All on 4/6 Prettau Fixed Implant Bridge Lip and Facial Support Considerations

All on 4/6 Prettau Fixed Implant Bridge Lip and Facial Support Considerations

All on 4/6 Prettau Fixed Implant Bridge Lip and Facial Support Considerations

If you lose all of your teeth, your jawbone and eventually your face will shrink. This cannot be stopped even with bone grafts. It naturally happens because of atrophy (lack of use) of both muscle and bone of the jaws. I have discussed this bone loss in many previous blog and web articles.

If you’re having an all on 4/6/8 etc dental implant Prettau style bridge, this is an important consideration for facial aesthetics. Being able to support your face means that the lips, the base of the nose and cheeks can be positioned correctly so that you don’t have a caved in, wrinkled appearance.

Many dentists believe this cannot be done with fixed dental implant bridges and offer their patients snap-on overdentures. I have found there to be a lack of uniform knowledge of regular general dentists on this topic mostly because most dentists do not do this procedure routinely.

This issue is more substantial when discussing the upper jaw. A lack of facial/lip support also makes the nose appear much larger than it really is.

In the past (prior to 2005), I too treated some patients with upper overdentures to try to make facial esthetics the best possible but you still end up with a plastic denture! As of about 12 years ago I have developed a technique for predictably re-creating lip support and face aesthetics eliminating the need for upper overdentures. Lip and facial support are also determined by what we call vertical dimension of occlusion “VDO.”

This is best seen in side profile but can also be seen straight on. It is often measured from the tip of the nose to the tip of the chin. If you lose all of your teeth, that measurement from the tip of the nose to the tip of the chin becomes smaller giving you a premature aged appearance and many wrinkles.



Where many dentists believe this can’t be done is in the cleansability of the final Prettau dental implant restoration. I have been advocating and teaching a technique that levels the bone and gum to create a flat or convex surface UNDER the bridge so that the bridge can both be cleansable and aesthetic at the same time.

The fact that Prettau monolithic zirconia is nonporous also helps tremendously. It is not material of the bridge that makes the lip support but rather the surgical and prosthetic planning of the case from the very beginning.

Every single patient I treat has a very particular surgical modification of the gum or bone anatomy to be able to *create* this scenario right from day one. This is done by me at the first surgery. If it is not considered and created from the very first surgery/insertion of implants, it is very difficult to recover and correct later.

I also feel it is very important to “test” every patient with a fixed temporary PMMA bridge that allows them to test facial aesthetics, bite, lip support, color, tooth shape and size, etc. etc. I usually allow the patient to test the prototype bridges for somewhere between 3 weeks to 3 months. They look great too!

I often touchup this gum created contour with a carbon dioxide laser at the beginning of the tooth making process.

I also see that over time once I create a solid biting plane of occlusion, the atrophied, flabby muscles begin to come back over the first year or 2 tightening up the face.

There are some exceptions to creating ideal lip support and it almost always occurs in a patient that has either a severe overbite or severe underbite. When this occurs, sometimes a slight concavity needs to be created in a very certain position that can be digitally designed to be VERY cleansable with a water pick. This will lead to long term crestal bone and gum stability.

This patient that photographed has 6 implants on top and 5 implants on bottom and upper lower fixed Prettau bridges. It is my passion to deliver teeth that are long-lasting, cleansable, well engineered and beautiful. It really changes lives.

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

47 Comments

  1. Dee

    Hi Dr. Amin – I recently had my perms put in – fixed full arch top and bottom with titanium bar reinforcements. I feel like the perms do not adequately support my lips because the teeth sit too high. Is it possible at this point to add pink gum to bring the teeth down lower and possibly offer better support? I know each case is different just wondering if perms can be adjusted or if I’d need to start over. FYI I’ve been expressing concerns about the short teeth since the temps but I was never offered other tooth sizes. Thank you.

    November 10, 2020 at 5:39 pm Reply
    1. Ramsey Amin

      Oh gosh. Once you get to the final they can’t be changed. This has to be worked out in the temp/prototype stage.

      Here is another post on the topic.

      November 10, 2020 at 9:20 pm Reply
      1. Dee

        Thank you very much. Not sure how you find the time to reply to all the questions but it’s very much appreciated! I went in and there was agreement regarding the need for more facial support and I will get new perms. They used a lot of lingo I’ve seen on your site – wouldn’t have known what they were talking about otherwise! So thank you for all of the education as well.

        November 11, 2020 at 2:51 pm Reply
        1. Ramsey Amin

          😉 Give more than you take.
          Best of luck!

          November 11, 2020 at 4:57 pm Reply
  2. Dee

    Hi Dr. Amin – I recently had my perms put in – fixed full arch top and bottom with titanium bar reinforcements. I feel like the perms do not adequately support my lips because the teeth sit too high. Is it possible at this point to add pink gum to bring the teeth down lower and possibly offer better support? I know each case is different just wondering if perms can be adjusted or if I’d need to start over. FYI I’ve been expressing concerns about the short teeth since the temps but I was never offered other tooth sizes. Thank you.

    November 10, 2020 at 5:39 pm Reply
    1. Ramsey Amin

      Oh gosh. Once you get to the final they can’t be changed. This has to be worked out in the temp/prototype stage.

      Here is another post on the topic.

      November 10, 2020 at 9:20 pm Reply
      1. Dee

        Thank you very much. Not sure how you find the time to reply to all the questions but it’s very much appreciated! I went in and there was agreement regarding the need for more facial support and I will get new perms. They used a lot of lingo I’ve seen on your site – wouldn’t have known what they were talking about otherwise! So thank you for all of the education as well.

        November 11, 2020 at 2:51 pm Reply
        1. Ramsey Amin

          😉 Give more than you take.
          Best of luck!

          November 11, 2020 at 4:57 pm Reply
  3. jacquiline fraga

    Pls give me recommendations for huntsville alabama.i will surely call them as soon as i get it.i need a full mouth remodel.and i love your arti
    Cles.i cant travel right now but very able to do it here.

    October 5, 2020 at 5:22 am Reply
  4. jacquiline fraga

    Pls give me recommendations for huntsville alabama.i will surely call them as soon as i get it.i need a full mouth remodel.and i love your arti
    Cles.i cant travel right now but very able to do it here.

    October 5, 2020 at 5:22 am Reply
  5. Nic

    Wow! What an amazing difference! I have been following you for year’s, and boy, you still blow me away with your before and after picture’s!!
    This woman look’s like she got a lower face lift as well as a chin implant, that’s how well you transformed her face using your technique developed in 2005! I’ll go one step further in saying she look’s like a completely different woman!!
    I would have loved to have been there when this woman was given the mirror! You truly are a miracle from God! Total Heaven sent!

    August 14, 2020 at 10:51 pm Reply
    1. Ramsey Amin

      😉 Thank you

      August 16, 2020 at 7:39 pm Reply
    2. jacquiline fraga

      IS THERE ANY RECOMENDATIONS IN HUNTSVILLE ALABAMA?I WOULD LOVE TO GET THIS PROCEDURE DONE.MY EMAIL IS jacquilinefraga@gmail.com..Dr.Amin ?s get back with me.

      October 5, 2020 at 5:16 am Reply
      1. Ramsey Amin

        I am sorry. I do not know anyone there. ;-(

        October 14, 2020 at 8:21 pm Reply
  6. VB

    Greetings,
    My face looked very similar to this patient a couple of years ago. The bone loss, facial collapse is more severe now. Can this help me at this stage?

    I have seen two top rated maxillofacial practices in Texas and both have told me that they could make my lower teeth stable with implants but did not offer any hope for my upper. They could only promise lower jaw stability not that my face would look more normal. Both practices said my facial collapse was the worst that they had ever seen in such a short time. I’ve had complete dentures for 8 years now. They repair birth defects and major trauma injuries but had nothing to offer me. Needless to say that was depressing. I have been apprehensive about asking this question because I honestly feel that you are my last hope.

    There is no way I can open my mouth nearly as wide as the patient featured. Could the collapse have progressed to the point that nothing will be of help to me?

    January 1, 2020 at 2:58 pm Reply
    1. Ramsey Amin

      I hear that story every day. And every day I am able to provide solutions to patients that were told it was impossible. Your case is likely extremely difficult and you may need zygomatic implants. I would be happy to see you. I have had many patients travel from Texas to my office

      Best thing to do would be to call the office at 818-846-3203

      Go ahead and see this link to learn a bit more about what might work for you

      https://www.burbankdentalimplants.com/?s=Zygomatic&submit=Search

      January 7, 2020 at 5:56 am Reply
      1. How much for the Zygomatic implants?? Roughly for 4 ?? Top of mouth no teeth now..no bone for implants..told I need sinus lifts..thank you

        April 7, 2020 at 4:35 am Reply
        1. Ramsey Amin

          Zygomatic implants can get costly. Most people do not need for of them. On average they need to but sometimes only one. At the same time you would not need sinus lifts as well which would reduce the cost. Please see this article on sinus lifting versus zygomatic implants so you can be more well-informed.

          April 8, 2020 at 11:13 pm Reply
  7. Sue Farrell

    Are you saying that this bridge is not removableand is a permanent fixture in the mouth?

    November 25, 2019 at 2:41 pm Reply
    1. Ramsey Amin

      correct!

      November 30, 2019 at 1:12 am Reply
  8. Kris

    Are you able to fix a procedure that was done by another Dentist? I had both top and lower All on 4 done, but my face is sunk in now, and I look so much older!!. It breaks my heart that so much money was spent on my teeth, and have been back several times for adjustments, and they are nothing like they should be. 🙁

    November 24, 2019 at 6:17 pm Reply
    1. Ramsey Amin

      Sadly. 30% of my practice is redo’s and revisions. Click the link to learn more. Happy to help you!

      November 25, 2019 at 4:48 am Reply
  9. Dear dr Amin lovely to come accross
    one of your fabulous articles and associated links, I have loved all your work from the first time i saw your first info video, all of which showed your genuine care,passion,honesty and obvious outstanding ability .I still can not find anyone here that even compares to you/ i am sick of wasting money on consults and getting nothing in return, and a lot do not even give me a treatment plan
    / this mentality just breaks my spirit as this is my health.I truly believe that do not like the knowlege i have along with what i have learnt from you /also i think it is beyond their capability ,yet they never say that/ i would prefer them to tell me that from the begining(al la then i would not open my mouth or my wallet🤐😉.) Anyway it is still my dream to come and see you one day as i need help to get out of this quick sand that i am sinking in /i truly trust you and trust is paramount…
    Kindest Regards..
    Julie

    November 24, 2019 at 6:35 am Reply
  10. Cynthia wells

    sigh, I hate my life, all about the Benjamin’s. wish I cold afford you, beautiful work. I must admit to envy those who have money to take care of themselves

    October 22, 2019 at 12:23 pm Reply
  11. Elizabethe Carlisle

    Hello,
    Where are you located?
    Respectfully,
    Elizabethe Carlisle

    October 2, 2018 at 7:42 pm Reply
    1. RamseyAminDDS

      Burbank California

      October 8, 2018 at 1:50 am Reply
  12. Win

    The more of your website I review, the more I think I should travel from the east coast for an All on 5 or 6 lower arch.

    I have 3 failing/cupping left lower quadrant implants and 3 right lower quadrant implants (all placed about 9 years ago) which might/ might not last another decade. I would consider myself lucky if a full arch were to last another decade, since I am a very senior citizen.

    I am just asking for ballpark estimates now. Please tell me the approximate number of visits over, say, a year would be necessary–can any of the steps be done within a few days or each other? The trips, especially if they require a lot of hotel time, are probably prohibitive, but your videos and your website make me hope this is possible.

    And, of course, the approximate costs of a lower All on 5 or 6. I have a current CT, am in good health.

    September 2, 2018 at 8:32 pm Reply
    1. RamseyAminDDS

      Hi Win,
      I have many patients that travel. Please call the office on Tuesday and speak to my front desk staff. They can help you with these questions in more detail. Most of these procedures are done in very few visits due to advanced technique and digital technologies.
      😉

      September 2, 2018 at 11:33 pm Reply
  13. David Marco

    Is it possible to build the upper gum area using a gum graft/augmentation of some sort for lip support so that the zirconia implant bridge would consist of teeth only and no upper pink material?

    Please advise further

    July 25, 2018 at 8:52 am Reply
    1. RamseyAminDDS

      Yes it is possible to have full upper that has no sort of pink material. Here is a case that I recovered for another dentist that may help you understand. Typically the cases that do not involve gum tissue are much more difficult, costly and require a very skilled practitioner.

      July 28, 2018 at 1:32 am Reply
      1. Tammy weddington

        Hi I have had upper dentures for 35 yrs I had a calcium deficiency I had lost a lot of my bottom back teeth to years ago I am now to the point of the rest of my bottom have to be pulled they are acting like I don’t have enough ridge left on bottom to hold a denture is this fixable?

        September 17, 2019 at 9:06 pm Reply
        1. Ramsey Amin

          If you don’t have enough gum and Bone then implants are the solution to either hold the Denture in or more ideally convert to a fully fixed bridge that you never need to remove

          September 22, 2019 at 12:35 am Reply
  14. Andre MacKinnon

    great article and very informative. If only I read all of this 8 days ago prior to having my work done. I am sitting here doing the research I thought I had already done before electing to get the all on 6 .
    I just had 8 top teeth removed and 6 dental implants installed and now I have the transitional teeth in which are in my opinion dentures. I assumed that these were just the temporary and my final product would be the beautiful teeth I wanted that feel like real teeth. I now find that my permanent teeth will be pretty much the same with the large flange under my lip and the acrylic covering my entire gum. Like I said I think this is basically just a denture that is screwed in minus the large palatte. I already spent 30k on this and am almost in tears thinking I made a huge mistake. I have called back and am waiting to hear if what they did can be changed to a fixed bridge which would feel more like teeth than this denture. The more I read the more I am scraed that they will tell me I need to have different type of implants and more of them, plus grafting, etc. in order to change the type of teeth. Is it possible to retain the implants I already have in and healing and change this to a fixed bridge such as the prettau zirconia. I am going to be sick to my stomach if they tell me its going to be another 10k or more. I may just tell them to stop everything and head to Mexico to have this done correctly.

    April 25, 2018 at 11:30 pm Reply
    1. RamseyAminDDS

      Oh gosh…. The transitional teeth are often converted dentures or PMMA so they do feel a bit like plastic. This is not uncommon at all.

      please see this article on temporary full arch/full mouth implant bridges.

      If the bridges made in zirconia it may be able to be thinned out a bit but zirconia has a certain minimal thickness that it needs to be to prevent fracture of the entire bridge. The thinnest material but you can use it is actually porcelain fused to metal. The problem with porcelain fused to metal (PFM) is it can chip or break more easily but it can be made thinner. The reality is without that flange your lip may caved in. Sometimes the shape of the palate or the shape of the lips require more of the pink to be done for proper support. I’m not sure that you would be able to go backwards to have individual crown and bridge type restorations done. That would be a major task.

      Prettau zirconia is simply a material. It will not magically replaced the need for the pink part of the bridge. Some people need a lot of pink and some people need very little in some not at all. Typically this is known in advance of ever removing the teeth during the consultation visit.

      I hope I have helped you in understanding your situation better.

      April 27, 2018 at 1:55 am Reply
  15. Hi Dr Ramsay Amin….lovely to see your great work again along with your genuine informative explanations…..I still have not found a tone in australia that I really trust…so many do the all on 4 but it is plastic denture teeth…and they do not like it when I mention prettau zirconia 6 on top 5 on bottom……this work is so complex and should only be done by truly experienced professional people…..a lot of people that do it should not……I did find a top ceramist with decades of experience who has a large licensed lab to use prettau zirconia..I have not met him yet..his name is Wauner Sauer.i was talking to his wife the other day and mentioned great guy in Burbank she said he knows someone in Burbank must be you …a guy from what his wife told me he does work with some all on 4 mob but they only use 4 foundations??and a metal bar?..anyway that did not sound enough for foundations….I hope this email finds you well and happy…😁 I have never forgotten your saying “it has to be done right not right now ” l LOVE THAT SAYING BECAUSE ITSAYS IT ALL AND IT IS TRUE!!……I am still suffering🙁😖 (lower getting worse) this is crazy as it is such an important health issue ….I think some people think I am in the top hard basket…I think they just want the 4 foundations and plastic denture teeth. It would be funny if you knew the ceramist I mentioned earlier. Kindest Regards Julie …

    April 8, 2018 at 2:07 pm Reply
    1. RamseyAminDDS

      I do not know the ceramist that you are mentioning. I’m sure you can find somebody close to your home that can help you!! You are a wonderful human being. Thank you for your kind words. I truly hope that you can get your mouth back to 100% health, function and beauty.

      April 11, 2018 at 7:29 pm Reply
      1. Thank you for your kind reply as I know you are a very busy man. I am seeing a dr philip tan at bayside dental he is a prosthodontist I saw him last year but did not have time to see his oral surgeon dr Sam Verco I have appt to see both in early may as they are both in Melbourne,I think philip does his own milling if so doubt if prettau zirconia would be an option as last year I got in contact with the overseas manufacturers and they gave me their austalia rep. and I got the name of licensed labs on the east coast of australia,but still can not find a team of prosthodontist , surgeon,and prettau lab that work together that do more. than 4 foundations/ I know how important the plan/the foundations/occlusion/tmj/ work load forces in the mouth/the protective canine rise are as without it all being correct, the domino effect kicks in,and boom crash opera the house falls down/I only know this as I have lived it and learnt it years ago…. that is why I understand the Importance of your explanations..I just get you./dentistry can be such a cover up industry/I do not mean to be disrespectful to the industry but a lot of bad work is done and there is no accountability 😕 that is why you make people feel safe as you are honest and open and capable such rare qualities am sure you know . where I am coming from…..that is why people feel safe putting their lives in your hands…kindest regards julie… you never know we could still meet…meanwhile stay safe in this volitile world we live in …….

        April 14, 2018 at 2:27 pm Reply
  16. Stephen Baker

    Ten years ago I had a sinus infection that was treated with an antibiotic. I had a severe reaction and ended up in a hospital in CCU for three days. For some reason the doctors there told my wife that it wasn’t my sinuses it was my teeth. It was not. They told her I could die with such bad teeth and they all needed to be extracted. They pulled 22 healthy teeth. I suffered from PTSD since childhood and this sent me into a tailspin for 8 years. Now ten years later I’m finally emotionally ready for implants. I’ve tried regular dentures now for 2 years and I can’t get used to them. I’ve been told by prosthodontist that implants would cost around 50,000 dollars. I’m disabled on a fixed income. How will I ever be able to afford that? I can barely eat. Ive gone from 195 lbs. down to 125 lbs. I’m 6ft. 3. I’m beginning to think I’ll probably die from this. Any suggestions?

    February 27, 2018 at 2:31 pm Reply
    1. RamseyAminDDS

      Yikes…have you considered treatment in a dental school graduate program? They may be able to help you at a reduced cost.

      March 27, 2018 at 4:57 am Reply
  17. Carmen Feger

    Your work is beautiful.

    August 21, 2017 at 9:13 pm Reply
    1. RamseyAminDDS

      Thank you 🙂

      August 26, 2017 at 5:31 am Reply
  18. Andrea L. Stacy

    I live in L.I., N.Y. I just turned 65 and after having tens of thousands of dental work done I am now being told I will probably lose all my teeth. I am more than hysterical-after my fifth bridge in upper front teeth(stemming from being in accident-a passenger at age 14 and lost a front tooth-probably swallowed) At any rate I received a whopping $2,000 because my lawyer said I was much too pretty to receive any sympathy! Unfortunately my fiancé died leaving me without funds-I became an RN and re-couped my losses-I had to go on disability due to a severe back injury;then went off a ladder at my daughter’s home and was life-flighted to repair the compound fractures with ORIF-I’ve been paying off those bills and face more surgery. A dentist said I was getting decay under last front bridge-pulled out all my upper teeth and placed bonded together temps. I could waste your time with more traumas but since I cannot get to you I’m praying for anyone nearly as competent as you to be found closer to home.Please excuse this poorly written tale-I am in excruciating pain as I write. I cannot bear dentures. (small bite) I briefly had a temp plate which was intolerable. I have a small home I will sell not to have dentures. Please help if possible. I’m still pretty but it’s not simply vanity-it’s the intolerance of all the effects of dentures. Thank You.

    August 13, 2017 at 12:05 pm Reply
    1. RamseyAminDDS

      So sorry about what you are dealing with 🙁

      Fortunately you live in NY which is full of great dental opportunity. Just do your due diligence and find a provider who is skilled, experienced and compassionate.
      Since your case is complex make sure you understand what you are getting into.

      August 13, 2017 at 12:40 pm Reply
    2. Raechel

      Your story sounds so close to mine that’s it’s eery. Just curious. Did you ever get your teeth fixed?

      April 18, 2019 at 10:37 am Reply
      1. Hi Raechel-unfortunately, no. Haven’t had the funds. On tiny fixed income and everytime I try to save something comes up-I realize that happens to everyone(well-not everyone!) but when you are just making your monthly bills, it is just about impossible. How are you making out? I had never read that with bone grafting your face still sinks in. All that $$$ and you end up with one of the big problems you want to avoid? At my age that is a hell of a concern. I’m in limbo. My fractured leg had the metal screws break 2 mon. after-metal fragments digging into your bones make it hard to socialize; so I haven’t even thought about looking for a man who might possibly help with finances. I realize that sounds terrible-should have added a man I love; not just someone with a healthy bank acc’t.

        April 19, 2019 at 3:02 pm 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!!!