Before You Extract Your Tooth Consider A Dental Implant

Before You Extract Your Tooth Consider A Dental Implant

Before You Extract Your Tooth Consider A Dental Implant

The time to consider having a dental implant is before it is ever extracted. As soon as the tooth is extracted the bone will begin to shrink. You can not stop this from happening. For some it happens faster than others, but for most it only takes a couple of months to lose a lot of bone. Generally you can not see the bone loss because it happens under the gum.

If the situation is ideal the tooth can be extracted and an implant placed at the same time or very soon after the extraction.

The old adage “if you don’t use it, you will lose it” applies to the bone in your mouth too! If you stopped using your right arm entirely for a few weeks, it would shrink and become less functional. You may have to undergo physical therapy to regenerate its strength and function.

Once a tooth is extracted, the bone that once surrounded that tooth is no longer stimulated by the force put on it when you chew. Because there is no force or daily stimulation to the bone, it shrinks. It shrinks very quickly and will continue to do so until an implant is placed.

A bridge does not prevent bone loss. A denture or partial accelerates bone loss.

So being evaluated for implants before you ever had an extraction may allow you to prevent the bone loss. By preventing bone loss, you will have saved your self money, reduced the need for a bone or gum graft, and decrease the treatment time considerably. Preventing bone loss also allows for the most esthetic results possible.

To make matters worse, most of the time the other teeth will move and shift after even just one molar is removed.  The teeth will begin to tilt on top of each other  opening up gaps and spaces.

It is unfortunate that too many people wait so long to have the procedure done.Take care of it when it is a small problem!


  1. Gina

    Do you think it’s too much trama to the mouth to have a root canal in one place, and 3 implants removed elsewhere?

    A friend had 3 implants added that were appearantly too large, and she has had infections, and is being told that she is losing bone in that area. Friend was so traumatized by dental experiences she went overseas to seek a different opinion, and they offered to do the root canal and implant removal the same week. I worry for her that it might be too much at a time.

    Should she wait to do the implant removal? Should she also have implants placed instead? The European Dentist said she could have a bridge placed instead. (She doesn’t want an implant anymore, so traumatized).

    November 23, 2018 at 12:49 pm Reply
    1. RamseyAminDDS

      the most important thing about a dental implant is to hopefully have it done right the first time. There are about 3-5% of patients that can have bone loss around an implant. Proper planning and seeing a dental implant specialist is the best thing to do. Having multiple treatments done in the mouth simultaneously as not a problem at all.

      November 29, 2018 at 2:06 am Reply
  2. Jen

    Hi Dr Amin
    I am very scared as I’ve been told by an oral surgeon that I need 11 teeth extracted (4 wisdom teeth and 7 molars) my mouth is very crowded and I have overlapping teeth at the front, already not the best bite.. so far my dental plan is to have the surgery, get a deep clean and then see an orthodontist. No mention of implants or replacing these teeth, does that mean I’m not a candidate for these? And also will having 11 teeth removed dramatically change my mouth/bite?
    Thank you in advance

    November 22, 2018 at 12:41 pm Reply
    1. RamseyAminDDS

      you will probably be fine as 4 of them are wisdom teeth but likely will need some type of implants. I would suggest you do things and different order… You need to see the general dentist and orthodontist first to have a perfect plan. The oral surgeon will be the last person to see

      November 28, 2018 at 11:58 pm Reply
  3. Shree

    My Dentist is suggesting me to extract my tooth #27 which is infected and done root canal once.
    As per treatment plan she wants to put implant after 6 months.
    however I m TMJ patient. I don’t have disc problem but do have muscle and bite problem.
    I am heavy grinder n clencher. After extraction if there will be gap of 6 months for implants, will it make my TMJ worst? Will it change my Jaw alignment ?

    September 29, 2018 at 11:36 pm Reply
    1. RamseyAminDDS

      the single-tooth should not change her jaw alignment in the short-term

      October 8, 2018 at 2:05 am Reply
  4. Dave W

    You mention the other teeth shifting with a molar removed but also advise waiting several months so everything heals appropriately ; which makes sense.

    My upper back molar had a failed root canal and I had it retreated, but it might not be successful. How do I avoid having teeth shift during this wait? Thanks for the great info.

    August 21, 2018 at 4:52 am Reply
    1. RamseyAminDDS

      If you have the whole process done within 6-12 months typically the movement is inconsequential. Most the time it takes longer some people are more prone to this supra-eruption process. Many molars can be placed as an immediate dental implants with a very skilled dental implant specialist.

      August 22, 2018 at 11:28 pm Reply
  5. Leena Harduth

    Hi Dr I desperately need implants but was told because of my MVP it could be difficult. Heard a lot about keyhold and basal implants what are your thoughts. By the way I only have 7 teeth on top and 6 sat the bottom

    June 9, 2018 at 1:36 am Reply
    1. RamseyAminDDS

      MVP = Mitral valve prolapse……why not have implants? Are you symptomatic and require a new heart valve?

      June 10, 2018 at 12:30 am Reply
  6. Joseph


    As I am reading through your comments, I am getting a little concerned. When I was quoted a 6-8 month timeframe for an implant on a molar tooth, I was a little hesitant and it showed during our meeting. The periodontist stated he may be able to place an implant immediately but no guarantee. When I went in for surgery, I said if it can’t be placed today, it’s no biggie. I didn’t want to run the risk of it failing due to lack of time.

    He did proceed to place the implant and stated it was stable. However, as I read through some of your responses, it sounds like there may be a higher risk of failure for placing implants on molars as same day extraction. Have you ever placed implant for molar same day as extraction? Is there anything I can do to work towards a successful implant placement? Avoid chewing on that side? Cleaning really well?

    This is only the implant, I did not have a crown or other temporary item placed.

    May 31, 2018 at 12:42 am Reply
    1. RamseyAminDDS

      Have you ever placed implant for molar same day as extraction? 100’s of them!

      Yes and yes to both of these. Avoid chewing on that side? Cleaning really well?

      With a very skilled provider an immediate molar is a very predictable procedure. I do this all the time. Sometimes I do not know whether it is truly possible until the time of the actual surgery.

      June 3, 2018 at 5:00 am Reply
  7. Sean

    Hi, I had my right maxillary first molar extracted due to a severe fracture. My dentist said I would need to wait 6 months to have an implant to allow for healing. The article recommends getting it done as soon as possible but you also mention in a reply to a comment that, “In general waiting 3 to 6 months after having a tooth extracted is the ideal time to be evaluated for dental implant”.

    May 30, 2018 at 11:07 am Reply
    1. RamseyAminDDS

      Each case is variable but for molars 3-6 months is a good general guideline.

      Sometimes they can be done at time of extracting.

      This article talks about lowers but concept is the same.

      June 10, 2018 at 2:48 am Reply
  8. Flora

    Hi, I have to extract a broken tooth (6th tooth up) and the tooth next to it which I did root canal 15 yrs ago. For the implant I want to travel to my original country because it’s cheaper, but I can’t wait there more than a month and then for adding the crowns I will travel again after 5-6 months. I wanted to know is it better that I extract them like 3months before traveling? Or should I do the immidiate implant over there? Which one is better? Thanks

    February 12, 2018 at 2:16 pm Reply
    1. RamseyAminDDS

      No way to know without seeing you and your exact situation. Traveling abroad carries its own risk factors. Many times people return to their home country be it the United States America and they end up having problems finding a person that will treat complications. Oftentimes implants not used in this country did not have parts available or compatibility should you have a problem. I have dealt with this problem so many times!

      February 14, 2018 at 10:50 pm Reply
  9. I’m 38 years old and I am pregnant I just found out I have a really serious gumm disease I have no insurance and I’m very low income I am very wary about my baby it with anybody out there that come please tell me where can I get financial help to get implants everything started because I got assaulted four years ago and left for dead by a neighbor broke my teeth and some or falling out I am due to that I I got traumatized and refused to touch my teeth because I was scared I just find out one month ago that not only I am pregnant but I have a gum disease please I need help my name is Lymari I’m a resident or Lakeland Florida I’ve been to two doctors in the office have literally don’t want to see me treat me very bad and is very bad and embarrassing infront of my children. Are used to be a model onceIs very hard for me to look myself like I don’t want mirrors in my house please I need help thank you god bless

    January 27, 2018 at 10:44 am Reply
    1. RamseyAminDDS

      Gum disease can affect the health of your baby since it is a chronic inflammatory disease. This is something you want to get looked at ASAP. If finances are a problem I would suggest you’ve visit a local dental school and have whatever necessary care is needed to get you healthy first. After the baby is born you can take care of the cosmetic type of issues. It sounds like you need to remove several teeth.

      January 29, 2018 at 1:36 am Reply
  10. Maritza

    I have 2 front teeth that are very loose. (Ex smoker). My dentist said he can do implants. After stays and discussion gave me a price.
    Do i need to wait till tooth falls out to go start the process?
    Can I get something to cover till implants are done?

    January 4, 2018 at 7:19 pm Reply
    1. RamseyAminDDS

      Start now and have immediate fixed temps if it is an option!

      January 16, 2018 at 11:40 pm Reply
  11. Someone

    I will have an extraction in my lower molar. Is it possible to have a dental implant after a year? Thank you!

    May 19, 2017 at 2:56 am Reply
    1. RamseyAminDDS


      May 21, 2017 at 3:41 pm Reply
  12. Hi Dr. Amin,
    I recently had my left upper molar removed 4 months ago. I want an implant but was told it might be impossible due to the location of my sinsus and my jawline is curved. The Dr. suggested I might have to live with a bridge. Are there cases where an inplant can’t be placed?

    October 3, 2016 at 6:45 pm Reply
    1. RamseyAminDDS

      It is extremely rare that upper tooth cannot be replaced. Sometimes this can occur on a lower tooth in the most extreme of situations but lifting a sinus can be done very easily. Watch this interactive video on how it is done can see the rationale and learn more about it so you can make a better decision. Good luck with everything

      October 4, 2016 at 9:01 pm Reply
  13. Lisa

    Hi Dr. Amin
    I am 31 years old and still have a baby molar (lower side). My dentist recommends removing it and getting an implant. Apparently there is a silent infection and there is also some bone loss. This molar has no more roots. I can feel some pain on the gum around that molar when I floss with my waterpik. I also have periodontal disease. I am planning to get pregnant soon (within 3 months or so) and my question is – would it be better to start the implant process now and complete it after the baby is born? My worry is that if I become pregnant and the molar is still there the infection could get worse. Would it be a good idea to remove the molar now and then get a temporary cown in the meantime and have the implant after baby is born? Please help, I am so confused.
    Thank you!

    September 26, 2016 at 10:11 pm Reply
    1. RamseyAminDDS

      You are kind of in a pickle considering you may become pregnant. I tell my patients to keep there baby molars until they become symptomatic. That usually happens some time when you are 30-40 years of age for many people. Of course if it becomes infected during pregnancy, it could create a problem. If it has been symptomatic than it would be better to remove it before becoming pregnant and therefore you would not have to be on antibiotics and have other risk factors during her pregnancy. Remember you will be caring for 2 people soon enough…. Get your sleep while you can!! 😉

      September 28, 2016 at 10:13 pm Reply
  14. Susan Arnold

    Hi Dr Amin
    My crown for #5 will not stay in as there is not enough tooth to hold it. My dentist recommended an implant. I’ve met with the oral surgeon . Had the X-ray and scheduled the extraction. What do you recommend as a cosmetic device to hide the hole in my mouth during the implant process. Thank you

    May 31, 2016 at 1:22 pm Reply
    1. RamseyAminDDS

      Stay plate, essix bridge or temp Maryland bridge.

      June 13, 2016 at 11:25 pm Reply
  15. Ann

    I just had two teeth extracted and plan on having dental implants later this year. As part of the process, the oral surgeon did a bone graft. Anyway, he does not want to meet sooner than 6 months from the extraction date as he feels that is needed for adequate healing.

    I understand his point of view but I am perplexed he didn’t want to consider meeting sooner since every patient is different healing wise.

    I am also concerned about bone loss since I read that it starts as soon as the teeth are extracted and doesn’t stop until implants are completed.

    Before I say something I might regret, I wanted to get the perspective of someone like you as I realize I may be missing something communication wise.

    May 2, 2016 at 1:58 pm Reply
    1. RamseyAminDDS

      Waiting a full six months is a good idea especially in the upper jaw. Your bone does not heal like your skin wounds. It is much slower. It is best when the bone is more mature. This will lead to long-term success. Every bone graft material and technique is different and of course you are unique. Replacing a tooth should not be a race.

      May 7, 2016 at 3:17 am Reply
  16. Randy Kenan

    I had some decay under my crown on number 17. The tooth had a root canal. After removing the decay my dentist said that there wasn’t enough of the post left to support a crown and recommended an extraction and implant. He put a temporary cap over the what is left of the tooth. The cap is even with my gum line, like the tooth had been extracted. I want to get an implant to replace the tooth, however I would have to change my insurance plan that would take effect Jan 1st, 2017 to get the implant covered by insurance. Can I wait to have the extraction till January to avoid bone loss?

    April 21, 2016 at 9:25 am Reply
    1. RamseyAminDDS

      Yes typically with a tooth that has a root canal it would be fine to wait as long as the bone does not get infected in the meantime.

      May 7, 2016 at 3:22 am Reply
      1. Feena

        Where are you based want to get dental implant done

        May 26, 2016 at 11:32 pm Reply
        1. RamseyAminDDS

          Burbank, California.

          June 12, 2016 at 11:23 pm Reply
  17. Karen Stewart

    Due to a bad root canal, I am now forced to extract the tooth due to it broken in three places. My dentist wants me to have a bridge or inplant. Since its my #3 Molar, would it be ok to just leave the hole and spare the expense? Please tell me because I can’t decide and my dentist isn’t answering my questions in a way I understand.Thank you, Karen

    April 18, 2016 at 7:30 pm Reply
    1. RamseyAminDDS

      The other teeth will move and shift after even just one molar is removed. The teeth will begin to tilt on top of each other opening up gaps and spaces i addition to the bone loss.

      April 20, 2016 at 11:53 pm Reply
  18. Pinky

    Dr sir one of my upper molars are in a really bad condition and needs extraction.
    A. Can an implaant be done on the same day as extraction?
    B. Can an implant be done under local anasthaesia as ina root canal?
    C. What are the long term complications of an implant?
    D. As the implant is done just after extraction would bone grafting be necessary?
    Thank you!!

    March 6, 2016 at 3:52 pm Reply
    1. RamseyAminDDS

      Each situation varies but in many cases a same day extraction and implant can be done. Sometimes grafts are needed and sometimes they are not.

      March 11, 2016 at 4:42 am Reply
  19. Zenaida Terhune

    Can dental inplant still possible after years of extraction.

    January 14, 2016 at 2:46 am Reply
    1. RamseyAminDDS

      absolutely! you will likely need some bone grafting reconstruction but it can definitely be done… I do it all the time!

      January 14, 2016 at 9:41 pm Reply
      1. Zenaida Terhune

        Thank you Dr. Amin for responding to my question.


        January 16, 2016 at 10:11 pm Reply
      2. Katy

        I want to have an implant for the top 2 frontal teeth ….. The nerve was taken out st the time I had a root canal between the two teeth and they became stained . It’s been 9 years now . I wanted to know how much it would cost me to extract and implant two teeth…. Roughly

        March 30, 2016 at 2:33 am Reply
  20. Charlotte jones

    I’ve been wanting to get 4 teeth removed and get implants but I don’t want to wait. Is it safe to get impmsnts the same day you get your teeth removed or should you wait?

    December 19, 2015 at 12:32 am Reply
    1. RamseyAminDDS

      Hello Charlotte

      There is no right answer. It is going to depend tremendously upon how much bone you have available, aesthetic and functional assessment, predictability, the ability to make the implants stable and at least 100 more things. You will very likely need a bone graft to be done simultaneously also.

      Immediate dental implants are more difficult to do from the dentist standpoint. I do these very routinely but case selection is extremely critical. You must absolutely 100% have a preoperative 3-D CBCT scan in order to do this. Find an expert in your area to do this for you. Front teeth are especially critical but immediate implants work very well in this area.

      I routinely do a procedure in my office or I remove all teeth and place dental implant simultaneously for the Prettau dental implant bridge. The computer planning is very important. Here is an example.


      Ramsey Amin DDS

      December 26, 2015 at 5:46 am Reply
  21. Evan

    Hi Dr. Amin. My upper left molar (#27) has a crack and has to be extracted.
    1) is an implant the best way to go?
    2) What is an alveolar bone preservation-allograft ?
    3) should these procedures be done under local or general anesthesia?

    Thank you for your time and advice.

    December 4, 2015 at 6:00 am Reply
    1. RamseyAminDDS

      1) is an implant the best way to go? —YES–most of the time it is the best answer
      2) What is an alveolar bone preservation-allograft ? —see attached link
      3) should these procedures be done under local or general anesthesia? —it depends on each person but something in the middle called IV moderate sedation is best. General anesthesia is not necessary but IV moderate sedation is extremely beneficial.

      December 29, 2015 at 6:21 am Reply
  22. stefani

    Mr. Amin, my #22 baby tooth never fell out and was pulled by my dentist when I was around 18. My permanent tooth never came up and is impacted down in my gum. So as a temporary fix he put bonding in to fill the space until I had the tooth extracted and follow with an implant. My question is, is it entirely necessary to cut out the impacted tooth to have the implant put in? Can my dentist remove the temporary bonding and place the implant?
    Thank you very much for your time.

    September 23, 2015 at 2:47 pm Reply
    1. RamseyAminDDS

      if the impacted tooth is in the way of placing the dental implant, there are not a lot of other options. I am assuming you have seen a very good orthodontist to evaluate the possibility of pulling your natural impacted tooth into the arch using braces.

      if you haven’t seen her orthodontist, I would suggest you do so before any treatment is done.

      September 23, 2015 at 11:41 pm Reply
      1. LaTasha Currington

        Is it a bad idea to get my teeth pulled a month prior to my first implant appointment? The dentist wants to pull all of my teeth on top (9 remain) but I have to wait 3 months on a denture. I have scheduled an appointment for implants that comes after the dentist wants to pull my teeth. I’m just not wanting to do anything that will jeopardize my opportunity to receive implants from the dental college. I can take the pain a little longer if the students at the dental college actually do same day implant work or can get my implants in sooner if my teeth aren’t already pulled. Your opinion please Dr.

        August 31, 2019 at 1:09 am Reply
        1. Ramsey Amin

          I recommend that you follow what they have set for you. Each case is specific and unique. Sometime it is better to pull the teeth before and sometimes it makes it worse.

          September 1, 2019 at 4:13 pm Reply
  23. Angela

    Dear Dr Amin,

    I lose my 2 front teeth when i was 14 and now im 22. Im using denture for the past years,is it possible for me to get implants? Cause im losing my confidence talking to others.


    July 24, 2015 at 4:01 am Reply
    1. RamseyAminDDS


      You will likely need some type of bone grafting because the teeth have been missing for a few years. Dental implants are likely your best option. Front teeth implants can be very difficult so be sure to find somebody very good to help.

      Good luck,

      Ramsey Amin DDS

      July 27, 2015 at 4:25 am Reply
  24. Raji

    Dear Dr Amin,

    when I was around 10-12 years one of my tooth fell off after a untreated cavity , now I am 36 , should I get a new tooth or implant , though I don’t have any problem .


    May 26, 2015 at 9:28 pm Reply
    1. RamseyAminDDS

      Hi Raji,

      Your question sounds more like a personal life choice question rather than a specific reason question.

      Nature designed is to have 28-32 teeth. We were not designed with this many teeth so that they can be used as “spares.” Every tooth matters. Some teeth matter more than others.

      May 27, 2015 at 4:30 pm Reply
  25. Abhilasha

    I’m a 46 years old woman and I had a crown on my molar for the last 20 years, obviously rct has been performed on my tooth earlier. Few weeks ago my crown fell off, when i got it checked, my dentist told me that the tooth had fallen off with the crown and now just a little part of the tooth remains which is sharp and is causing irritation and that a crown can not be put on it. I am being advised to get a dental implant or a bridge treatment ASAP. I wanted to know whether i should get an implant or a bridge or can i leave it just like that, because there is no infection in my tooth, or will the teeth that are adjacent to it will shift and cause problems? What should I do please advise.

    April 16, 2015 at 10:42 am Reply
    1. Ramsey Amin DDS

      Without replacing the tooth, your bone will shrink and your other teeth will move.

      I would have to see you to tell you for sure, but a bridge may not be a good choice if the next door teeth are healthy. It would be a shame to grind them down.

      Get the implant. Find a really good dentist who specializes in implant dentistry. Do it right the first time…you will be happy.

      April 17, 2015 at 3:33 am Reply
  26. Vinay


    I am 27 years old and have two upper front teeth disoriented. Hence considering removal of these teeth and going for implants.

    Please suggest your views on this.


    April 9, 2015 at 10:56 am Reply
    1. Ramsey Amin DDS

      if your teeth are just out of alignment, it would be more appropriate to have orthodontic braces to move them into a better position. Do not just extract the tooth because it is in a bad position…. Move it into the right position if it has good bone around it.

      Ramsey Amin DDS

      April 14, 2015 at 4:55 am Reply
  27. Liz

    Hello please i know this does not relate to this article but it is very urgent.Please i have a case whereby a new tooth erupted on a tooth from an upper gum in the front row teeth particularly my canine,my local dentist advised extracting the tooth below because it was already loose,now it’s removed and the erupted one looks fully grown and fills the gap a little bit but shows no sign of it coming down,am scared it’ll look like this forever,making me fearful of smiling and my college mates seeing it,please do help because it is affecting my confidence and am currently 17years old approaching 18years Also my incisor at the right hand side is also crooked,the dentist advised extracting the tooth beside it i.e. a canine,claiming another tooth is still lurking inside the gum,i am not happy with the way my mouth is.Making my smile punctured with so many holes.I urgently need your advice.

    March 27, 2015 at 10:40 am Reply
    1. Ramsey Amin DDS

      You need to see an orthodontist rather than consult with a dental implant specialist.

      It sounds like you have impacted adult teeth that are stuck in your jaw. Oftentimes they can be exposed and pulled into your mouth with braces. This is called surgical uncovery of an on exposed tooth using a closed eruption technique. sometimes the tooth was exposed and it is left exposed with the orthodontic chain attached.

      Again, there yourself in the hands with a very skilled orthodontist so that you can have a beautiful smile and regain your confidence.

      Ramsey Amin DDS

      April 6, 2015 at 12:26 am Reply
  28. sherry

    Hi Dr. Amin,
    I left out one question to my comment above….would I be a good candidate for implants if I grind my teeth in my sleep, even though I wear a night guard while sleeping?
    Thanks for your advise,

    March 8, 2015 at 4:20 am Reply
    1. Ramsey Amin DDS

      I just replied to you on the other question. Grinding is ok as long as the dentist designs your implant and crown in such a way to hold up to your grinding.

      March 8, 2015 at 4:38 am Reply
  29. sherry

    Hi Dr Amin, I cracked my #19 tooth and have been advised to extract it. I am trying to decide which way to go, bridge or implant. I know the implant would probably last my lifetime, but it is also twice the price and the procedure takes so long(I will be without a tooth for at least 8 month). I like the thought of a bridge because I wouldn’t go without a tooth and it’s less expensive. I am a 51 year old, with very healthy teeth(never have had even a single filling). My friends can’t believe at my age why I would go with an implant, they say,’just pull the tooth and forget about it.’ I know however, I want to replace it with something. Do you think a bridge would be the better option for me?

    March 7, 2015 at 4:59 pm Reply
    1. Ramsey Amin DDS

      Good things take time!! You are definitely not too old. I just had a 90 year old a few weeks ago have four implants.

      God gave you all those teeth for a reason. Removing one from the system will cause long term problems. You are YOUNG!!!

      A bridge will likely be replaced in 10 years only to have to pay for it again. Go see a really good dental implant dentist. The bridge is a bad option if your next door teeth are healthy.

      Dr. Amin.

      March 8, 2015 at 4:36 am Reply
      1. sherry

        Dr. Amin,
        Thank you for the advise…I’m scheduling my appointment with an oral surgeon who believes I can have the extraction and implant on the same day. You’re right, an implant will be better in the long run.
        Thanks again for your opinion,

        March 11, 2015 at 3:16 am Reply
        1. Ramsey Amin DDS

          Happy to help. 🙂

          March 11, 2015 at 3:20 am Reply
  30. Hi Dr. Amin,

    Is it possible that my jaw receded after having 4 wisdom teeth extracted? I would love to get implants if that is an option.

    Thanks so much,


    March 1, 2015 at 11:58 pm Reply
    1. Ramsey Amin DDS

      Hi Victoria,

      If you have a full complement of teeth, removing wisdom teeth would not cause any issue at all. Many people including myself, did not have room for wisdom teeth and they cause a lot of problems. I would not ever consider reimplanting your wisdom teeth.

      Wisdom Teeth Extractions

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

      March 2, 2015 at 12:02 am Reply
  31. Sandra Rodricks

    Dear Dr. Amin,
    I had my wisdom tooth no. 17 extracted because it was at an angle and the dentist advised me to extract it because of the gum infection. Ever since i have extracted it, i have been going through severe depression because i think i should have not extracted it. Also, i am unable to rest my teeth comfortable. My bite feels different and always very tense. Due to this i am unable to rest or sleep and having sleep disorders. I asked a couple of implantologists and they said to just leave it and not bother doing an implant. If it is a possibility and no future complications, i would love to have my wisdom tooth replaced. You are based in california. I am in Bahrain. How much would the procedure cost and how long will it take? Please advise.

    Kind regards,


    February 21, 2015 at 2:06 pm Reply
    1. Ramsey Amin DDS

      Hi Sandra,

      Replacing your wisdom teeth would not be recommended. If you are missing tooth #18 and 19 which are located right in front of tooth #17, then I would highly suggest replacing those teeth.

      Replacing your wisdom tooth if you’re not missing the molars in front of it, would not likely benefit you whatsoever and would not correct some of the things that you mentioned.

      Also, there is a main nerve located in the wisdom tooth area that would generally be in the way of having an implant placed in that spot. Oftentimes, a short dental implant is required in an area where the nerve is very high or the nerve can be moved, through a process call nerve lateralization.

      Again, you do not need a wisdom tooth replaced…. I am just mentioning these things for teaching purposes.

      I would highly suggest you see orthodontist and try to have your bite corrected that way.

      Wisdom Teeth Extractions
      Short Dental Implants – A Unique Solution to Avoid Nerve Damage
      Nerve Repositioning – Lateralization

      Very Respectfully,

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

      March 2, 2015 at 12:37 am Reply
  32. Amy

    Dear Dr. Amin,

    I’m very confused. I have been told by my dentist that I need to have #19 extracted because it is fractured and there is an infection. I have had two root canals performed on this tooth. I am considering an implant, and because of the high cost of the procedure, I sought confirmation of the need for extraction from the Endodontist who performed the second root canal, and he also said it must be pulled. Both my dentist and Endodontist say that I must go to an oral surgeon to have the tooth extracted, and neither are addressing the infection with antibiotics. I have read conflicting information regarding just about every aspect of the implant process from getting the tooth pulled through getting the final crown. I’m hoping you can help with a couple of questions:
    1 – Does the infection need to be gone prior to extraction? (I have read that if it is not, then it could spread to other parts of the body when the tooth is pulled) Also, my dentist says the infection is causing bone loss but also indicated that I don’t need to have the tooth pulled immediately (though I do have some discomfort from the infection). Should I insist on antibiotic treatment prior to having the tooth extracted?
    2 – Should I have the implant done immediately after extraction? I have read that it is best to have the implant done when the tooth is extracted to prevent bone loss, because once the tooth is gone, bone loss is very rapid and waiting will result in having to have bone grafting done. However, I have also read that it’s not recommended to have it done at the same time, and that it’s best to wait 4-6 months, after extraction, to allow the bone to heal and to be sure there is no infection present before having the implant done.
    I appreciate any advice you can give.

    December 30, 2014 at 5:12 pm Reply
    1. Ramsey Amin DDS

      For the great majority of molar teeth, delayed rather than immediate placement typically works best. In some situations placing the implant on the same day and a molar is possible and in fact helpful, but for the vast majority, extraction with a socket bone graft will likely be her best course. This is going to depend on your preoperative x-rays and the condition of this infection.

      My guess is this term infection is being used loosely. The infection you likely have is a chronic infection and not in acute infection where your face is swollen. Yes, some infections can spread all the way into the chest especially if it is a lower wisdom tooth which has an easy pathway to do so. For most tooth #19, as long as you’re not symptomatic, the infection does not need to be absent to remove the tooth.

      Rather than focusing on a particular specialist such as an oral surgeon, find the best dentist that is a good fit for you. I would suggest finding a credentialed dental implant specialist that can do the entire procedure from start to finish. You would not need to see multiple different providers. This will end up saving a money and likely end up with a better result. The same can be done with an excellent team approach though.
      You are hearing different stories because each individual patient and situation is extremely different. You will not fine the best answer on the Internet , you need to be evaluated in person . Every single day in my private practice in Burbank I treat some cases as extraction-implant-bone graft all at the same time in some cases require each one of those stages to be spread out over months. The goal is for you to have a fantastic replacement tooth done in a very predictable manner.

      Very respectfully,

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

      January 4, 2015 at 5:53 pm Reply
  33. james

    I have a ‘wing bridge’ next to my two front teeth which is failing and I have to decided on implant or denture. (unfortunately my dentist cannot do implants) If I go for implant, I presume it would mean 2 implants? Also how would I be able to cover the gap until the implants have settled in?

    November 2, 2014 at 3:46 pm Reply
    1. Ramsey Amin DDS

      Hello James,

      It sounds like you have what is called a “Maryland bridge.”
      Depending on the spacing, usually 2 implants are needed. Occasionally will use a single implant to support to teeth in situations where the implants may be too close to each other. Implants that are too close to each other in the front of the mouth almost always yield a poor aesthetic result. Ideally there is 3-4 mm between each implant.

      Front Teeth Dental Implant Samples

      Dental Implants – How long does it take

      During the time that the dental implants are healing, usually the Maryland bridge can be re-bonded back in place or another type of easily removable temporary can be made. There is no reason for you to be without teeth during this process.

      I hope this helps you,

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

      November 3, 2014 at 12:59 am Reply
  34. Ingrid

    Hi, I am 34 years old. I have been advised for 6 sessions (for 6 weeks) of physical therapy due to mild disc bulge at the back. I am on my first session now. At the same time i am planning to extract #13 and #4 as this been advised before, due to the plan of having braces. Second i am planning to get first pregnancy after 5-6 months.

    Please advice if this is fine to get teeth extraction and having braces after a week of extraction and currently on the session of physical therapy, And planning of first pregnancy after 5-6 months?

    Thank you very much.

    November 2, 2014 at 12:54 am Reply
    1. Ramsey Amin DDS

      Hello Ingrid,

      Braces can be done while you are pregnant but extractions cannot be. That being said, be sure to plan for the extraction sockets to be bone grafted so that they do not shrink during the time you are pregnant and then probably nursing afterwards. The last thing he want to do is end up having severe bone loss that you would have to rebuild after having your baby.

      I hope this helps you,

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

      November 3, 2014 at 1:10 am Reply
  35. Ingrid

    Hi, i am 34 years old i have been advised of 6 sessions of physical therapy due to mild disc bulge at the back. I am on my first session. And i am planning to remove # 5 both upper left and right, then have for braces. And second, i am also planning to get pregnant after 6 months. With this condition, is it okay for the 2 teeth extraction and go for braces after a week?

    Thank you

    November 2, 2014 at 12:35 am Reply
    1. Ramsey Amin DDS

      Hello Ingrid,

      Braces can be done while you are pregnant but extractions cannot be. That being said, be sure to plan for the extraction sockets to be bone grafted so that they do not shrink during the time you are pregnant and then probably nursing afterwards. The last thing he want to do is end up having severe bone loss that you would have to rebuild after having your baby.

      Socket Bone Grafting….Do I Need It for My Dental Implant? Ramsey Amin DDS Reviews

      I hope this helps you,

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

      November 3, 2014 at 1:11 am Reply
  36. Santo Surace

    My wife had lower wisdom tooth removed and a implant done at the same time everything was ok for 5 days and then her side cheek started to swell and come to find out the surgery site got all infected and went to her sinus now she has to have surgery to fix this problem should the dentist waited for the wisdom tooth extraction to heal your thoughts

    October 17, 2014 at 10:20 pm Reply
    1. Ramsey Amin DDS

      Hi Santo,

      It is extremely common and safe to remove wisdom teeth and place implants at the same time. Over the last 15 years I have routinely extracted teeth in place dental implants at the same time. It is safe and predictable. Typically these procedures have a postoperative antibiotic for 7-10 days to help reduce the chance of getting an infection but that does not guarantee that you will not get one.

      Hang in there, I’m sure things will resolve quickly.

      Burbank Dental Implant Specialist: Review of Immediate Dental Implant Considerations

      “Sterile” Dental/Bone Graft Implant Surgery… Is It Possible?


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

      November 3, 2014 at 2:59 am Reply
  37. Mitch

    I understand that having a tooth implant while pregnant is not generally advisable, but what if one had a tooth implant that came loose and fell out during pregnancy (the entire implant from the bone). At 6 weeks pregnant would it be more advisable to wait until after the pregnancy to do the replacement implant and have to deal with the bone lose and teeth shifting, or would it be better to put the new implant in asap?
    Thank you

    October 10, 2014 at 2:07 pm Reply
    1. Ramsey Amin DDS

      Hi Mitch,

      Nothing is more important than that little baby! Replacement of this tooth will have to wait until pregnancy and most of nursing is complete.

      Periodontal Disease and Pregnancy

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

      October 12, 2014 at 9:59 pm Reply
  38. Emma Coughlan

    Dear Dr Amin,
    Thank you for your kind advice, I will certainly pass this over to my dentist.
    Best wishes,

    September 10, 2014 at 7:17 am Reply
  39. Emma Coughlan

    Dear Dr Amin,

    I’ve had two failed fillings on a lower left molar. I went to see an endodontist this week with the hope of saving the tooth. Unfortunately I’ve been told it is likely that the vertical cracks have reached down too far and I will need to have this tooth extracted. My corresponding molar on the other side was extracted over ten years ago, which has led to the tooth moving and dipping downwards. I dont want this to happen on the left side. I am also trying to become pregnant and concerned about getting an implant at this time. The tooth is due to be assessed and probably extracted next week and I would appreciate any advice you could give to me. I wondered if the effects of pregnancy on teeth made it harder for the bone to fuse with an implant?
    Many thanks,

    August 30, 2014 at 10:20 am Reply
    1. Ramsey Amin DDS

      Hello Emma,

      Be sure to enter your pregnancy with dental health. Once you become pregnant, it is very difficult and often contraindicated to do any treatment on you whatsoever. Pregnancy is a beautiful thing and will not be a problem with your healing should you decide to do treatment before you become pregnant.

      I would suggest you have an extraction of the tooth with a same day socket bone graft. The purpose of this is to preserve your bone from tipping in. Because it may be 1-3 years before you replace this tooth it is critically important that the dentists chooses a bone graft material that does not dissolve away too quickly. Some bone materials dissolve so quickly that by the time you have the implant done, the bone graft itself will be shrinking.

      Be sure to discuss this with a very skilled dentist that fully understands the time that bone grafts resorb due to disuse atrophy. My suggestion would be to use a combination of human tissue bone and cow bone covered with a collagen membrane. The percentage of each bone needs to be discussed with you also. You can also turbo charge are healing using your own growth factors such as PRP/PRF/PDGF that should be taken and made from your own bloodstream on the day of your procedure.

      Socket Bone Grafting….Do I Need It for My Dental Implant? Ramsey Amin DDS Reviews

      Very respectfully,

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

      September 2, 2014 at 7:34 pm Reply
  40. Jane

    Dear Dr Amin,

    I used to live nearby your place; need your advice – I made a mistake 8 years ago when my #14 was damaged. It was extracted and the dentist put a bridge (wish I knew you at that time). 8 months ago, the #15 was bad so we have to cut the bridge and remove it. This time I decide to do implant on both #14 and #15. So I do the bone grafting in the area (it costs a lot of $$) and getting ready for two implants. Two weeks ago, the dentist found out that my #16 (the wisdom tooth) is bad; so he only did the implant on #14 and leave me two options – To pull the #16 and do implant on #15; or to do the root canal on #16 and have two big crowns to cover #14 (implant) and # 16 (wisdom tooth with root canal). What should I do? I want to keep the original tooth (My #16 is still good but 30 degree toward to #15) but is afraid of that the position of original #15 is empty and may have bone loss again. Which option will have better long term effect?
    Your advice is highly appreciated! Jane

    August 23, 2014 at 10:00 pm Reply
    1. Ramsey Amin DDS

      Hello Jane,

      Wisdom teeth rarely help any type of dental restoration. If the wisdom tooth is off axis and facing 30° forward your best option is to remove it. Dental implants to be placed for tooth #14 and 15 with a likely internal or lateral window sinus bone graft if the sinuses are in the way. You definitely do not want to connect a natural tooth to the dental implant in the #14 position. The best long-term prognosis is to have connected implant crowns for tooth #14 and 15 to help absorb the heavy bite force of this area which generally has soft bone. The wider and longer the implants the better for this particular area of the mouth.

      Sinus Lift Bone Graft

      Good luck and yes I wish you did live near me again!

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

      August 25, 2014 at 3:49 am Reply
      1. Jane

        Thank you so much for your reply. I’ll definitely follow your advice. Yes, I may move back to CA. It’s on my list of my retirement plan.

        August 25, 2014 at 2:39 pm Reply
  41. Rupe

    Dear Dr Amin
    My mother had a bad case of perodontitis, and her doctor extracted a number of teeth saying they were compromised. He then said she had to wait 6-12 months to enable the bones to recover and re-assess the situation. From what i read here it was a huge mistake, since her gums and bones actually retracted!!
    The doctor now wants to put an overdenture on the upper side since he says that bone mass is too small to implant the needed support for a fixed bridge… She is very sad and we do not know what to do now. He face has changed and she aged 20 years from when she started 2 years ago. What would you recomment to rebuild her face structure? thank you for your advise

    June 3, 2014 at 10:55 pm Reply
    1. Rupe

      ps is there any way to save theeths in those cases or the only solution is to extract them? thanks

      June 3, 2014 at 10:57 pm Reply
    2. Ramsey Amin DDS

      I’m sorry to hear about your mother. It is normal for the muscles of the face to become flabby after removal of the teeth. The face go through a major change because the muscles are not being used like they use to when she had teeth.

      Hi Rupe,

      Dentures are notorious for causing permanent facial change. I have had several patients noticed that after having fixed dental implants with the Prettau bridge go through substantial positive facial changes.

      Over dentures are not as good as fixed porcelain Bridges. If implants can be placed on the same day of extraction with the same degree of predictability and safety, then it is often the treatment of choice.

      Of course, saving your own teeth is always best if they can be saved.

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

      June 4, 2014 at 1:11 am Reply
  42. Cindy

    Hi there,
    I have a molar that needs to come out (my lower jaw, right side… it’s almost completely gone and now has absessed. I’m taking antibiotics.) and I was reccomended an implant. I can afford the extraction (without insurance as I have none), but I cannot afford the implant ($2000 split into 2 month payments..). How long can I wait after getting the molar removed to get the implant?
    I recently went in to get my mouth looked at and the dentist said I indeed need the implant for the reasons this article mentioned.
    I’m very worried about the absess as well. I read that dentists can’t remove the tooth until after it’s gone. The absess is on the side of the tooth…

    May 28, 2014 at 4:06 pm Reply
    1. Ramsey Amin DDS

      Hello Cindy,

      In general, some lower molar teeth should not be extracted if they are really infected and you are swollen with fever. That can lead to a situation where the infection can spread to your neck and downward into your chest.

      In general waiting 3 to 6 months after having a tooth extracted is the ideal time to be evaluated for dental implant. After that period of time, the bone really begins to shrink. Preventing bone shrinkage by doing the implant earlier, will help reduce your costs, make the procedure more simple, likely avoid the need for a bone graft, and overall have less pain and potential complications.

      I would highly suggest you get this done soon. Do not wait. It only gets worse.

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

      June 25, 2014 at 8:15 pm Reply
  43. chrissy

    I had #11 extracted on Thursday (6 days ago). I would love to have an implant, but cost is a monster issue. How much do implants cost? I am a single mother, disabled and on a fixed income. I have dental insurance, but not much. If I can’t afford an implant what would be your next suggestion. Thank you!

    August 14, 2013 at 4:35 am Reply
    1. Ramsey Amin DDS

      Hi Chrissy,

      #11 is the upper left canine if you are using the American tooth numbering system. This tooth is a very important tooth! It is the cornerstone of your whole mouth! It is a difficult dental implant to replace because that area is supposed to have a bulge of extra bone called the canine eminence. It usually requires a custom angulated dental implant abutment and full ceramic tooth.
      Cost will vary depending on your doctor’s skill and experience. I would suggest someone in your area who is a diplomate of the ABOI as I am. When replacing body parts, you really should seek out the best!

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

      August 15, 2013 at 3:47 am Reply
  44. Sandy

    Hi, I am currently 12 weeks pregnant. I’ve always had issues with my tooth #10. I’ve had a root canal and 2 apicoectomy procedures done to this tooth, but they did not work. Now that I’m pregnant and my hormone is causing that teeth to swell up again everyday. No pain though. I’m afraid for my baby.
    I want to do an extraction but I don’t know if it’s safe to also prep for an implant at the same time of the removal. When is the best time to do the extrationa and should I just extract it for now and get an implant after I give birth?
    Please advise. Thank you so much!!

    May 22, 2013 at 8:41 pm Reply
    1. Ramsey Amin DDS

      Hi Sandy,

      The timing is not good. The second trimester is reserved for emergency only procedures. I would not place an implant while you were pregnant, but you need to manage the infection of the root canal. Get in the hands of a skilled dentist asap!
      Here is some general info:

      Good Luck and Be Safe! Congrats on your baby! 🙂

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

      May 22, 2013 at 11:24 pm Reply
  45. Jen Mejia

    Hello Dr. Amin,
    I currently have 2 failed rcts in tooth 4 & 12 and am considering braces because of the crowding on the top and bottom. I have been told that I would be treated as an extraction case. The teeth that were recommended to have extracted are 4 & 12 with the teeth that are aligned with those on the bottom. I also have the two bottom wisdom teeth in place and those were also recommended for extraction. I need some advice because getting 6 teeth extracted scares me a bit. Should I get bridges and then get the braces or just have the teeth extracted?

    February 12, 2013 at 6:51 am Reply
    1. Ramsey Amin DDS

      Hi Jen,

      Definitely don’t get bridges. Have another orthodontist look at you. Many orthodontists now use temporary dental implants to move teeth better than the old days.

      The wisdom should probably go, but maybe you can keep the others.

      Your bite is going to dictate all of this.

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

      February 28, 2013 at 4:43 am Reply
  46. Darl

    Your site is well put together is most informative. Many sites do not give you proper information to compare with … I thank you for showing and explaining the difference of dentures and implants thank you

    January 30, 2013 at 1:26 am Reply
    1. Ramsey Amin DDS

      Hi Darl,

      Thank you for your very kind words. I am a big believer in having all the facts. Having a full implant bridge is a big decision. To this day, I haven’t had a patient ever regret it. It is like having your original healthy teeth again.

      Dr. Amin.

      January 30, 2013 at 6:21 pm Reply
  47. Carolina

    Dr. Amin, I would like to know what happens to the opposing tooth in the other jaw if I extract a molar? Is it true I’ll loose or I’ll need to remove the opposite tooth in a long term?

    March 26, 2012 at 11:12 pm Reply
    1. Hi Carolina,

      Look at this post. I think it will help you understand the situation. Yes, your teeth will move!

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

      April 4, 2012 at 3:47 pm Reply
  48. mike wilson

    Dr. Amin, i previously posted about the costs of acrylic vs porcelain permanent dentures – upper and lower: 16,000 for acrylic vs 25000 for porcelain. To answer your reply, this does not include the initial surgical procedure which consisted of bone graft and sinus lift: 7 titanium rods on top and 5 on the bottom: cost for this procedure – approx 19,000. dollars

    March 5, 2011 at 9:34 am Reply
  49. Hi Ray,
    I would go with your doctors recommendations. Without seeing you, I can’t offer that specific of advice.
    You are welcome to come to my office if you live here.
    Ramsey Amin, DDS

    February 10, 2011 at 5:28 pm Reply
  50. Hi Albina,
    Have the implant either before or after pregnancy. Do not have it during pregnacy.
    The implant itself poses no risk to the child, but there is no need to have a surgery while you are pregnant.
    Does this help?
    Dr. Amin

    February 10, 2011 at 5:21 pm Reply
  51. Hi Barbara,
    You can most likely still have braces.
    After the braces are done, the bone may be able to be re-built!
    Good Luck!
    Dr. Amin

    February 10, 2011 at 5:19 pm Reply
  52. Albina

    Hi. I’m 31 years old, and want to get pregnant for 1st time, but one of my teeth was root canal and now it is broken infected so my dentist suggests me to extract that tooth and use an implant as soon as possible!!! But as I know dental implant is very dangerous for pregnancy.
    I would like to know that is it possible to get pregnant after a dental implant and is not it risky for child health?

    February 7, 2011 at 10:19 am Reply
  53. Ray Flores

    I would appreciate your expert advice. I am 45 yr old male and can handle the truth. After 3 xrays and examination my dentist suspects that teeth #10 and #11 are fractured and also presenting with infection. I was referred to an endondist for a second opinion and am taking antibiotic and pain medicine. I have pain at the crown of my head, moderate eye pressure, sharp moments of pain to the ear, sore jaw, swollen face and redness. Truthfully speaking and assuming the worst scenario, am I better off healthwise and financially to have them both extracted and replaced with implants? Or should I go along with recommended RCTs, crowns, etc?

    January 28, 2011 at 6:33 pm Reply
  54. Hi Barbara,
    You want to have your gums in excellent condition BEFORE you put braces on. Make sure the bone loss is stabilized before braces. A deep cleaning is the first step.
    I suspect you have had gum disease for many years unbeknownst to you. It is painless until the advanced stages. Be sure to have your teeth cleaned every 3-4 months by someone well versed in gum disease management.
    Good luck!
    Dr. Ramsey Amin

    July 12, 2010 at 10:19 pm Reply
  55. Barbara Taylor

    Dear Dr Amin,
    I wonder whether you could help me. I am absolutely shocked by the news that I have horizontal bone atrophy. I was just about to have braces put up.
    I have just started reading up on this topic on the internet to familiarise myself and I came across your excellent website. Would you advise against having braces if one has bone atrophy? Does it accelerate the bone loss? I am a 34 year female who always looked after her teeth and never had any gum disease. What could have caused the start of the bone loss at such an early age?
    Your response would be much appreciated.
    Many thanks.
    Kind regards,

    July 12, 2010 at 11:06 am Reply
  56. Hi Max,
    It is unfortunate that most people, including dentists don’t get this information out to the public.
    Keeping a tooth until it falls out is not a good option anymore.
    Dental implants are very straightforward when there is no bone loss. Keeping a bad tooth only worsens the prognosis and increases the price and risk.

    August 19, 2009 at 3:22 pm Reply
  57. Max

    Hi Dr Amin,
    This is a very good article and does highlight the need of faster follow up dental treatment, namely implants following extraction.
    You’ve got an informative blog – we’ll keep following it.

    August 19, 2009 at 3:27 am Reply
  58. Florence

    You have a very informative blog. I didn’t know that if the tooth is extracted the bone will begin to shrink.

    July 6, 2009 at 8:22 pm Reply
  59. Gary

    I also find that people don’t floss under bridges, but flossing around a single impant tooth is very easy!

    June 5, 2009 at 9:34 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!!!