Apicoectomy Failure – Burbank Dental Implants Success Video Testimonial

Apicoectomy Failure – Burbank Dental Implants Success Video Testimonial

Apicoectomy Failure – Burbank Dental Implants Success Video Testimonial

Apicoectomy root canal procedures can and do fail leaving a bone defect. This bone defect can become problematic when having a dental implant. Even though a root canal and an apicoectomy can “save” a tooth, sometimes they are still lost. 

My patient came to my dental implant office in Burbank after realizing that her front tooth could not be saved. It is really an amazing video of her personal experience.  The best part is the ending, so make sure to watch the whole video. The pictures and x-rays are also included.

  (Please read: This is a follow up post to the same patient images used on a previous post.)

This is her personal experience with her dental implant and bone graft.

The stages of her procedures were as follows:

1. Extraction and bone graft and utilization of a removable “flipper” temporary.

2. Implant placement with an immediate same day fixed temporary.

3. Four months later, the final custom shaded and textured crown was delivered.

Here is how she started:


Sorry for a little blood in this picture!!!  This shows great healing after the extraction and bone grafting.  Note how the bone is wide.


Implant placed without an incision -Ramsey Amin, DDS


Same day as surgery –this is the temporary on the implant.


Final smile!


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



  1. Anonymous

    Hello Dr Amin,

    I had my front four teeth crowned at the age of 15 (20 years ago) after a sporting accident. A few years after that I had to have one of them apicoected – which was done at a hospital. The apicoected tooth always had from xrays a dark shadow around one part of it (which I have in an email attachment). Which as there was no bleeding or swelling presumed as did other dentists was just scar tissue. It was a large apicoectomy. However 15 years later at the age of 30 (2008) I had them all recrowned with ceramic – and so all the posts were taken out. Four years on I had an xray taken (2012) and the dark image which was thought to be scar tissue seemed to have gone around the tooth now. I went to visit a top periodontist and endontist, both of which although they could see the change in shading on the images couldn’t see any external signs of infection and said don’t mess with it. Just leave it.

    Im just wondering whether you could shed any light? and if I need to do anything? The apicoected tooth seems stable – apparently not as stable as the others but stable enough. I noticed there didnt seem to be the evidence of a post like there was before in it? The old poreclain crowns all had metal posts which were taken out and replaced with fibre ones. Although I dont see the bright white evidence of any post in that tooth like the others under the more recent xrays now. Im wondering – has this caused the extra shadowing?

    Id appreciate your help :@)


    September 21, 2015 at 9:32 am Reply
    1. RamseyAminDDS

      You definite a 3-D scan to really evaluate this. Most of these teeth leak and become a chronic source of infection over the years. You will likely need retreatment apico with a bone graft or an extraction altogether. The key is the 3-D scan for proper evaluation.

      The timeline sounds fairly normal. This tooth is not likely to last your entire lifetime unfortunately. Sorry for the bad news.

      Good luck

      September 26, 2015 at 4:51 am Reply
      1. Anon

        Thanks so much for that. Is it possible to do bone graft without extracting the tooth? I’m trying to prolong the natural root for as long as possible?

        September 27, 2015 at 7:49 am Reply
        1. RamseyAminDDS

          Yes it is possible to Graft around existing teeth.
          This will depend on what type of “defect” you have around the tooth.

          Most defects are not graftable which requires extraction but some are!!

          If the tooth is loose, it is hopeless.

          Good luck.

          October 12, 2015 at 10:11 pm Reply
  2. Rencey Smit

    Not a comment but a question. My daughter had two apicoectomies, the last one four years ago which was done as an emergency operation in hospital. She once again had an abscess in 2013 and was advised to have a dental implant. The abscess was apparently removed, bone grafting done (and remember by now there was almost none of her own bone left to graft), and the first step of implantation was done, ALL SIMULTANEOUSLY on the same day and time and without any anaesthetic. After less than a month during an emergency procedure by another dentist, the implant was removed AND THE ABSCESS, which was apparently not completely removed during the bone grafting and implant stage. Thereafter every three and a half months she had bone grafting which did not work at all and eventually after one year she and her new dentist decided on a bridge which just works wonderful. No problems at all!!!! Having regard to the fact that she had two apicoectomies before during surgery under aneasthetic, should there not have been a waiting period of three to four months when the third abscess was removed to make sure that there was no further infection before bone grafting was done and dental implant started with? I am just curious to know. As I said, she is very happy with her bridge which I think should have been the first option in stead of an implant. By the way, she has a heart condition and is a smoker, obviously some factors which was not taken into consideration at all. Thank you.

    November 21, 2014 at 12:05 pm Reply
    1. Ramsey Amin DDS

      Hello Rencey,

      My guess is all of the infected tissue was not removed at the time of the first surgery. Removal of all of the dead tissue around of bad tooth is a learned skill. The key to doing this properly is to make a very large incision and exposing a lot of bone. Too many times a small incision is made to try to be conservative but it does not allow a well-meaning dentist to remove all of the infection/inflammation.

      Incision with wide margins in remote locations help with blood supply and complete removal of dead and/or dying tissues. With this type of incision and exposure it is very possible to do all procedures on the same day if the infection is not to serious. It is also most helpful for a single dentist to be in charge of all things. It sounds like you had to see several different dentists each of which may not have been on the same page.

      I am glad the bridge is working out for her. Sometimes a dental implant is not the best option for some patients. Make sure she flosses under it on a daily basis. This will lengthen the duration she will have this bridge. If she is under 45 years of age she will be replacing this bridge a few times. Of course diet is a huge part of longevity of a bridge. All soda must be eliminated!

      Thank you for sharing your story.

      Very Respectfully,

      Ramsey Amin, DDS
      Diplomate of the American Board of Oral Implantology/Implant Dentistry
      Fellow of the American Academy of Implant Dentistry
      Burbank, California

      December 8, 2014 at 5:16 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!!!