Dental Implant “Overdenture” Basics – Dr. Ramsey Amin, Burbank, CA

Dental Implant “Overdenture” Basics – Dr. Ramsey Amin, Burbank, CA

Dental Implant “Overdenture” Basics – Dr. Ramsey Amin, Burbank, CA

Is your denture loose?

A traditional denture can be supported with implants.  Dental implants will allow you to once again speak and eat with comfort and confidence! They are secure and offer freedom from the irksome clicks and wobbles of dentures. They'll allow you to say goodbye to worries about misplaced dentures and messy pastes and glues.

A removable full denture is connected to a bar attachment, which in turn is anchored on two to six implants in the jaw. The implants help keep the denture securely in place and provide better function and comfort. It actually snaps and locks into place. With four to six implants and the connector bar, this option is extremely stable and almost feels like natural teeth. Overdentures also replace lost gum and bone and can vastly improve facial appearance. Cost is usually the reason why this solution is chosen over a fixed bridge.

A fixed bridge is not removable.  A removable overdenture has implants under the denture.  An overdenture is a great solution for someone that already has dentures. Many times I can use your existing dentures and just attach implants to them!

An upper denture usually needs more implants than a lower one.  This is due to the soft bone of the upper jaw.  The worst thing you can do is "under-engineer" any overdenture.  They endure a tremendous amount of force and will fail in a few years if they are poorly designed or have to few implants.  It would be like constructing a building and skimping on the foundation.

19 Comments

  1. ….are acrylic hybrid fixed, but removable dentures, thinner and less bulky than zirconia? I have four recent upper implants and the zirconia denture is so bulky and set forward to far. I am deeply dissatisfied with the thickness of the gum and shape and length of teeth, and this final denture was based on the acrylic temporary denture, I had been wearing and liked, with minor changes, was sent to a cad cam lab for work towards the final zirconia denture. I am dissatisfied in that the zirconia denture is set to far forward, and, the length of and shape of the teeth or no where near what had been requested or presented in the temporary denture made in the same lab. I am thinking of going to an acrylic denture fixed. The prosthodontis I am now consulting with says I will be better satisfied with the acrylic, it will be more life-like and, it will be less bulky. Esthetics are important and I am beginning to wonder if the implant planning fell short, such that I am very dissatisfied with the final denture and now, will need to spend more for an acrylic denture, and to work with a different dentist. The first dentist had said I was “too particular”, but the new dentist I spoke with recently he thought the teeth were too square, which they are and, that the acrylic denture is thinner and therefore less bulky. What do you think of this situation?

    March 11, 2018 at 1:36 am Reply
    1. RamseyAminDDS

      hmmm…..there is a disconnect I believe between the lab and dentist. The full arch temporary PMMA should duplicate your final closely. This allows you to test drive it. Goinf back to acrylic is only going to cause you more maintenance issues over time. Acrylic is very prone to breakage and is no thinner than zirconia. If it is made to thin it well sheer off teeth. I suspect that the level of skill of the laboratory technician is not very high. Typically these can be copied virtually using 3-D trios technology and overlaid for lab design.

      March 18, 2018 at 10:00 pm Reply
  2. Ed

    I was told this week I needed to have my bottom teeth removed, went to three dentists they all said the same – they cannot be saved and I was suggested dentures or implants etc. I cant afford implants really but two (and I am going to more) suggested a lower denture with 2 implants. Are you saying that 2 will not work well for me? I am not sure if I could afford 4, suppose I could try depending on what you suggest.

    January 5, 2016 at 6:03 pm Reply
    1. RamseyAminDDS

      Two is better than zero. Just make sure those two are placed in such a way that you can add two more later. They need to be in a very precise location if you are only having two.

      January 6, 2016 at 4:32 am Reply
      1. Ed

        Thank you. I had a few more consults today, I am probably going with a removable top denture for the time being and a removable lower but it has a bar and 4 implants now. 4 is better as I read in your stool analogy so I used that in his office today hope you do not mind. Hope one day I can get something better added to the top within a year or so when my financial situation improves. Thank you for taking the time to reply to me. Wish to hell I lived near you

        January 7, 2016 at 1:56 am Reply
        1. RamseyAminDDS

          Sounds good. Good option. You may find that you don’t need the upper implants depending on how you do with the denture.

          January 7, 2016 at 4:14 am Reply
          1. Ed

            Thank you sir. My dentist is actually an oral surgeon who will be doing the dentures as well – prosthodontist there as well is this a weird thing for an OS to do denture work? It seems rare and from what I read DDS mainly do denture work etc. Thoughts on this?

            January 7, 2016 at 8:04 am
          2. RamseyAminDDS

            it would be very odd for an oral surgeon to be making dentures if they have limited their practice to oral maxillofacial surgery.

            January 7, 2016 at 7:21 pm
          3. Ed

            Its a two partner practice. OS and Prosthodontist (who is also a surgeon) so its all done in one day for me etc – well that is how they do it at this place. They also have a lab on site etc. I am concerned now a little. I realize it seems odd but I figure one does the surgery stuff and the other does the denture or ceramics/zirconia etc it is okay? I am worried a little looking forward to the reply

            January 7, 2016 at 10:40 pm
          4. RamseyAminDDS

            Sounds like a good team 😉

            January 8, 2016 at 12:04 am
  3. Chuck Hummer

    Let me begin by saying I have survived ALS for 10 years and am 77. My upper dentures I am happy with. Until I elected to have the 4 front teeth remaining in my bottom jaw a removable denture worked fine. What was not explained to me the extreme value those 4 lonely teeth is the importance of their use to anchor the bottom dentures. I plead to stupidity on that score. A full bottom denture I find virtually useless because of shifting and interference with my tongue. Consequently I’ve only mostly pureed foods for 6 years. I know my life is approaching the end but is there any solution to give me back eating real food while I’m here?.

    November 24, 2014 at 4:24 am Reply
    1. Ramsey Amin DDS

      Hello Chuck,

      Those remaining teeth functioned like overdenture implants. My guess is they had severe decay and/or periodontal disease and were extracted for that reason.

      Consider having 4 dental implants placed on the lower jaw. This will give you extreme stability for your lower denture. It will be far better than what you had before.

      Typically I would extract the teeth and place the implants on the same visit so you have no down time. Many times the teeth can be immediately loaded and connected to the implants if you’re bone density and bone volume permits. The fact that you have ALS does not mean you cannot have dental implants.

      How Many Dental Implants Do I Need Under My Denture?

      Very Respectfully,

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

      December 8, 2014 at 4:46 am Reply
  4. christina

    Last year I had to have full upper dentures. I was not told that there were other options. I am only 44 and between insurance and out of pocket it was $5, 000.00 my question is what would be a good cost estimate for an overdenture? Fixed bridge may be ideal but not very affordable for me. I have yet to find an actual $$$ amount for this. So I am unable to see if this procedure could even be an affordable option for me. I know there are variables that could increase cost, I am just looking for an estimated cost. Thank you for your time.
    Christina

    May 16, 2013 at 7:17 pm Reply
    1. Ramsey Amin DDS

      Hi Christina,

      The cost is extremely variable! It depends on SO MANY factors. I would not suggest mini-implants though. Range can be $3000 – $20,000.

      You really need to do your due diligence! This procedure is often done very poorly. I have had to redo so many of these!

      Sorry! 🙂

      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 11:42 pm Reply
  5. Loren

    I currently have 2 teeth left due to a car accident then not being able financially to repair it. Years have past and knowing I have bone loss by now I don’t know what to do. I have insurance BS BC but I need mini implants. Is this expensive. Can I get help?

    March 14, 2013 at 6:18 am Reply
    1. Ramsey Amin DDS

      Hi Loren,

      Dental implants for the full jaw will be a financial investment for sure. Keep in mind you are replacing body parts.

      This link should help you decide:

      https://www.burbankdentalimplants.com/prettau-dental-implant-full-mouth-bridge/

      I would suggest a fixed bridge.

      Respectfully,

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

      April 10, 2013 at 11:13 pm Reply
  6. Paul LaFontaine

    I currently have upper dentures and will need to have my lower teeth removed and will be using dentures there soon. My concern is bottom stability of dentures and thought that this procedure would do the trick.
    Do you do the overdenture work?
    Can the upper set have the roof connector removed so you get the roof of you mouth back?
    Can you tell me the typical cost for this procedure?

    January 21, 2013 at 3:21 am Reply
    1. Ramsey Amin DDS

      Hi Paul,

      Although overdentures are ok, a fixed, non removable bridge made of porcelain is far better.

      Both can be made to relieve your palate. The overdenture will wear out and need to be replaced in a few years. By the time you add in the cost of the replacement you are close to the cost of a fixed bridge which is far better.

      Typically I would extract the teeth and place the implants at the same time and make a same day fixed temp. This way you never have to wear a denture. I would need to evaluate your bone with a 3D X-ray.

      Do you live near me?

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

      January 21, 2013 at 4:38 am Reply
  7. Kate P.

    I knew little about this part before,thank you for your information!

    July 7, 2010 at 5:18 pm 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!!!