Bone Graft Correcting Dental Implant Peri-Implantitis Bone Loss ~ Case Example

Bone Graft Correcting Dental Implant Peri-Implantitis Bone Loss ~ Case Example

Bone Graft Correcting Dental Implant Peri-Implantitis Bone Loss ~ Case Example

bone loss on dental implant prior to correction by Ramsey Amin DDS
before treatment–bone loss in the mid body of implant causing inflammation, redness and pain

Bone loss can and does occur around dental implants.  Often this is called peri-implantitis and there are a few treatment options.

Review signs and symptoms of peri-implantitis dental implant bone loss in this previous article.

Bone loss on implants happens on about 1-15% of dental implants. That percentage is variable depending on the experience of the dentist. How to deal with it is the big question.  In certain situations your dental implant or implants can be recovered with bone grafting procedures but in some instances the bone loss associated is so significant that the only option is to remove the implant and start all over again.  Bone grafting for peri-implantitis bone loss defects is not standardized and varies widely from dental surgeon to surgeon.  Over many years of doing this I have developed a specific technique for recovering some of the worst bone loss.

Correction of bone loss on dental implant--Ramsey Amin DDS

Bone loss can occur as a “moat” defect going 360° around the entire implant or it can be just localized to one side of the implant.   If it is 360°bone loss it is much worse than if it is localized to just one side.  The best area to have bone loss is in between the teeth rather than on the outer aspect.  This is easier to graft and has a higher success rate.

If the implant is in the front of the mouth versus the back of your mouth this can make treatment options very different also.  The back teeth are more forgiving and then the front.  The gum and bone is typically thicker in these areas. There are times when the final outcome leaves you with some metal of the abutment or implant showing but disease process was stopped.  Of course in the front of the mouth this is typically unacceptable especially if any metal shows in the smile.

In this example case I will show you the more difficult of the two….  A case where bone was lost on the outer aspect.

In this case this is a 29-year-old female that had a dental implant placed in another country.  The implant overall looks good but it has become tender on the outer aspect of the gum.  One reason in her particular situation why bone loss happened was because the bone was a  too thin to begin with and then the crown on the dental implant became loose at the abutment.  This particular dental implant crown/abutment had a design flaw which caused loosening.

If you look at the implant on a 3-D CBCT scan view from the side you can see that in the mid body of the implant there is very little bone.  Because I never treated this patient to begin with,  we don’t know if the bone was like this from day one or it dissolved to this situation because of the loose dental implant abutment.  Either way it needed to be treated.  We discussed the possibility of removing the implant versus grafting bone and saving the implant.

If you look closely at the gum tissue, of both center upper front teeth you will notice that there is more of a hump on the natural tooth than there is on the dental implant.  This was the first sign that the implant was lacking bone when she smiles.  What makes this case very difficult is that the teeth are generally very long and when she smiles she shows her gumline….  Everything is going to show so this is going to be a critical surgical correction.

You have to be really careful with these cases because sometimes the correction can make the tooth look worse if it is not successful.

The most critical factor in all of this is prevention.  I go to GREAT lengths to prevent dental implant bone loss from occurring in the first place by having a tremendous amount of bone on the outside of the implant if the patient’s anatomy allows.  By having the original implant surgery done well, this is the best way to preserve the bone on the outer wall.  Also when the crown and abutment are made by the dentist, there are so many techniques and choices to make things last and be problem free for many years.  Many patients think that the crown and abutment portion are “easy” and can be made by any regular dentist.  For some patients anatomy, dental implants would not be wise choice…that is the exception rather than the rule.


IMG_0567
IMG_6892 before treatment –loose implant abutment with bone loss
IMG_6890 before treatment –loose implant abutment with bone loss
IMG_2020 10 days after bone graft–notice enlarged hump of bone over the outside of the implant
IMG_2019 10 days after bone graft–notice enlarged hump of bone over the outside of the implant

In her case, I am certain that the result will be long lasting.  The good thing was there was no exposed threads at the very crest of the bone.  The surgery was done under IV sedation through a tunnel flap which is the equivalent of a laparoscopic medical procedure.  I was able to remove the crown and place a temporary crown during the procedure which helped with surgical access. The sutures seen here are designed to be dissolvable because the incision is far away from the actual tooth being treated.

I know these specific and detailed articles but a lot of this information does not exist on the Internet.  I hope this helps those of you that have this problem and those of you to prevent if possible.

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

26 Comments

  1. Myranna

    Hello,

    I have an ongoing issue with my dental implant (upper front tooth). When I was younger the tooth came out due to a fall. It was saved and placed again. Years later, I had the tooth extracted as recommended and had bone grafting done. A dental implant was placed about 5 years ago. After the 1st year of having the implant, I began getting infections periodically. It is now to the point where it gets infected every few months. I have taken antibiotics, had laser treatments, have had the crown removed and the area cleaned multiple times, as well has bone grafting that was unsuccessful. I noticed that when I went without the crown for 6 months I did not have an infection because I was able to keep it clean. No matter how much I try to keep it clean while having the crown, it always gets infected. I have used a waterpix and everything else that was recommended to me. The oral surgeon is hoping to keep the implant because it is solid in the bone. However, I am concerned for my health. I feel that there is nothing left to try and would like to remove the implant at this point. Are there any other options or should I just have it removed? It is difficult for me to talk with the flipper or Essex retainers and I am anxious because I speak a lot at meeting for work. I will need to mentally prepare myself if I have to remove the implant. Please provide any thoughts. Thank you.

    March 4, 2020 at 1:12 am Reply
    1. Myranna

      I forgot to mention that the bone around the gum line is gone. This is why the implant keeps getting reinfected.

      March 4, 2020 at 1:29 am Reply
    2. Ramsey Amin

      Sadly, it is likely going to need to be replaced. If at all possible it would be great if the implant could be replaced at the same time that the other implant was removed. If not you may want to consider an Essix bridge rather than a temporary flipper. This will likely work better for you from a social and speaking standpoint.

      March 12, 2020 at 1:08 am Reply
  2. Nicole

    I have two upper implants 15 years old. Upper 5 and 12. One implant had some recession measuring about 4. The second was quite a bit less. Neither implant bothered me. I just had the worst removed, replaced and bone grafted. I was wondering if there is a percentage of
    Loss which determines bone graft on exhausting implant vs removal? I was wondering how dire it is to remove it, graft it or recrown the existing implant as it is. Seems like this last one could be grafted vs removal. What determines this type of decision because it was never mentioned to me as even an option.

    February 19, 2020 at 11:37 am Reply
    1. Ramsey Amin

      Great question. The choice to rescue or replace a dental implant is multifactorial. Often times the decision to remove it is because it cannot be cleaned enough to accept a bone graft. If the implant has lost 30 to 40% of the bone it certainly is not worth trying to rebuild the bone back as it will likely melt away again. Depending on the situation sometimes leaving it in place will cause the bone to be lost on adjacent teeth. Sometimes they need to come out right away to prevent this. Sometimes just good oral hygiene with a WaterPik and frequent cleanings can help delay things for many years. Like I said it really depends on so many things and dentist experience is also huge as well.

      February 21, 2020 at 6:31 am Reply
  3. I will try to make a long story short I chose the wrong dental practice to go to I chose long with a doctor connected to a surgeon which caused me to have to use three different surgeons just to get the bottom four implants placed. The first surgeon only put two in when I asked for 4. And put them in the wrong spot too far back for two implants I worked my but off to save that money up in time. So I had to get a second surgery which in between the gums Rock so much that I lost an insurmountable amount of gum for a small amount Of time there’s Maybe 10 months in-between next surgery which completely fails when the new surgeon literally pins made to the seat tells me to shut up that he’s the boss or surgeon I don’t know he had a a complex.2 months later he told me my implants failed because I didn’t use a waterpik water flosser when I use everything else at my disposal and the first two implants were fine on thinner amount of gum.the reason the rear ones failed was because he allowed me to wear the Dentures during that time so that I could work I had a good job waiting tables making a lot of money. The whole 4 months I was complaining every week or two calling them over and over again not trying to annoy them but trying to get through to him saying that there was a problem and the one time I did come in he said there wasn’t a problem without looking at my mouth and the other couple times he stuck me in the back room and didn’t see me all day and then told me I had to come back again cuz he got caught up with too many other surgeries when it’s the dentist he just needed to look at my gums really quick and maybe do a quick adjustment on my denture with the drill. So I wanted to leave the practice but they made me stay because I have his dentures their front implants which he said they would cover if I left so after trying to get the second surgeon to replace the implants or do something they were just in a in a heated battle between each other the certain wouldn’t come to the office I go to so I had to go further out no big deal but he literally blamed it on the other dentist. Or my mouth and it wasn’t. I’ve done an extensive amount of research on dental implants and when the correct time to get them is how long you should wait and I could have waited longer and still gotten great implants with bone grafting and they push me to get work done too early which is the same thing the second oral surgeon complained about is why he left. So I went to a different Gentle Dental get to get the back ones replaced which he said he would replace all four of them so I kind of got caught up in that didn’t realize he wasn’t doing any bone grafting he actually filed a lot of my gum down further to where I have the weakest looking gums possible they’re so thin that I’m depressed every single day I’m devastated and embarrassed that I stayed there. I’ve lost friends my job because I didn’t tell them in the correct amount of time when I needed to leave. And to top it all off a week after the third surgery I felt some weird pain in my mouth and they kept saying I was nothing it’s normal your healing but that wasn’t normal that hadn’t happened ever I figured out it was nerve pain but they said I’m paranoid that doesn’t exist but then six months later when they uncovered the implants the assistant said you’re going to have to deal with that for the rest of your life and I said what the nerve pain and she said yeah I said why didn’t you tell me that earlier she said what it has made a difference and I said most definitely would have. You can tell that one implant is angled weird toward the front cheek instead of toward the other implant in order to miss the nerve. It could have also been the excessive amount of needles I don’t know but it bothers me everyday and I can’t get it off my mind and this is more depressing than when I first lost my teeth. If there’s anything you can do to help me I would be forever in your debt.I’m willing to come all the way from Massachusetts to California to see the best because what I have may not be the worst but it’s almost there at least implants fail I will have nothing and they aren’t even full size implants I’ve made such a mistake. Or if you can refer me to someone out here that would be just as helpful I appreciate it I don’t know who to go to I don’t trust anybody but I seen your videos and everything that you say makes sense nothing xxx dental has said has ever made sense besides their original lies that he will come on his days off this that but he took months off at a time causing delays on surgeries. I’m sorry I type such a long message and I didn’t email you I hope the whole message doesn’t take up all the room on your blog. Thank you very much before your time I know you’re probably one of the busiest surgeons in the country.if not the busiest due to this blog and your YouTube videos the heck was that Spider-Man dropping

    June 13, 2019 at 10:30 pm Reply
    1. Kevin Barone

      Sorry this is Kevin again I didn’t mention what the question was which is exactly what he did in the original post I’m wondering if that can be done on the backside of my right implant to thicken the bone because I had some weird infection right after the third set of implants were taken out the back right implant turned all white on one side of it and I looked it up and I thought it was something called leukoplakia with they said doesn’t exist I’m tired and I don’t look at the internet but exactly what I said happened it said it can either become cancerous or it can go away and take some bone with it and that’s exactly what happened he didn’t want to do any type of therapy to save it but implant didn’t fail even though they don’t use 3D technology here so you cannot see the backside of the implant and you really can’t tell from the panoramic because it was blurry I feel like I’ve had the worst luck ever I mean obviously I didn’t make a great decision by staying there but they had all my money held up I couldn’t.once again I apologize I’m not great at making short statements about something that happened over 4 years with three different surgeries four if you include taking the teeth out. Thank you doctor I mean I appreciate your help very much because before all this and in between they kept saying my gums are healthy big but everything I’ve seen my I have a very small gums there tiny now I mean they didn’t even use full size implants. I’m only 32. Sorry, I didn’t mean to sound like I’m complaining it’s just been a long and arduous and I want to get back to work and my dentist still will not make my teeth until the 26th every month I come in and tells me one more month like it doesn’t take three months after you uncover the implants does it.. I’m sorry if I took up more room I apologize

      June 13, 2019 at 10:45 pm Reply
      1. Ramsey Amin

        first off thank you for your very kind words and sorry for your troubles. I am guessing you are seeing some sort of corporate dental office rather than a private office?

        That being said sometimes these clinics can be a revolving door where there really isn’t one person that cares as much as they should since is owned by a corporation. If you’re only 32 years old and having this much problem I’m guessing that you smoke… But that is just an assumption.

        In general going slow is better than going fast. In general not wearing a denture during the healing is the best option or to have immediate bridges placed on to the full arch. It sounds like you have a full lower set of missing teeth. I would go ahead and have the leukoplakia biopsied.

        You probably just want to leave the practice and be taken over by somebody else. Unfortunately you fall into the redo/revision category most likely. You may need some tissue grafting from your palate to thicken up your gums. Dental implants are not permanent unfortunately but they sure can last a very very long time.

        I would suggest you find somebody in your area that practices to a higher level of care, compassion and integrity

        June 15, 2019 at 4:09 pm Reply
  4. Evelinda Hinojosa

    Hi, I had an implant on tooth #9 6onths ago. My dentist referred me to a specialist to extract and redue my implant. My gum looks thin and I can see the implant slightly and it’s grey through the gun. There was bone graft that didn’t heal properly when done. Is a replacement necessary or can I just have a bone graft and gum graft done? Thank you in advance.

    May 23, 2019 at 3:15 am Reply
    1. Ramsey Amin

      hmm….I am not clear on what you are saying. Can you please rephrase your question and re-post?

      May 30, 2019 at 3:36 am Reply
      1. Evelinda Hinojosa

        Yes of course. So, when my implant was done along my bone graft. There was a white substance that didn’t heal right and I was told by the general dentist that if have to remove my implant and do it again. I recently went to see a specialist and was told I could get an angled abutment which I hope that’s an option since my gum line is unnoticeable and the implant is angeled going towards my lip. My question is is it perfectly safe and will it last forever to have a custom abutement and crown or do I need to redue my implant and/or have gum or bone graft?

        June 19, 2019 at 2:21 pm Reply
        1. Ramsey Amin

          I would not want to say either way without seeing you ;-(

          June 30, 2019 at 5:49 am Reply
  5. Jo

    3 1/2 yrs ago I got an implant on #4. I have been in torture ever since. The Dr also did a sinus lift at the same time. Ex-rays (from another dentist) show the sinus is entangled with the implant/bone graft. My question is, is it possible to remove the bone graft, without removing the implant?

    March 26, 2018 at 3:38 am Reply
    1. RamseyAminDDS

      It is very common for an implant to engage the sinus floor… On purpose. Unless the graft did not consolidate and become part of your bone, it is really impossible to remove just the graft and leave the implant behind. The bone would have to be loose, non-integrated, inflamed and possibly infected for it to be causing you pain… But of course I have never seen him before. I hope this helps you answer your question.

      March 27, 2018 at 1:48 am Reply
  6. Susan Brennan

    My daughter lost her front tooth when she was 9. She was told to wait until 18 when her facial bones quit growing. At 19 she had the first implant try — which failed. Last summer she had a bone graft and the implant failed for the second time this week when she had her final procedure. She was told still not enough bone. Are there any new procedures or is she doomed to wear a cemented tooth and flipper?

    January 18, 2018 at 9:59 pm Reply
    1. RamseyAminDDS

      Ugh…..two failures…not so common. Front teeth are very tricky. I suggested you seek out an expert so she can have a great treatment done that will last a long time. The more times she has failures the more difficult it will be to recover. Often times some of these patients require block grafting really restore the bone back to 100%.

      January 29, 2018 at 1:15 am Reply
  7. Derek Stone

    Is it possible to do bone grafting to upper back teeth that have crowns? How about front teeth that are veneered?

    August 30, 2016 at 10:56 pm Reply
    1. RamseyAminDDS

      Yes

      September 8, 2016 at 3:51 am Reply
  8. Kay

    I understand that it is possible for bone grafts to dissolve if you don’t have your implant placed within a certain amount of time (say within a year or two after the bone graft). Is this true? It has been a year and ten months since I had my bone graft and it feels like I have lost some of the bone that my doctor grafted.

    July 31, 2016 at 1:33 am Reply
    1. RamseyAminDDS

      that is correct

      July 31, 2016 at 7:31 pm Reply
  9. Manar.

    Hello
    Excuse me to ask you this question but I’m really confused
    I had a dental implant in the upper bone jaw, the implant apex penetrating into the sinus about 2-3 mm
    Is it okay ?
    This is my dental x ray

    Also it looks a way too close to the nearest actual tooth but i heard if it is close only 1mm, it will be fine
    What do you think ?
    Is there anything wrong with me dental ?
    I read a lot of your articles and answers and i trust your opinion.
    Thank you.

    July 29, 2016 at 12:24 am Reply
    1. RamseyAminDDS

      I am sorry but all links to this website get blocked because of virus potential…

      August 11, 2016 at 1:01 am Reply
  10. my question is i have 2 implants in my loser jaw.2 weeks later(in a shelter during hurricane katrina) both crowws fell out.went back to the same dentist and was told because of my bite i stripped the crowns,i do not believe this as he charged me 500.00 extra dollars to gluue the crowns back on.needless to say 1 came off again and some how was lost. when i went to have my teeth cleaned the xrays were showing bone loss around the implants. this has been about 3 years ago. if i have to have implants removed what does this usually cost(i know u cant give an exact estimate but somewhere around it)had to go to er 4 days ago for severe pain and swelling .i am hoping u can answer this ?.thanks and god bless.peace jacqueline mutz

    June 13, 2016 at 4:05 pm Reply
    1. RamseyAminDDS

      Ugh. What a mess. The lower back teeth maybe more costly to remove the implants if they are close to the main nerve and have to be drilled out. If they are loose they can easily and cheaply be reversed out.

      June 13, 2016 at 6:41 pm Reply
  11. Mike

    Hi Dr. Amin,

    Thank you for writing great articles. I just had two wisdom tooth extraction – tooth #1 and 32. Number 32 doesn’t have a tooth next to it.

    I just want to know if bone graft is required for both teeth. My dentist did bone graft for both but I wasn’t told about it until during the procedure. I am now wondering why bone graft was done when I don’t have any plans to have an implant to replace my wisdom teeth. I wish I had seen your website first.

    May 4, 2016 at 9:39 pm Reply
    1. RamseyAminDDS

      Not necessary in 99.9% of cases. I don’t know what the rational would be unless you had distal bone loss on your second molars. Even then it is not needed really. Sorry.

      May 7, 2016 at 3:06 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!!!