I Can’t Get Under My Full Implant Bridge To Clean

Video transcript if you prefer to read: BUT THERE IS A FUNNY PART WHERE I STRUGGLE TO FLOSS MYSELF IN THE VIDEO! 🤣 Today’s topic is one I hear about all the time: “I can’t get under my (full implant) bridge to clean it.” This applies to both dental implant bridges and regular bridges. So, … Read more

Screwed In Bridge Instead Of Overdenture

Old overdenture

(updated January 2025) This patient had a lower left overdenture instead of a fixed screwed in bridge for many years which she did not like. The overdenture is not a real bridge. It has a removable denture that snaps in and out of the implants. Implant bridge Using Old Implants What’s unique about this case … Read more

Immediate Implant Bridge Lower Jaw Front Teeth

Implant scan bodies

(updated February 2025) This patient had a very nice dental reconstruction with many crowns. In fact I treated this patient about 8+ years ago. His lower incisors were jeopardized prior to me treating him as they were really weak, but he wanted to save them with regular crowns. One of them broke off level top … Read more

Immediate Premolar Dental Implant

3D scan of upper premolar

The premolar teeth often fracture when they have a root canal. This is because they have dip in the root really high up that we call a furcation and sometimes really steep cusps. Implant Replacement Same Day In my practice in Burbank, California, this particular upper tooth that lies behind the canine is most often … Read more

What are Multi-unit Abutments?

Multi-unit abutments

A Special Kind of Abutment Multi-unit abutments are a special kind of dental implant abutment. They are used when you have to connect multiple teeth implants together to make a bridge impression. They are most common for a full arch replacement, all on 4, all on “X” with or without zygomatic dental implants. It is … Read more

Prettau Zirconia Dental Implant Bridge with One Zygomatic Implant

Zygomatic Implant with Blade implant

This video shows a an entire case from start to finish in about 90 seconds. It is a prettau zirconia dental implant bridge with one zygomatic implant. Follow along and read the captions. There was only ONE surgery. Patient was only without teeth for a few hours. The temporary and prototype allows me to work … Read more

Flipper/Stayplate/Bridge Temporary Implant Bone Graft Facts

Missing center front, lateral, and premolar teeth

Pressure from a removable temporary can cause “dehiscence”  which is the incision line opening in the bone graft becoming exposed…YIKES!!  This is the worst thing that can happen to any type of bone graft whether it be a sinus lift bone graft, block bone graft, GBR with membrane, socket extraction preservation graft. Types of fixed … Read more

Bridge Better Than Dental Implants? VIDEO

Missing front upper teeth

In this post I am narrating the 3-D lab design  of when a bridge is be better than dental implants. This post is connected to the original post where I discuss a particular case where I had to remove existing implants and replace them with a bridge! My lab technician and I work closely together … Read more

Sometimes Dental Implants Are Not The Best Option

Elongated dental implant teeth with expose the abutment and non-cosmetic result

Sometimes dental implants are not the best option!  I know this sounds strange coming from a dental implant specialist but for the last 20 years of my career, there are some cases that are best off not having implants.  There are disadvantages to dental implants.  There are also disadvantages to bridges as well. Sometimes the … Read more

How To Clean Dental Implants Including All on 4, 6, Zirconia Bridges

Zirconia fixed bridge (Prettau)

Dental Implants are NOT teeth.  They are a “replacement” for teeth.  Because of this, cleaning dental implants is different than cleaning your natural teeth.  The biology of the gums around an implant is very different than what is found around natural teeth. Of course you have to brush, but should you floss, Waterpik or use … Read more

Broken All On 4 Dental Implant Bridges

Broken Implant Hybrid Bridge

  I have been seeing a rise in complications on patients who have had the ALL ON 4 dental implant procedure.  Many patients end up in my office for redo treatment after things have gone very wrong.  I’m seeing a lot of broken bridges and bone loss recall peri-implantitis.  In this video I will discuss … Read more

Replace Loose Long Bridge -Dental Implants And Bone Expansion

dental implant healing abutments -Mouth

This Burbank patient had a loose lower bridge.  She had had the bridge for about only 8 years before it failed and became loose.  You know a bridge is failing when it feels painful to bite down or there is movement.  This unfortunately is a daily thing I see every day.  Teeth were never intended … Read more

Converting Bad Dental Implant Overdentures To Fixed Full Arch Bridges -Review Of Complex Case

Panoramic x-ray of full mouth implants

Here is an interesting full double arch dental implant case that I took over from another dentist.  This patient desired full mouth dental implants.  When he presented to my office he already had 10 implants but could not use his teeth.  He paid a lot of money only to be disappointed with the removable over … Read more

All On Dental Implants With Prettau Solid Zirconia Dental Implant Bridges ~A Case Explained

lower jaw dental implant impression

In this post I will try to detail the start to finish of full upper and lower dental implants with Prettau solid zirconia dental implant bridges.  This gives a general outline for what to expect if you were to have to lose all of your teeth and replace them with full arch zirconia implant bridges. … Read more

All On Four Dental Implant Procedure Review: Is It The Best? –Ramsey Amin DDS

All On Four Dental Implant Procedure Review

The All on 4 dental implant procedure has become quite popular. You probably even hear about it on radio and TV advertising. Even many dentists don’t really understand it. It is sometimes advertised as the “smile and a day” procedure.   All on four is simply a treatment option for replacing all of your teeth … Read more

The Process of “Permanent” Fixed Dental Implant Teeth -5 Steps to Replacing All Your Teeth

“Permanent” Fixed Dental Implant Teeth

Having fixed “permanent” dental implant teeth is a process. This process can vary greatly from as short as one day and can extend up to two years. The average is a few months. Here is a 5 step summary of the process. “Permanent” is in quotations because nothing is truly permanent.  Everything can be removed if needed and … Read more

Should I Pull All of My Teeth and Get Dental Implants?

Lower arch implants with final solid zirconia bridge.

(updated July 2024) “I need new teeth. Can I replace all my teeth with dental implants?” This is a question I hear often. Worse yet, some people say should I pull all of my teeth and get dentures? Most of the time the answer is no! BUT…sometimes it IS better to pull your remaining teeth … Read more

Full Mouth Dental Implants – Burbank’s Ramsey Amin, DDS Review -Video

Full Mouth Dental Implants

Full mouth dental implants can be very confusing and highly varied in technique and cost.  In this video, I explain the things you should know about having dental implants to replace all of your teeth. Here is a recent x-ray of a patient that I placed 14 dental implants and upper and lower fixed dental … Read more

Implant Bridges – Upper Back Teeth Case Example

Missing upper and lower molars

Many people lose all of their back teeth on the upper or the lower jaw. Implant fixed bridges can replace your back teeth. My patient had broken the teeth on her upper bridge.  When that happens, the whole bridge fails and the teeth need to be extracted. The other side had no teeth at all. … Read more

Connected Dental Implant Teeth or Separate Crowns …What is Best? Dentist –Ramsey Amin, DDS Explains

Xray of Full Mouth Dental Implants with fixed bridge

The best dental implant teeth crowns can be made in a variety of ways.  The teeth can be made separately, like natural teeth or connected as bridges. This post refers to having more than one implant next to another. In my Burbank dental implant practice, I restore the crowns or bridges for dental implants in … Read more

Burbank Dental Implants Blog Patient Video Testimonial – Ramsey Amin DDS

Dr. Ramsey Amin DDS patient testimonial

Michael had a bad situation with his teeth when he came to see me in Burbank.  He had broken a bridge on two weak teeth that had root canals. He was considering immediate dental implants. Part of his bridge covered all the way to the front of the mouth.  It was a cosmetic emergency because he … Read more

Burbank Expert Dentist Explains -Dental Implant Impression Molding Considerations

Dental implant impression

In order to make even one dental implant tooth or a whole mouth full of implants, an impression or “mold” must be made. Gagging is sometimes an issue for some. I have developed many techniques over the last decade to eliminate and/or greatly reduce gagging. Some techniques use a “triple impression tray,” specially timed flavoring, … Read more

The Ovate Pontic – Ramsey Amin DDS of Burbank Explains This Dental Implant Bridge Detail

Bad dental bridge

When a tooth is lost through decay, trauma, or periodontal disease, the best way to replace it today is with a dental implant. If three to four front teeth are missing, two dental implants and a bridge may be the best option for cosmetic reasons so that the teeth look real. Most conventional bridges use … Read more

Fixed Dental Implant Crown and Bridge Materials Options: An Overview By Burbank Dental Implant Expert, Ramsey Amin, DDS

This post is intended toward dental implant crown and bridge restorations that stay in the mouth and are not removable.  Denture implants called overdentures are not “fixed”, they must be removed daily. All materials have advantages and disadvantages.  The following is a summary of the materials that can be used.

Dental Implant Restorations:  Crowns and Bridges
There are basically four options that I use:

 Full Cast Gold (High Noble Metal) Made of a gold alloy, full cast gold is the longest lasting of any of the laboratory-processed materials. The alloy consists of gold, silver, palladium, and sometimes zinc, copper, and platinum. Although it is a very strong material, the yellow color makes it not as esthetically pleasing as other options.

 Full Cast Noble Metal Similar in properties and qualities to full cast gold, this material contains mostly palladium plus silver, gold, and other trace metals.  Full cast noble material is more silver in color than a full noble metal.

 PFM -Porcelain Fused to Gold (High Noble or Noble Alloy Metal) This material is very esthetic and can last 5 to 20 years. The gold substructure is covered with porcelain, which can wear opposing teeth or fracture under forceful biting or grinding. The porcelain can be applied to just the surface of the crown facing on cheek.  The result will not be as esthetic, but will last longer. A night-guard may be recommended for protection.

 All Ceramic or All Porcelain (Zirconia) This is the newest technology in laboratory-processed restorations and is considered very esthetic.  They look very real. No metal is used in the process, and therefore no metal will ever be visible. It is excellent for restoration of front and back teeth. The same cautions exist as with any porcelain or ceramic material: it can wear opposing natural enamel, and a night – guard may be recommended for protection from bruxing or grinding.  Some processes in fabrication of the all ceramic or porcelain crown are actually controlled by a computer!

All the above take at least two appointments to finish.

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Keeping a Space Between Front Teeth –Bridge vs. Dental Implants

Gap between upper center front teeth

Many patients I have met over the years in my Burbank, California office have spaces or “gaps” between their front teeth that they like and WANT to keep.  Madonna and David Letterman have a space between their front center teeth.  It is part of their character and I doubt they would want to close it … Read more

4-Tooth Bridge Failure – Dental Implant Bridge Replacement

Xray of dental implant bridge

A dental bridge is a fixed (non-removable) appliance and is an older way to replace missing teeth.  There are several types of bridges. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal.  This type of bridge consists to two crowns that go over two anchoring teeth and … Read more

Dental Implant Case Example For Back Teeth

Missing lower molars

(updated January 2025) This patient thought she could never have dental implants.  She was so fearful of the procedure. I used I.V. sedation anesthesia so she could sleep through the surgery. The x-ray shows that she is missing her lower molars on one side. She also has a cracked root canal tooth supporting bridge on the other … Read more

Dental Implant Maintenance…OVER-DENTURE VS FIXED BRIDGE

Snap on overdentures

Fixed bridges are attached to your dental implants much like your natural teeth are connected to your bone. Because they are most similar to teeth, they do require some maintenance. Most importantly is your daily routine at home. You must brush and floss your implant fixed bridge. You will also need to have regular x-rays … Read more

Fixed Dental Implant Bridge vs. Implant Denture – What is the REAL Difference?

Fixed dental implant bridge

There is a common mistake that I hear from patients on a regular basis. Often times, I see patients for second opinions for dental implants to replace all of their teeth. They tell me they are having all their teeth removed and having a “bridge.” When I dig deeper or reference their paperwork, they are … Read more

Dental Implants…Why not have a bridge instead?

Dental Implants…Why not have a bridge instead?

A traditional bridge involves grinding down adjacent teeth into pegs to support the bridge. It is a stable solution with average esthetics and function that is fairly easy to make. However, this alternative has two main disadvantages: continuous bone loss in the missing area, and sacrificing healthy teeth on behalf of the bridge. The teeth … Read more