm Reply
  11. Margaret finucan

    3 year old implant, started having some pain 3 weeks ago. Around the gum has always looked blue or maybe I should say bruised.dhould I go see surgeon about this?

    October 12, 2016 at 11:32 pm Reply
    1. RamseyAminDDS

      Yes!!! You could have bone loss happening around the dental implant without you even knowing. Please look at some posts named peri-implantitis

      October 28, 2016 at 3:28 am Reply
  12. Jaye Derek

    My dentist had used Implant adhesive, not cement, and let me believe that the crown would hold. In no time the fused double crown popped out. I checked the internet and read that only to use Implant adhesive. Could not understand, maybe it meant temporally for it to be set in before the permanent cement be used. I went back to my dentist, permanent cement was used this time and all is well.

    October 12, 2016 at 10:26 pm Reply
    1. RamseyAminDDS

      Actually….Many of the cements that are marketed specifically for implants are actually not that good.

      It has more to do with the technique of cementation such as sandblasting the internal of the crown and the abutment.

      The abutment must also be 3D designed or drilled in such a way that holds the crown without cement.

      Permanent or temporary cement is fine. It is more the technique and making sure that only a very tiny amount is used and it is not allowed to overflow into the gums.

      October 23, 2016 at 12:20 am Reply
  13. Nita

    I had a consultation for 4 on 1 dental implant, removing all of my top teeth and giving me an entire new bank of teeth on top. From the model they showed me there is 4 implants holding the entire upper bridge. Is this procedure better than replacing 6 teeth (3 on each side of my mouth — 2 bridges that have failed and cannot be replaced) with individual implants?

    September 29, 2016 at 2:37 am Reply
    1. RamseyAminDDS

      often this decision is made based on the density of your bone, how much bone you have and your bite structure. The upper jaw carries much more risk than the lower jaw for doing this. In general waiting longer is always beneficial while speeding things up adds a degree of risk especially for the upper jaw. Read this post about the process of replacing all teeth with a much better process been only using 4 implants for an entire upper jaw.

      October 12, 2016 at 9:48 pm Reply
  14. Jaye Derek

    When having an one implant for one front tooth and the tooth next to it … How does the bridge hold on to the implant if permanent cement is not used?

    August 6, 2016 at 10:05 am Reply
    1. RamseyAminDDS

      I don’t understand your question… I am sorry

      August 10, 2016 at 11:45 pm Reply
  15. Candy Stewart

    Thank you Dr Amin for your video on dental implants.
    I had a dental implant about 2yrs ago from a dentist in Oklahoms. We had a long talk about my gum disease , and problems grinding at night.
    I asked about what problems I might have in getting the implant. All he told me was there is always a small chance of my body rejecting it.
    But everything seemed fine for the first couple of years. Then three days ago the area around my implant was very sore when it tried to eat anything. But after a couple of days the pain was gone for about 24 hours. I ate, and no pain. About two hours after that I noticed my implant was wiggling just a bit, within the next twelve hours it was floating. Since it was evening and the dentist was closed, I used an OTC thin flexible mouthguard for the night which helped with the pain of the implant moving and causing me pain.
    The next morning I pulled on the implant because it just seemed like it was ready to fall out. The implant and screw came out all in one piece. I have no pain now; just a hole where the implant use to be.
    Feeling uncomfortable about going back to the same dentist and wanting to look for a new one, I was wondering if there was anything I should be worried about? Is this an emergency situation or can I take a day or two to find a new dentist?
    Again, I thank you for your video. I would of been at a complete loss without it.
    Sincerely,
    Candy Stewart
    Stewc802@gmail.com

    July 12, 2016 at 7:26 pm Reply
    1. RamseyAminDDS

      While, what us story, this does not happen overnight. You likely have had aggressive bone loss we called peri-implantitis that was perhaps unbeknownst to you and your dentist. I would suggest you see a very skilled and experienced provider when you replace the implant a second time. The kind of story you described does not happen often.
      Best of luck

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      July 19, 2016 at 1:12 am Reply
  16. I had six implants in 2007 due to bone loss and damage since I was a child. I have had no quality of life since the placements. I have excellent dental care professions; but the do not to remove the implants. Chronic fatigue, daily headaches, resulting depression, ear aches, tinnitisis, and occasional news casts are heard. I know the risks, but having no life seems to weigh in favor of removing them. The issue- necrosis because I had two Reclast infusions; 2005 and 2009. We have tried everything. Cranial sacral work, medication given for fibromyalgia . Please advise. I cannot cope.

    May 28, 2016 at 3:03 am Reply
    1. RamseyAminDDS

      Your symptoms are not related to the dental implants but they can be removed if you feel this is right for you. Your reclast injections are out far enough by a few years to likely be safe but talk to your surgeon about some blood tests to be done before surgery. Reclast is an intravenous bone medication that can have negative effects.

      June 13, 2016 at 11:23 pm Reply
      1. Jessica

        Hello there,

        My mother also suffers from a low immune system, following dental treatments gone wrong, which has resulted in her fibromyalgia and also tinnitus in her ears.

        I’ve also read a heck of a lot about immune system shutdowns following dental treatment/dental problems.

        What do you think about this?

        April 6, 2018 at 1:34 am Reply
        1. RamseyAminDDS

          Hi Jessica…if mom was prone to complications I certainly would not travel out of the country for treatment. What if she needs to be treated for complications?

          About zirconia implants….here are my thoughts

          April 7, 2018 at 6:44 pm Reply
  17. Scott Lee

    I have had constant pain for several months in the area of one of my dental implants that has been in place for two years. I have seen specialty dentists and doctors trying to figure out what is going on with no answers to date. They said removing a dental implant should be the last resort but all of the treatments have not provided any relief. Treatments have included muscle relaxants, Novocain injections, Botox injections, physical therapy. I live in San Diego, CA so if you know of anyone in this area that I could see or if you have any other ideas for me please let me know. This is driving me crazy!

    March 23, 2016 at 1:42 am Reply
    1. RamseyAminDDS

      I would make a trip up to UCLA or USC dental school. They have specialized teams of people and technology that may be able to work out unusual issues like you’re having. This is not the norm!!

      April 4, 2016 at 9:53 pm Reply
  18. I am having dental pain I had implants placed in 1993 at the Davis Mountian Air Force Base in Tuscon Arizona. I am now living in middle TN about equal distant to Knoxville, Nashville or Chatanooga do you have any recommendations on whom I should see ? I have Delta Dental insurance if that helps.

    January 24, 2016 at 9:39 am Reply
    1. RamseyAminDDS

      AAID.com or ABOI.org

      February 7, 2016 at 8:02 pm Reply
  19. Don Baird

    I am having pain I had the implants placed in 1993 by a surgeon at Davis mountain Airforce Base I now live in Middle TN near Cookeville TN I have Delta Dental Insurance do you have any recommendations for whom I may see Nashville, Knoxville or Chatanooga are all about the same distance for us. Don Baird

    January 24, 2016 at 9:34 am Reply
    1. RamseyAminDDS

      No sorry —check out AAID.com

      February 7, 2016 at 7:30 pm Reply
  20. Lone

    Hello Doctor,
    I had a full mouth restoration about 3.5 years ago. #19-22 bridge is now movable with the push of my tongue,( outward only). I am not sure how many implants are holding it in. If this is from bone loss around the implants, how complicated of a procedure would this be to repair? Thank you.

    October 10, 2014 at 11:49 pm Reply
    1. Ramsey Amin DDS

      Hopefully the looseness is not being caused by bone loss which is worst case scenario. If that is the case the implants will need to be removed asap.

      Let’s be optimistic and assume you have a loose abutment that may be able to be retightened. The bridge may not be easily removed so your dentist may need to cut through it to access the abutments. This is a very difficult procedure sometimes.

      How to Fix a Broken Dental Implant Screw – A Case Report-Burbank Dentist Ramsey Amin, DDS Explains

      Good luck!!

      Keep me posted.

      Ramsey Amin DDS

      October 12, 2014 at 1:43 am Reply
  21. Shell

    Thank you so much! You have eased my stress. Going to find an implant dentist in my area :). I would go to your office but I live states away. Thanks again and Happy New Year!

    January 2, 2014 at 1:05 pm Reply
  22. Shell

    I had one implant put in my mouth many years ago. I was 18 at the time. I had a tooth that had calcified in the gum so my oral surgeon removed it and later replaced it with this implant. He put some kind of substance around the lower front part of gum to build a foundation for the implant. I want to say it was coral but it was so long ago. I can’t find anything online stating that coral was used by oral surgeons for this procedure but this is what I remember. He told me that it would leak out a few white specks for a few days and then stop and that this was completely normal. It did just that and stopped leaking after a few days. Everything has been going well over the years with this implant but recently I noticed at the bottom of the gum line directly in front of the implant there is a slight cave-in. I also see little white specks that resemble the coral he packed in there and can feel them with my finger. I am really concerned. Does this mean the bone is regressing? I am meticulous about my oral hygiene and have never had a cavity. I am not sure who I should go see: an oral surgeon or a dentist. Thank you for your helpful site!

    December 29, 2013 at 3:42 pm Reply
    1. Ramsey Amin DDS

      Hi Shell,

      I would see any dentist with a strong background in dental implants. Some bone graft materials that are coral based never ever turn into bone.

      That being said, a piece that did not integrate could surface years later. It is not likely a problem. As long is the probing depth is good and no threads are felt, you will likely be fine for a long time!

      Good luck,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      December 29, 2013 at 4:58 pm Reply
  23. Alyssa

    I have an implant (#7) that I seem to be having some trouble with. The gum tissue around the implant area is very inflamed and the crown feels loose, but it is not loose. The first time I received the implant it rejected within 2 weeks, and the second implant has been in for over 2 years. The dentist gave me a special mouthwash to help with the infection, but it doesn’t seem to be helping (I’ve only been using it for about a week and half, so I don’t know if I should give it some more time). The gum tissue doesn’t seem to hurt, but it’s more or less annoying and, like I stated earlier, makes it seem like my crown is loose. It would be much appreciated if you could help me figure out what may be going on with my implant!

    November 29, 2012 at 9:27 am Reply
    1. RamseyAminDDS

      Hi Alyssa,

      I assume you have an x-ray of the area. If a patient tells me something is loose, it usually is. You know your body best but sometimes it is really hard to tell.

      Have the implant, the crown and the abutment checked carefully for looseness ASAP. Inflammation is not normal.

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

      December 3, 2012 at 4:01 am Reply
  24. Laura

    I had the remaining top teeth pulled, (lost most in a car accident in ’91), the rest were in bad shape. That was 4 months ago. Since then the dentist has had 3 dentures made and none of them (including the one I’m wearing) fit my mouth. He tries to modify them, (all 3, he has all the equipment), but they still don’t work. I can wear them to go in public, but can’t eat anything with them. After 4 months he now tells me that I should have implants and he’ll do them and modify the denture to fit the implants. I have already paid him, up front, for the bad dentures, work on my bottom teeth (8 crowns, not done yet) and for the 4 implants. BUT…Now I have lost all trust in him and am scared to have any of the work done. He makes me fell bad, like I am just a complainer. All I wanted was nice looking teeth I can eat with. $13,000 has my husband angry and me depressed.

    November 21, 2012 at 10:56 pm Reply
    1. RamseyAminDDS

      Hi Laura,

      I feel for your situation. I think there may have been unmet expectations and clear objectives on both your part and your dentist.

      I suggest you both sit down and review the goals of treatment. Also review what was done and what remains. You may want to modify the plan. Take some molds of your teeth during the reassessment. This is what I would do.

      I hope this helps!

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      November 22, 2012 at 2:27 am Reply
  25. Melhem

    Thanks for the informative video. I read recently that implants do not go well for smokers, and quitting is imperative for certain period of time prior to implant planning. How accurate is this and what happens for a smoker with new implants?
    Thanks!

    September 11, 2012 at 6:59 pm Reply
    1. RamseyAminDDS

      Hi Melhem,

      Smoking impairs bone healing but it does not mean you cant have dental implants. Smoking is more likely to cause bone graft failure in addition to poor healing of the implants. Smoking in any form or amount is not good. Smoking five or less per day is best.
      I routinely place implants on smokers, but I have a special protocol for patients to follow.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

      September 12, 2012 at 7:55 pm Reply
  26. Noelle

    Hello Dr. Ramsey,

    I am getting implants done probably this year. I am 31 yrs old and have a family history of not having some adult teeth that ever grew in. Unfortunately I was passed down with this heritary dental problem, and have only had a few that are now failing and all the rest are baby teeth still. I have 3 teeth on top that have been bridged my whole life and have lasted until now after the birth of my first son.

    I had one tooth removed due to an abcess that possibly ate up into my sinuses through bone. Now I am looking into geting 4 implants placed with a full top denture attached on top. My dentist here wants to pull the remaining teeth and roots left since there’s not many, and place 4 implants in at angles, in order not to have to do a sinus lift. (If he went straight up he would have to do surgery to raise my sinuses in order for the posts to not go in them.)

    This is the second opinion I’ve had. The first implant dr said he would have to do sinus lift, then bone grafting and then implants. Which would cost a fortune. This dr. said he could save me money by doing the screws at an angle so that they can reach some bone high up and not have to touch the sinuses.

    I’m of course leaning to the dr. who is opting towards not doing the sinus lift or bone grafting due to more simplicity and cost reasons. Otherwise it’s going to cost a fortune, plus I have to eventually get my whole bottom part of my mouth done in the future too, so that will also be very expensive.

    My question to you is, do you think the implants on top will last the rest of my life (since I’m so young) and succeed if he puts them at an angle and does not do any bone grafting. I’m concerned that the angle will cause extra stress on the teeth or bite and that by not adding the bone, it will not be secure enough. As I age I’m afraid of bone loss. He says he thinks there’s enough bone up high that if he uses his longest screws it will reach the bone and be secure enough. I’m not sure about this. Any thoughts???

    May 15, 2012 at 8:24 pm Reply
    1. Hi Noelle,

      If you are only 31 I would build your teeth to try to last the rest of your life. I would design things so that down the road, when you need to repair an implant or the bridge it will be simple to maintain. You will have some problems just because you will have these teeth for 50 years or so!

      If you have all of your teeth only supported by angled implants, if one has a problem you are going to need to replace the enitre bridge.

      Make sure the teeth you are getting are not acrylic plastic either. It is better to spend the money to do the best considering your age and future with the teeth. Place more than less implants. You wont be sorry.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

      May 19, 2012 at 10:49 pm Reply
  27. Eileen

    My surgeon had to leave a root tip after my extraction. Can I still have an implant?
    He left in the root because of too much bleeding.

    May 10, 2012 at 2:01 pm Reply
    1. Hi Eileen

      Yes, you can still have an implant with a root tip. Sometimes it is safer to leave a piece of the root behind.

      Dr. Amin

      May 12, 2012 at 4:31 am Reply
  28. jenny

    Had immediate implant (temporized) march 28 and I still have episodic pain at least every other day constant (4 weeks now). Is that normal? Seems like the top of the implant bores into my head, sometimes pinching and the gum is normal but sensitive to pressure. I am losing my mind and everyone is pointing to other reasons: tmj, sinus issues, etc. I go to one doctor and they say it’s the other doctors issue. Who can help me?

    May 3, 2012 at 1:43 am Reply
    1. Any improvement in the last few days?

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

      May 8, 2012 at 8:53 pm Reply
      1. jenny

        Back and forth to dentist, perio, endodontist (for neighboring teeth) and physician with all saying slow healing. Meantime, the following week on vacation,the cheek starts hurting and I am told it is infected by ship’s doctor. He gives me a week of augmentin and tells me to follow up with regular doctor (who previously said I am fine). I am at my wits end… I had an abscess last year that eluded multiple x rays and mri. Found that on vacation at ER with CT scan. At this point I’ve had pain for over half of the last year every day due to dental problems. I am really scared that just like last year, an infection that doesn’t show on xrays may be spreading to other teeth. No one believes I have a problem… who can I go to?

        May 21, 2012 at 3:18 am Reply
        1. jenny

          It’s been 11 weeks and I still have issues. No inflammation, but pain and bleeding with flossing (is the floss supposed to go way up under the gumline?). Cone beam scan was normal, but I can see there is still a lot of space for the bone to fill in (dark areas). On a CT scan for sinus, I saw a black tiny bubble in between the implant and the next tooth, but the radiologist made no mention of it. There was also a black space at the top of implant, but again, I was told it’s normal. Is there a way to post xrays here?

          June 20, 2012 at 10:23 pm Reply
          1. Sorry Jenny…there is no way to post x-rays. Floss is supposed to go under the gumline.

            Reading x-rays is not something that can be described here. Only a dentist or radiologist can read them.

            Respectfully,

            Ramsey A. Amin, D.D.S.
            Diplomate of the American Board of Oral Implantology /Implant Dentistry
            Fellow-American Academy of Implant Dentistry

            June 24, 2012 at 11:31 pm
    2. Minei Kiefer

      Aloha Dr. Ramsey,
      I have Multiple Myelom, diagnosed 9 yrs ago. I was taking Zometa I.V. once a month for 5 yrs. I now have Osteonecrosis in my jaw. I have lost all my teeth over the past 10 yrs. and am being treated by a very knowledgeable Oral Surgeon. I am and will be taking Augmentin orally til I get a port for I.V.antibiotics. I rinse with Peridex. I have 2 open extraction sites and 1 site with exsposed bone. The sites mentioned started when the last 5 teeth were removed Sept. 2014. Top left molar whole is open to my sinus. Oral Surgeon says I am healing but will take time. I am a 57 yrs old woman, losing my teeth was the foremost WORST thing that I have ever experienced. IF and WHEN things heal, will I ever be able to have implants to hold dentures in to give a bit of normalacy back to my life? I have not since October 2014 and will never take any medication in the class of Zometa. I have no pain at all but the emotional pain going on 15 months. I live in Hawaii and would gladly fly to Calif. Mahalo for any info you can offer me. Happy New Year…. 🙂

      January 18, 2016 at 8:05 am Reply
      1. RamseyAminDDS

        Thank you for your very kind words. Sounds like you have been through so much. Hang in there. Multiple myeloma is one of the very few conditions that contraindicates having dental implants. If you are not healing from extractions, you are extremely unlikely to heal after having dental implants. I’m sorry to tell you all of this.

        I have treated many patients who take medications that can cause osteonecrosis of the jaw. Everything has to be very carefully planned and tested to lower the chance of having this complication. Most often this occurs with the medication you discussed which is intravenous Zometa and other oral bisphosphonates such as Fosamax, Actonel and other ones that act like bisphosphonates such as Prolia.

        Occasionally someone that has osteonecrosis may have successful treatment by doing hyperbaric oxygen treatment but this is not available in all locations and definitely carries risks.

        Ramsey A. Amin, D.D.S.
        Diplomate of the American Board of Oral Implantology /Implant Dentistry
        Fellow-American Academy of Implant Dentistry

        February 7, 2016 at 8:09 pm Reply
    3. Larry

      Your situation sounds like mine . I had mine removed but still get throbbing and pressure on cheekbone. I’m going for ct scan . Please let me know how worked out.

      May 6, 2019 at 1:04 am Reply
  29. Jeanette B

    Tooth #6 has some external resorption (and lots of pain). This is not the first tooth I will have to have removed due to this issue. I can either do a root canal and orthodontic extrusion, or an implant. If the pain goes so far up into my head that I can’t open my eye in the morning easily (and sinus headache), does that mean I might have nerve sensitivity after implant?

    March 12, 2012 at 1:36 pm Reply
    1. If the tooth is removed the nerve pain will be gone and will have no relation on the future dental implant. Find out if the resorption is near the apex or the top of the tooth. This makes all the difference.

      Ramsey A. Amin, D.D.S., D.A.B.O.I.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      March 12, 2012 at 1:55 pm Reply
      1. Jeanette B

        Thank you so much. I really appreciate your expert guidance. If wish your office was on the east coast!
        The decision has been made to do an implant (immediate load), but
        I do have one more decision to make. A very talented and respected periodontist who I have a great relationship with offered to do the implant. While she is extremely experienced in delayed implants, I don’t believe she does immediate often and stated it would be a 2.5 hour procedure. My dentist prefers another specialist who does them often (1 hour procedure). Why do you think the discrepancy in time? Am I being foolish in going to the person I know vs someone who can “do them with their eyes closed”? I am scared out of my wits, but I have already made a commitment to her. I am worried about the time in the chair and the recovery time as well as the success of the surgery. I do know that she uses a template, where he does not. Might that account for additional time?

        March 16, 2012 at 4:09 pm Reply
        1. Hi Jeanette,

          That is a tough decision. Remember that it is not a race! Time is not a big factor. I suggest you just ask why it takes her longer.
          I would probably stick with the person you have a good relationship with.

          Respectfully,

          Ramsey A. Amin, D.D.S.
          Diplomate of the American Board of Oral Implantology /Implant Dentistry
          Fellow-American Academy of Implant Dentistry

          March 25, 2012 at 11:16 pm Reply
          1. Jeanette B

            Thank you… that was how I made my decision.

            March 28, 2012 at 12:11 am
  30. very informative video, thank you Dr. Amin

    January 18, 2012 at 10:47 am Reply
    1. Thank you,

      Dr. Amin

      January 24, 2012 at 5:08 am Reply
  31. Juliet

    Several weeks ago I had a old lower back bridge removed. It was then suggested to get implants. So I have the back tooth (which needs to be re-capped, then space, space, then the other tooth that has to be recapped. It was a very old bridge maybe 30 years. The dentist filled some cavities in those teeth and didn’t do a root canal, thought all would be ok. Then I had the two implants put in, bone was good, but had gum graft. Dentist said not to brush just antibiotics, and antibiotic rinse. It was also found that I had a root tip still in that area that they put the implants, but the dentist thought she could remove it and then put the implants in. However, she could not and decided to put the implants anyway and said she was pleased after looking at the xrays. However now after two weeks, somewhere it feels like nerve pain and I don’t know if it is the two teeth on either side of the implant that are acting up, or the implants. I have to go back soon for further instructions on maintenance and follow up. I am petrified of any complications – the dentist will be going away for several weeks now due to the holidays. Wonder where I go from here…

    December 12, 2011 at 6:23 pm Reply
    1. Hi Juliet,
      Have you seen the dentist again? It is quite possible that it could be the other teeth. Keep me posted.

      Dr. Amin

      December 20, 2011 at 5:54 am Reply
  32. Hi Naaz,
    Being within 2mm of the nerve is considered safe. The training, skill, experience and judgement of your dentist during the procedure is most crucial for a great outcome.
    I’m sure you will do fine. 🙂
    Some implants are placed to within 0.5mm of the nerve under tacticle sensation by very experienced implant dentists.
    Ramsey A. Amin, D.D.S.
    Diplomate of the American Board of Oral Implantology /Implant Dentistry
    Fellow of the American Academy of Implant Dentistry
    Burbank, California
    http://www.burbankdentalimplants.com

    August 8, 2011 at 9:39 pm Reply
  33. Naaz Maherali

    Hi Dr. Ramsey,
    I was looking at your website and was wondering if you could give me a second opinion on decision I have to make very shortly and its weighing on my mind. My dentist is going to put an implant in my lower back molar and he says I have 2mm space from the nerve after the implant is put in. Is that enough space? I am 58 years old and otherwise in good health except for my WBC which is 3.5 (low). My surgery is on Aug 19th. My dentist is probably 60 years old and has been doing this for 5 years. I would really appreciate if you could give me some advice.
    I hope I have posted this in the right spot, not very good at using the computer.
    Thank you kindly
    Naaz

    August 8, 2011 at 9:28 am Reply
  34. You are welcome Louise!
    Ramsey A. Amin, D.D.S.
    Diplomate of the American Board of Oral Implantology /Implant Dentistry
    Fellow of the American Academy of Implant Dentistry
    Burbank, California
    https://www.burbankdentalimplants.com

    July 20, 2011 at 7:29 am Reply
  35. Louise Ramsey

    Thank you for your frankness and ability to explain implants so well. I was apprehensive about an implant but I feel it would be best for me now that I have listened to your videos.

    July 19, 2011 at 8:11 am Reply
  36. Hi Duane,
    If the tooth is cracked, extracting it asap is generally best. Keep in mind that the implant may be able to be placed at the same time of the extraction. With that in mind, it would be good to see you before the extraction.
    If an immediate implant can be done predictably, it will save you time and money.
    What tooth is it?
    Ramsey A. Amin, D.D.S.
    Diplomate of the American Board of Oral Implantology /Implant Dentistry
    Fellow of the American Academy of Implant Dentistry
    Burbank, California
    http://www.burbankdentalimplants.com

    July 6, 2011 at 3:11 pm Reply
    1. sally vaughan

      i am scheduled for a extraction and at the same time to receive preparation for a back tooth implant because a crown didn,t stop the pain or infection from a decayed problem can I handle the pain more pain from the 3 roots expelled on the same day when a plastic preparation will also be put in on the same day?

      June 19, 2012 at 5:39 am Reply
      1. HI Sally,

        I am not quite sure I understand your question. Can you please clarify?

        Ramsey A. Amin, D.D.S.
        Diplomate of the American Board of Oral Implantology /Implant Dentistry
        Fellow-American Academy of Implant Dentistry

        June 24, 2012 at 9:48 pm Reply
  37. Duane Satterfield

    Hello,
    I had a root canal & crown about 2 yrs ago. The crown came loose & was hurting horrible. I saw Endo Dr yesterday & my tooth was cracked. He removed the crown but I woke up last night with horrible pain near the tooth & in my jaw & ear. Should I have the tooth removed right away? I have been taking Clindamycin for 3 days. I don’t understand why it still hurts when I have no root? Thanks for your help. I need to see you for an implant.
    Thanks,
    Duane

    July 6, 2011 at 8:10 am Reply
  38. Garry Thomson

    Thanks for this video explanation. You are really an expert!

    May 13, 2011 at 5:00 am Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!