Dental Implants Are NOT Permanent! Redo’s revisions -The TRUTH!

Dental Implants Are Not Permanent! MUST WATCH

Wow… This is a lot to digest but worth watching for a few minutes. About 35% of my practice is devoted to redo’s/revisions of failing implants, bone grafts and implant crowns/bridges.

Having extra bone and gum is by far the best anatomical way to prevent problems with the surgical portion of the implants but this is one part only. In this video I review everything from implant design, implant screws, and gum grafting/recession, bone grafting failure of full arch all on 4, zygomatic implants failure, effect of smoking, diabetes, osteoporosis, peri-implantitis, and many many more.

By far the most important thing is to have your dental implants done right the first time. The training, skill, judgment and experience of your dental implant dentist along with their laboratory is going to determine long-term success or short-term misery.

Failing dental implants
Failing implants with a very little gum and bone

This video is not intended to scare anyone off as dental implants are very successful.  But I see an increasing rate of complications over the last 20 years mostly due to poor planning or lack of experience.

Please keep in mind that breast implants and hip/knee implants are not permanent either.

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

22 thoughts on “Dental Implants Are NOT Permanent! Redo’s revisions -The TRUTH!”

  1. I’m a 69 yr old RN whose only health issue is “severe Osteopirosis” on my last Dexa scan in 02/2022. I took Fosamax x 7 yrs back in the 2000s and did 2 yrs of Forteo last in 2016. I would love having a pretty smile again. I lost all but 2 of my molar teeth to bile reflux x 17 yrs post RNY gastric bypass in 1998. No MD would believe it was bile and kept treating me for acid reflux. Finally, enough people with WLS had the same thing, that a new Bariatric surgeon rerouted my small bowel limb and stopped the reflux. I still have 8 upper and 8 lower teeth but they are damaged from the yrs of reflux etc.
    I would rather keep what I have and not spend the rest of my days in & out of DDS offices if the Osteopirosis is a major hurdle in implants. I’m currently looking at Golpa all-on-X but I would rather hear the truth if it will save me anguish down the road. I feel like your website might have been sent to me by one who watches over me; and absolutely would consider having you do my smile. Your expertise is truly appreciated.
    Thanks!

    Reply
    • Thank you for your kind words. All on X is often a great solution for people in your situation even with a low DEXA score.

      It is important to know that implants are not permanent though. They can last a very long time but that will depend on many factors.

      The clinic you mention is viewed as a “factory” by the majority of dental professionals though.

      Do your due diligence before making this leap. It is a wonderful life change!

      Here are some links to help

      https://burbankdentalimplants.com/full-mouth-dental-implants/

      https://burbankdentalimplants.com/why-do-dental-implants-fail/

      Reply
    • Dr Amin has a fabulous website, I’ve been following him for years, too bad I’m in Sacramento or I would get a consultation.
      I’ve had my many many implants (8 top arch, 2 bottom bridges each on 2 implants, on each side to replace lower molars, and two lower crowns on 2 implants, I’ve had them for 20 yrs, lost a lot of bone of course, but my bridges are still functioning just fine, all my bridges are permanently cemented so they don’t come out, my upper will have to eventually be removed , one implant has lost too much bone. What I found out is that implants do require serious maintenance, maybe more than natural teeth. I’m 71 and I have osteoporosis, but I never took prescription meds for that, I just tried to have a good diet and over the counter vitamins. It’s been amazingly comfortable. So, there is hope for everyone.

      Reply
      • thank you for your comment!

        For maintenance you should look into an AIRFLOW cleaning and using a waterpick with very diluted (1:20) bleach. These can extend the life of the your implants if you already have bone loss.

        Reply
  2. Hi Doctor, I am from the Dubai, I have one implant already in my left front tooth, now the right one needs an implant as well.
    My concern the my gum between the two teeth, doctors are telling me it will disappear and the results will look bad.
    Any advice?

    Reply
  3. Greetings Dr. Amin!
    I see a plethora of data against smoking but not much on vaping. I only vape 6% VG direct to lung. I’ve had two redo’s out of seven implants. They both failed to osteointegrate after bone grafts. The first redo was moved to my palette and did fine. The second one was on the right side of maxilla and was replaced with new screw right behind the failed opening two days ago. So I have all on four in progress. Three are good. I have to wait four more months to see if this one takes. Can my periodontist try the first implant site again in the future if that one fails? He is not charging me for redo’s. Isn’t symmetry important?
    I probably know the answer concerning vaping. I’m just being stubborn! I’m an ex respiratory therapy tech and retired firefighter/paramedic. Thx again!

    Reply
    • Yes I think you know the answer that I’m going to say. Vaping is basically concentrated tobacco and may actually be worse than smoking. We’re starting to get more long-term data but from my own experience it is really bad. You need to just quit altogether.

      Symmetry is not important in full arch with regards to Implant position. As long as they all on four or on six is well supported with minimal cantilever it should perform well.

      But keep in mind that some implant sites are better than others.

      Do your part and this way you can at least help sure that your case is not forever compromised.

      Reply
    • Stubborn??? I can think of another word that a former RT, FF is and it begins with the letters ST also. WHO does this to themselves??? Stop vaping!!! It doesn’t take much education at all to know that smoking ANYTHING is not good.

      Reply
  4. Hi Doctor, I had a dental implant for about 10 years. The implant failed according to my dental surgeon and he removed it. This was tooth 24, I lost a lot of bone, all my gum tissue in the front and the two adjacent teeth are loose and the surgeon said I’m going to lose them. I’m going to a different dental surgeon and he said he will have to extract tooth 25 because my whole root is exposed and will try to salvage tooth 23. The dental surgeon wants to use tissue out of my palate and a bone graft. I hope I’m doing the right thing. I want to fix my gum and bone to be able to have a bridge and safe at least tooth 23. Thank you. 🙁

    Reply
  5. Hi!

    I have had no problems with my screws or posts that my dentist have implanted, but I am not happy with the shape or color they turned out to be. I have two implants and both are on both sides of my two front teeth. They have a grayish tint to them that are more noticeable when I am out in the sun.

    Can I just redo the teeth without having to redo the posts and screws for those implants? Or do they have to take out everything?

    Thank you!

    Reply
    • It is possible that you will not need to redo anything. Sometimes I can tunnel in a gum graft taken from behind your upper wisdom teeth area to thicken and covered the grey tone. This is all pending that the implant and restoration is done extremely well. This is a procedure I do all the time!

      Reply
  6. Hi Dr,

    Thanks for your very insightful and educational video on the truths behind dental implant. While maintaining good oral hygiene and proper care can prolong the lifespan of implant for many decades. Would you agree that if the dental vibrating cleaning tool for cleaning normal teeth used by the general dentist might loosen the dental the implant?

    And from some sources I read pertaining to implant, such as drinking of hot beverage in the long run can cause implant to resurface up and eventually fall out. As titanium screw would retain heat and burns the surrounding gum membrane. Hence, it would weaken the bone the implant is integrated to, the process is similar to peri-implantitis. Can you share your thoughts?

    Thank you.

    Reply
  7. Hi Dr Amin..I hope all is well with you..Im interested in getting implants…I live in Texas but I would like to have the procedures done by you..I believe that you are knowlegable in all aspects of it and habe been following and listening to your vids..I hope and pray I can get an appointment for a consultation soon..best regards to you..Bernard Watson..

    Reply
  8. I saw my dentist today that put in my implant screws because I had 2 screws that came out. I was hoping that they weren’t the actual screws, but apparently they are. I had 4 screws put in for the All on 4 procedure. He originally put in 2 longer screws, and 2 shorter screws. It’s the 2 shorter screws that came out. I was wearing a full lower denture at that time, and hadn’t had the abutments put on yet. I am horrified about these screws coming out so long after they were put in and healed. I told the dentist that I thought it might have something to do with the fact that they were smaller screws ( 5 mm)… He said that wasn’t true, but i am still wondering about that 🙁

    The dentist did tell me that the other 2 ( longer screws) are firmly in the jaw and no problems with them, as seen in the X-Ray) . My question: does the All on 4 procedure generally use a shorter and longer ( in on an angle) screw? How long are screws usually, and could the size (length) of my implant screw have been an issue here?… and what the heck do I do now? Please share your opinion and insight. I am miserable…

    Reply
    • I’m so sorry you’re having trouble. Generally smaller implants have a higher failure rate. In order for smaller implants to work for a full mouth replacement such as all on X/on for they need to be connected to other implants so that they gained strength in numbers. The choice to use a smaller implant hopefully was only made because you don’t have that much bone in the first place so they are forced to use a shorter screw. Some dentist like short implants and put them in everywhere. Here is some information on short versus long implants.

      As for what to do… You just need to replace those implants again…. Sorry

      Reply
  9. Good morning, I live I’m Texas and have seen about 17 dentist due to a tumor I had on the 6th tooth. Unfortunately, the 6th tooth was taken out and the dentist was not able to restore the bone lost during the procedure, so the 7th tooth was taken out a year later because it eventually lost all the bone around it too. It has been 4 years , and about 17 dentist later and most dentist agreed I need a block graft. I found a dentist who said he could do it %100 he had no doubts. Well, he did a bone graft and had me come in 5 months later and I had implants placed. However, the done graft that was done prior to the implants was not sufficient. He decided to do 2 more bone grafts (the pain Iam in when I see him is excruciating and I just sit there crying hoping he will be done soon) on my final bone graft he used a metal mesh that was screwed in with tiny screws that is preventing it from healing because my lip is integrating into the mesh. I can smile, sneeze or touch my cheeck because it hurts. So I went to an oral surgeon who gave me a copy of my xrays which show the implant is going in at an angle and I was advised a block graft was never done. Instead it was a regular graft that had a metal mesh screwed in to keep the membrane from coming out. I am desperately looking for help I was 24 when i lost my 2 front teeth and now I’m losing a 3rd one because the bone is receding still, maybe because I only have the screws put in with no crown. I have spent 4 years trying to stop the bone loss, so much time and money wasted. I dont know if to give up and just get a bridge or what type of dentist is able to restore so much bone loss.

    Reply

Leave a Comment