Bone Grafting or No Bone Grafting? A Common Dental Implant Dilemma

Missing lower front teeth massive bone loss defect

This patient has severe bone loss of the lower front teeth area. He wants implants, but was told by numerous dentists it could not be done.  A huge part of my practice in Burbank, California is devoted to treating these very difficult dental implant cases where huge bone grafts may be needed.  I was confident … Read more

Dental Implants for Cleft Palate

Implant for cleft lip/palate solution

Cleft lip and palate patients often are missing one or more front teeth.  If you have a cleft palate, having dental implants can be much more difficult.  If you’re interested in dental implants for cleft palate, please be aware that unique and complex solutions are needed to manage the way your smile looks and the … Read more

Slow and Staged Dental Implants

Digital implant model

Most of the time my preference is for immediate extraction, implant and bone grafting simultaneously.  In this case it is best to slowly stage each out into separate procedures with some time in between.  This is because the bone loss is so bad it is much more predictable for the bone to be rebuilt with … Read more

Can I Get Dental Implants Without Having Any Bone? Video

Can I Get Dental Implants without having any bone

Dental implants without bone? How can that be done? If you don’t have any bone left at all, and you’ve been told there’s just not enough bone to get implants, what are your choices? In my office, I treat the most extreme of extreme patients. So when the bone is missing, you have two options. … Read more

Is It Normal? Extraction Bone Graft Membrane (White) Showing

Membrane socket bone graft

  (updated January 2024) My patient called me to ask what is that white thing there? In other words…is it normal that my extraction bone graft membrane (white) is showing? An extraction socket bone graft for dental implants that has a non-dissolvable membrane should look like this while it is healing. This procedure is done … Read more

Sinus Lift Bone Graft- How Big Should the Implant Be?

Sinus Bone graft

A sinus lift bone graft is common! What is a sinus bone graft? The sinus is a hollow space above your upper molar teeth. There is usually not enough bone to place implants. The sinus lift bone graft builds the vertical height only. It does not build width. And it only builds height internally… Not … Read more

Big Bone Graft For Molars

Bone graft results

This patient presented to my office in Burbank, CA  after seeing numerous “dental implant dentists.” He was told that implants are not possible by three different providers! Bone Loss Needs Large Graft The preoperative image shows that he has very skinny bone in the area where the teeth were lost many years ago. The bone … Read more

Zygomatic Dental Implants Bone Thickness/Thinness Comparison

zygomatic implant comparison

Zygomatic dental implants are used in cases of more extreme bone loss in the upper jaw.  They rely on anchorage into the base of your cheek bones which are called  “ zygomatic bone.”  They are commonly done for full arch replacement with a Prettau, zirconia dental implant bridge. Generally speaking this bone is dense and … Read more

Complication – Bone Graft is Exposed – Platelet PRF Treatment

Complication - Bone graft is exposed

Ramsey Amin DDS I don’t have complications too often but this is one worth sharing. I did a very large block bone graft in the front of the mouth for dental implants. The bone graft was both vertical and horizontal and gained a lot of volume. The block bone graft was held in by screws … Read more