Dizzy/Vertigo After Sinus Lift Bone Graft for Dental Implant

Dizzy/Vertigo After Sinus Lift Bone Graft for Dental Implant

Dizzy/Vertigo After Sinus Lift Bone Graft for Dental Implant

baby tooth for implant (1)Dizziness is a rare complication that can occur in patients that have an internal sinus lift for dental implants in the upper jaw.

This is called vertigo. More accurately it is called benign paroxysmal positional vertigo – BPPV.

In my private practice over the last 14 years I have had extremely few patients that have developed this short-term, reversible vertigo that makes you feel dizzy and at times nauseated. It is much more common in the elderly patient.

Refer to these links to learn more about internal sinus lifting and the basics of sinus bone grafting

If you don’t have 10 mm of bone in the upper jaw, the sinus has likely expanded and baby tooth for implant (2)you will need some type of sinus lift. This will give you an adequate amount of bone height to replace your upper molar teeth.

The procedure is done by using an osteotome instrument and percussion taps from a surgical mallet. This lifts the bone and creates a tent over the top of the implant. Bone is added through the implant hole. The slight tapping of the surgical baby tooth for implant (3)mallet while you are laying down in a possibly hyperextended neck position can temporarily throw off balance in part of your ears. Inside your ears there are inorganic particles similar to crystals called otoliths. Your otoliths can be displaced in the fluid of the semicircular canals of your ears. Since our ears are responsible for balance, the temporary displacement of the otoliths can give you this temporary feeling of vertigo.

otoliths

If you have had a problem with dizziness or vertigo in the past make sure to tell this to your dental implant specialist before having this procedure done.

The diagnosis of this type of vertigo is established by inducing a rapid change from being seated to the left or right head hanging position. If you really have it, your eyes will become a little shaky; that is called nystagmus.  If you don’t get this shaking of the eyes, then you really don’t have vertigo.

Fortunately very few patients develop this and it is a self-limiting disorder. It generally goes away on its own within a month and in fact it usually goes away within 10-14 days. The Epley maneuver is used to treat patients that have vertigo that does not go away.

I like to do what is most likely to prevent this from happening. I am very cognizant of head position during this tapping of the surgical mallet. I believe it is key to be moderately sedated using IV sedation so that you are comfortable throughout the procedure. The benzodiazepine medication that I administer in the IV is often used to treat vertigo. So it is possible that having IV sedation may greatly decrease the chance of developing dizziness after maxillary sinus lifting for implants.

There are many other techniques including a densification technique.  This works in some cases where minimal lifting is needed but still rattles  your head during the procedure.  

If your body is not stressed and your neck is in a good position, excellent dental surgery techniques will usually limit the force placed on the mallet or drill. This should, in turn, decrease your unlikely chance of dizziness/vertigo after having an internal sinus lift.

Please share your comments and questions below!

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

Burbank, California

47 Comments

  1. Steve

    I’m 70 and 2 days past a sinus lift for an upper molar implant. I went looking for information on my symptoms and am grateful to have found this.

    The dentist reported she had seen only one patient before with new bone as hard as mine. Which would be a good thung, except that the (euphemistic) “tapping” during the three progressively wider steps had to be done so hard I was seeing stars. I was shocked at the force of the blows. This was done with only local freezing and I probably tensed my neck to an extreme, all 3 times.

    For the first 24 hours I was fine, but I had noticeable vertigo and mild confusion. Then the headache developed.

    Last night was very bad. I had the worst headache of my life, any attempt to get out of bed resulted in nausea and incipient need to vomit. Even the simplest tasks were beyond doing. It took half the night to summon an attempt to take headache medication, and when I did, I vomited. By this time I was wondering if I had a concussion.

    So I thank you for making this information available.

    February 2, 2020 at 5:56 pm Reply
    1. Ramsey Amin

      Oh gosh!! Are you better now? 🙏

      February 9, 2020 at 12:42 am Reply
    2. Ramsey Amin

      Oh gosh. It sounds like the bone wasn’t thinner enough before the mallet. It does not take hard hits…

      How are you doing now?!

      What specifically in the post helped you?!

      February 9, 2020 at 12:53 am Reply
  2. Elizabeth

    Due to so many gum desease surgeries, failed root canals and constant redos on crowns, I decided about four years ago to have all my top ten teeth pulled. Six months later I decided to try implants even though there was no bone. I first had the sinus lift surgery, six months later, implants were placed, six months later they were removed because they did not take.
    The surgeries were very painful changed my facial features from so much bruising. It has been over two years now and after the surgery had dry nose issues from the sinus lift.
    But now I am experiencing vertigo issues. It happened once a month ago but in the last week becoming regular daily issues. I feel woozy when I stand up. When I am laying down and move to each side, woozy. After reading all the above issues, I am wondering if there is a solution? The other patients seemed to have vertigo right after not years later? Do you have any advice? Thank you

    January 2, 2019 at 2:36 am Reply
    1. RamseyAminDDS

      oh gosh….you likely have vertigo just because…not due to the implants. My mom had it and she had success with the Epley Maneuver

      Zygomatic implants can be a good option for you.

      January 5, 2019 at 8:49 pm Reply
  3. Christian Bauer

    so I recently had an implant done for one of my front teeth and roughly two weeks after the procedure (a mere day after I got my stitches out) I began to suffer from random bouts of vertigo, sometimes mild, sometimes severe, sometimes right when I wake up and some times it kicks in during the afternoon; I haven’t had any major lifestyle changes in the past week apart from the implant. So are these conditions consistent with the diagnosis above? if so, will it go away on its own or do I need to seek medical help? if not, what other possible reasons could there be for this.

    August 26, 2018 at 2:28 am Reply
    1. RamseyAminDDS

      Usually will go away on its own. This is not common for upper front but rather upper back teeth.

      August 27, 2018 at 3:33 am Reply
  4. I have really good, strong bone structure and I had a large molar pulled (due to a abscess). The dentist had a difficult time extracting it and he literally pounded (hard) on me using some device to extract the tooth. He did this repeatedly for a long time. When I sat up, I was extremely dizzy. The initial dizziness went away after about 10 seconds. Now, 1 week later, when I lie down, I become VERY dizzy.

    August 12, 2018 at 1:28 pm Reply
    1. RamseyAminDDS

      with this in upper molar?

      August 14, 2018 at 2:08 am Reply
  5. Mahesh

    Why to lift sinus ? Y can’t u place implant with angulated towards premolar region

    January 30, 2018 at 8:12 am Reply
    1. RamseyAminDDS

      Not always possible and all scenarios but yes sometimes I will angulate away from the sinus especially in full arch reconstruction of a patient missing all upper teeth and or zygomatic implants.

      February 14, 2018 at 11:12 pm Reply
  6. Liz

    I am concerned about having a sinus lift. I have severe hearing loss (otosclerosis) and tinnitus. I also have idiopathic angioedema. For this reason I have chosen to do a bridge as opposed to an implant. My dentists says that I need the sinus lift for proper bridge placement. I am concerned that this precedure can affect my hearing balance and tinnitus.
    I avoid antibiotic use as it has affected my hearing loss in the past.
    Your input is greatly appreciated.

    April 17, 2017 at 9:28 pm Reply
    1. RamseyAminDDS

      If no implants than absolutely NO REASON for a sinus lift!!!!

      April 24, 2017 at 4:29 am Reply
  7. Nancy

    Nancy here again. In reply to your answer to me Dr., all my symptoms began immediately after the implant procedure, I mean the very next morning and have not stopped. I was advised to have the implant removed due to the problems and did so one month after implant. But the symptoms continued. I had Epley done, and a brain MRI which showed nothing. The procedure was very jarring; all 3 neurologists that I saw agreed the procedure “set something off” that has not healed, again over these past 6 months. All they did was offer medications for migraines. I did have a bone graft done prior to the implant. Could my symptoms of constant equilibrium problems, ear ringing, and migraines, as well as occasional dizziness and nausia be caused by the sinus falling and not being lifted to the proper place before the implant? If so, can it be fixed now that the implant was removed 5 months ago? I was also advised not to get a bridge yet due to my symptoms. I honestly am reaching for answers. Any more thoughts Dr.? Thank you for your time.
    Nancy.

    February 3, 2017 at 2:37 pm Reply
    1. RamseyAminDDS

      Unless there is a fistula in your sinus, the previous graft is likely not the cause. Somehow like you said this all get set off somehow. The ear crystals should be able to stabilize by now if this were the case. Sorry.

      February 24, 2017 at 2:30 pm Reply
  8. Nancy

    Question:

    I am over 50 and had an implant in upper jaw 6 months ago. Prior to implant I was extremely active and healthy. But since implant, I have had constant equilibrium problems, ear ringing, and migraines, as well as occasional dizziness and nausia for the past 6 months, which all started immediately after my implant. I have been to 3 neurologists, ENT, spine specialist, and vestibular therapist, and my symptoms have NOT improved. Neurologists are mixed on diagnosis, ENT said no issues there, spine specialist said neck looks fine, and just started with vestibular therapist for equilibrium issues. I am desperate. Please help!!! Do you have any advice on how to treat my symptoms?

    February 1, 2017 at 12:12 am Reply
    1. RamseyAminDDS

      This is not likely due to the dental implant. It is very coincidental but not likely related especially if it has lasted this long. I may have mentioned to people commenting to try the Epley maneuver with a chiropractor if vertigo is your problem.

      If you really feel it is the dental implant, you can have the implant removed and see if that helps. I really help you get better. I assume you’ve already had an MRI to check for any sort of brain tumors etc.

      February 1, 2017 at 11:49 pm Reply
    2. Vesa Laukkanen

      Dear Nancy,
      Brain MRI is unfortunately not very reliable if one has diffuse axonal injury (DAI); even in most optimal time, that is within first weeks after trauma it shows only less than 60 %. Far better method is diffusion-tensor-imagin (DTI) / tractography. Most sensible “test” is careful neuropscyhological examination that can reveal if there are changes in your cognitive functions, for example in memory.

      I am lawyer but after 145 TBI and whiplash cases, I dare to say this.

      Vesa Laukkanen

      February 24, 2017 at 4:18 pm Reply
  9. Marianne

    I was on oxycline as an anti-biotic. The vertigo started on the 7th day of the pill and I did get sick to my stomach. I stopped taking them. On the follow-up with the dentist, he said he didn’t see anything and the bone graft looked like it was healing nicely. Had no explanation for the Vertigo. In the 11th or 12th day of healing, my inner ear would hurt on occasion and I assumed that somehow, I just managed to get an infection. The reason I say this, is because in the three times I got sick, I only coughed up phlegm and with that there was some sneezing. Finally after the third time of becoming ill, I started to feel better. I am currently on AMOX-CLAV 875-125, and have cut them in half because I feel a little light headed taking two regular doses a day. I figured by cutting them in half, it might help reduce the side affects. The vertigo has finally stopped. My guess is that somehow, I got an infection in the sinus because the dentist had commented that the broken tooth was close to the sinus and he had to do some digging to get out the roots. A particle of tooth or something could have worked it’s way in.

    January 11, 2017 at 9:02 pm Reply
    1. RamseyAminDDS

      Thanks for the update. I wouldn’t split the antibiotic in half. It becomes a subclinical Dose and may create resistant bacteria for you.

      January 12, 2017 at 3:38 am Reply
  10. Marianne

    Thanks for this article. Had a Bone implant done a little over a week ago and also having trouble with horizontal vertigo. Never ever had this before in my life. Actually, got up the other morning, was fine for a half hour and then half way through breakfast, I actually got sick to my stomach. This all started right after the broken tooth was pulled and the bone implant was done. I hope this does go away soon.

    December 26, 2016 at 4:11 pm Reply
    1. RamseyAminDDS

      People often get dizzy from antibiotics or pain medicine. I would rule those out first. Unless you have a vertical sinus lift vertigo and dizziness would be uncommon. I am assuming you were on an antibiotic.

      January 11, 2017 at 8:54 pm Reply
  11. Jere Laukkanen

    Do you believe it is possible to get a neck injury from sinus lift operation, where too much force is placed on the mallet? We have a client who had this operation, her bone was so hard that the obviously too much force was placed on the mallet. She felt her whole body move during the malleting. This operation was performed 2010 and she never recovered like in the cases of BPPV. She had all the BPPV treatments. She has a serius neck trauma visible in the MRI scans. She has had no other traumas. She has been permanently disabled ever since the operation. Before the operation she was totally healthy and the symptoms started during the operation where she almost become unconscious during the malleting.

    We would gladly pay for your consultation.

    Best regards
    Jere Laukkanen
    Office manager
    Law Office Vesa Laukkanen
    Finland

    November 22, 2016 at 12:12 pm Reply
    1. RamseyAminDDS

      It sounds crazy that anyone would use that type of force on a human skull. I don’t think this is possible

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

      November 24, 2016 at 4:17 am Reply
  12. Marc

    I am getting a sinus lift (and implant) next week at 2.7.

    Your article scared me a little now. I had a vestibular neuritis a few years ago and it was horrible. Now I am afraid the upcoming sinus lift will cause the particles in my ear to be out of balance again. I read in the published medline article (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2872812/), that the surgeon should apply malleting gently to avoid this complication. Is that even possible? To lift the sinus a certain degree of heavy malleting is necessary, isn’t it. That would mean the advice of gentle malleting is kind of useless? Is there anything that could be done during the surgery to minimize the risk? Maybe changing the head/body position a little while malleting is done to ‘reduce’ the hyperextended neck?

    Any help is appreciated.

    Thanks,

    Marc (from Germany)

    October 4, 2016 at 1:10 pm Reply
    1. RamseyAminDDS

      This does not happen often but of course it can. Skill and experience are #1 indicating to prevent this occurrence. The technique can also be done through a lateral window approach rather than an internal lifting. The internal lifting often requires some type of mallet. The balloon techniques do not work. The lateral window technique requires no mallet whatsoever.

      I would highly advise that you have IV sedation for this procedure and have intravenous steroids such as dexamethasone.

      October 4, 2016 at 9:00 pm Reply
  13. TEHMUL B. KHAMBATTA

    After sinus lift and bone graft or vice versa over six monts back , i having suffering from heavy head, constantly leaky nose and burning discharge trickling from the back of my throat.
    After my experience i would never recommend sinus lift and bone graft to anyone at my age of 70, considering the discomfort i am going through.
    A denture would be a far better, less expensive, cleaner alternative.

    July 30, 2016 at 1:31 pm Reply
    1. RamseyAminDDS

      Hi Tehmul,

      What you are experiencing may not be related to your sinus graft. In 17 years of personally doing this procedure I have never seen this before. Was this performed in the United States?

      How he had a postoperative cone beam 3-D scan taken? Is the sinus drainage hole open as it naturally is? Have you visited an ear nose and throat doctor? Was your dentist new at this or very experienced? I have done this on 90-year-old patients without any trouble. Age is not a factor.

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

      July 31, 2016 at 7:38 pm Reply
  14. Heidi miller

    2 weeks ago I had what I believe is my 3 molar extracted, a sinus lift and a bone graft. They did this because since I was in 5th grade I have not been able to bite on the right side of my mouth. My jaw never grew down, so it has been unlevel. My oral surgeon was going to do a segmented osteotomy, but after some different consultations, the Drs came to the conclusion that the reason my jaw didn’t grow down is because my third molar is ancolosed (or fused to the bone) in my sinus. So when they removed the tooth, there was a hole. They filled it with particulates bone graft and put a membrane on it, but the membrane was exposed because my gums couldn’t be stocked over it. 3 days ago, I began to have air come through the area. I figured out that there is now a hole where the bone graft is supposed to be. My oral surgeon said that my bone should grow in a fill the hole. It’s just really annoying having a hole connected to my sinus. There is not a lot of pain, but I just want to know that it’s actually going to fill in. Any advice?

    March 20, 2015 at 4:42 am Reply
    1. Ramsey Amin DDS

      Hi Heidi,

      It sounds like you have a unique situation with an ankylosed third molar. More than likely when the tooth was removed it created a perforation between your mouth in your sinus. We called us an oral antral perforation. I’m sure your dentist was very skilled at the removal and oftentimes this cannot be avoided. I hope you are not a smoker or a diabetic as this would slow down the potential spontaneous healing of this hole. If it does not close on its own it may require a second surgical procedure to cover over the hole.

      Be sure not to sneeze with an closed mouth for at least 14 days, do not blow your nose hard and do not submerge your head underwater such as in a pool. Do not do any sinus lavages such as a Nettie Pot. See your dentist and consider having a 3-D CBCT to monitor healing. When this is all said and done, you can then have the dental implant to replace your tooth #3 which we called the upper first molar. You may require an internal sinus lift if the bone is still decent.

      These link should help you:
      Upper Molar/Internal Sinus Lift 3-D Scan Real Time Dental Implant Before and After Planning Video –Narrated by Ramsey Amin DDS

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

      March 22, 2015 at 9:15 pm Reply
  15. Good Morning Dr. Amin,

    I am 3 weeks s/p sinus lift and completed a 10-day course of Clindamycin – there was no tear or puncture of the membrane during the procedure. Sutures were removed after one week and everything looked great. Over the last few days, I have woken with a sinus headache, presumably because while lying flat over night, sinus drainage has not had the benefit of gravity. I have been taking Advil and begin to feel more human several hours into the day. On my way to pick up a decongestant in hopes this will help – don’t want to begin another course of antibiotic if this is simply due to inflammation and swelling post procedure or even allergies – I take Zyrtec every bedtime. Is this just a coincidence or is it common to develop this problem after 2 weeks? Woke up last night with some throbbing at the surgical site which I also thought was odd as otherwise, it looks great and is not swollen. Any thoughts? Thank you!

    February 20, 2015 at 6:52 pm Reply
    1. Ramsey Amin DDS

      Did you have an in office 3d scan after the procedure?
      I do this procedure extremely routinely and it is not often that I hear someone have the type of problems your describing. Did you have any growth factors such as L PRF, PRP? IV sedation and intravenous steroids/Antibiotics helped tremendously also.


      Sedation
      Antibiotics for a Tooth Infection, Dental Implant, Bone Graft… Do I Need Them? 

      Respectfully,

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

      March 2, 2015 at 1:42 am Reply
  16. Victor Drummond

    Hi,

    Thanks for the article, it’s very helpful, especially as I was beginning to feel quite scared of my condition with similar symptoms I have and your information has helped relieve some of the anxiety I was feeling.

    In mid-December 2014 I had sinus uplift surgery AND dental implant fitted at a very reputable surgery in Bangkok (which is 8000 km plane trip from my home on the West coast of Australia)…

    At first I didn’t notice any side effects other than a general feeling of fatigue in the recovery phase after these procedures. Upon flying home some ten days later I am now noticing instance of vertigo, the symptoms of which seem to categorize this as benign paroxysmal positional vertigo, characterized by a short burst of vertigo when in the prone (sleeping) position and turning from left side to right side OR sometimes in the morning after sleep when attempting to stand from sitting on the side of the bed, which when the attack happens I cannot focus my eyes either… Interestingly the vertigo experience does not seem to have effect at any other time such as when sitting, standing or in the normal course of my working day.

    At this stage I’m consulting with my GP plus as of yesterday, making time to swim daily in the ocean again as a way of perhaps “exercising” my middle ear.

    Best regards,

    Victor Drummond
    Australia

    January 6, 2015 at 5:30 am Reply
    1. Ramsey Amin DDS

      Hi Victor,

      Thank you for sharing your story….it is really uncommon. I have placed several thousand implants and internal sinus procedures and have only personally have seen this one or 2 times in the last 15 years. This video shows what this procedure should accomplish in the internal aspect of your sinus. I think you will really like it! you seem like a very technical person!

      Upper Molar/Internal Sinus Lift 3-D Scan Real Time Dental Implant Before and After Planning Video –Narrated by Ramsey Amin DDS

      Very Respectfully,

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

      January 12, 2015 at 2:29 am Reply
  17. Sandy

    I had Maxillary Sinus Lift Surgery 10 days ago and since the surgery I’ve felt nausea, headaches, dizziness, and pain in my ears. I’m 61 years old and I don’t know if age has anything to do with these symptoms after this kind of surgery.
    I went in for my 1 week check up and shared with my Dr stating I’m not a person that has headaches and these kind of symptoms but didn’t get any answer why this was happening.
    If this is going to be a prolong condition, I’m wishing I wouldn’t of had this surgery.
    Thanks
    Sandy

    October 27, 2014 at 11:28 am Reply
    1. Ramsey Amin DDS

      Hi Sandy,

      Feeling dizzy or having vertigo is possibly due to the technique used by your particular dentist. It should pass if this is the cause. It is not uncommon to feel nauseated and have headaches from the postoperative antibiotics. Give it another 10 days and let me know how things are going. Be sure to reference your post exactly so that I know who you are when you ask another question. Preferably cut and paste your previous question into the blog post.

      Hang in there, this is rarely a prolonged condition and I’m sure you will make 100% recovery. Sinus bone grafting is extremely common in my practice. Probably do this several times a week for the last 15 years. I think I have seen at all with regards to complications and the way that patients respond to it. Most people say they had minimal pain and took Tylenol or ibuprofen. I typically use growth factors made from your own blood called PRP, PRF, PDGF and naturally occurring BMP to help with healing. I think it is a combination of so many factors including intravenous steroids that help reduce the chance of this ever occurring to begin with.

      Do I Need PRP/PRF/PDGF/BMP For Dental Implants and Bone grafts?

      Sinus Lift Bone Graft

      Respectfully,

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

      November 3, 2014 at 2:44 am Reply
  18. steve shep

    Dear Dr Amin,
    I recently had sinus lift surgery using the surgical mallet with novocain only . I have dizziness for 2 weeks now . My oral surgeon said he was unaware that this could be a side effect of the surgery. I went to my ENT and was told it probably was from the surgery .He told me it will go away and to wait it out for three weeks and scheduled another appointment. It was slowly getting better day by day and was 99% gone on monday. Tuesday it was back like it was the 1st day.Is this normal in the process? Should I be getting the Eply ?
    Thank you,
    Steve

    October 8, 2014 at 2:50 pm Reply
    1. Ramsey Amin DDS

      Steve,

      Give it time. The dizziness and vertigo should go away on its own. Your oral surgeon did not do anything improper… It just happens very rarely.

      This is one of the big reasons why I stress using IV sedation for an internal sinus lift. In the 15 years that I have done this procedure, I find that the intravenous anti-inflammatory steroid seems to reduce this complication tremendously. It also allows you to heal faster by reducing swelling. Because it is given by IV, it temporarily effects other parts of your body. For instance, if I am removing a tooth on someone that has a painful neck or back, most of the time they tell me a few days later that there neck and back pain went away for several days!! The inner ear may work the same way. I also feel like after having IV sedation, you are forced to rest for several hours without moving around after this significant procedure.

      I would hold off on doing any maneuvers at this point and just give it some time. It should pass on its own.

      For those of you reading this post, strongly consider using IV sedation for this procedure. I have consulted with many dentists on this topic and after informing them of my techniques they seem to have a reduction in their own complications. It also greatly reduces pain

      Details of Sedation

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

      October 8, 2014 at 4:47 pm Reply
      1. steve shep

        Dear Dr Amin,
        Thank you for your quick response. I’m glad you are informing others of the IV option,I wasn’t . Your advice is appreciated. Sounds like you really care about people.
        thanks, Steve

        October 13, 2014 at 2:27 am Reply
        1. Ramsey Amin DDS

          😉
          Thank you Steve.

          Dr. Amin

          October 13, 2014 at 3:58 am Reply
  19. Rachel

    Thank you so much for posting this information online. I am 5 days post-op from an internal sinus lift/dental implant, and I have had vertigo since coming home from the procedure. I finally called my surgeon today to make sure it wasn’t a crazy side effect, and he said it was likely from just wearing myself out. I wasn’t pleased with his response, so I’ve been trying to figure out the physiology behind it (I’m a nursing student and can’t help myself) to see if there is anything I can do about it. Your explanation eased my concerns and made perfect sense. I seriously can’t wait for it to resolve and hope it does so soon.

    September 11, 2014 at 6:18 am Reply
  20. Joyce Meredith

    Thank you for the info on vertigo and sinus lift! I just had this procedure done yesterday morning and by the end of the day I was feeling this dizziness and at night as I turned in bed. I was worried and decided to look for more info before I call the Oral Surgeon. I believe I must have some of the particles flying around but not many because I felt much better today, even though is not perfect. Thank you for the piece of mind!

    August 5, 2014 at 10:33 pm Reply
    1. Ramsey Amin DDS

      Hello Joyce,

      Was a mallet used in order to lift your sinus? I’m guessing that you’re all okay now considering it has been a few days. Sorry for the delayed reply, I had some time off for the summer.

      The dizziness and/or vertigo only happens typically with the internal sinus lift procedure which is for smaller areas of bone loss. You would think that the larger sinus bone graft done through the lateral window approach would cause this, but it is far more common with the smaller internal type.

      Sinus Lift Bone Graft

      Ramsey A. Amin, D.D.S.

      August 18, 2014 at 5:20 am Reply
  21. Mrs F. Haddad

    Dear Dr Ramsey Amin,

    I had a tooth extraction, followed with bone grafting, in May ’14, as a result of a fractured root canal tooth. Two days after, I started experiencing flu-like and allergy symptoms. I was taking antibiotics then. I followed up several times with my dentist and another dentist – no signs of infections on x-rays. I would like to add that, since I suffer from chronis sinusitis, I had a CT Scan of the sinuses done. Which appeared to be fine, no sign of infection. I was told my issues probably stemmed from the tooth issue.
    It has now been over 2 1/2 months and I am still experiencing the same symptoms on a daily basis, with dizziness/vertigo, nausea, body aches, joint pain, some pain where the tooth was extracted. I am now unable to work.
    I am wondering if this could be due to the bone graft. Have you ever had any patients suffering from similar symptoms, following a tooth extraction with bone graft?

    Many thanks for your response.

    F. Haddad.

    July 19, 2014 at 5:11 pm Reply
    1. Ramsey Amin DDS

      Hello Mrs F. Haddad,

      Your symptoms are not likely related to your dental implant procedure. It is not uncommon for patients to have simultaneous medical conditions happening at the same time.

      I recently treated a man for complete upper dental implants with sinus bone grafting. A few months later he became very ill. He ended up having lung cancer and dying one month later. I don’t say this to scare you, but you really should be checked out by a physician as dental implants and bone grafts do not cause the types of symptoms your mentioning.

      I have many other stories just like this from cancer, internal bleeding to undiagnosed HIV.
      Good luck with everything… I’m sure it will turn out well! 😉

      Very respectfully,

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

      July 20, 2014 at 8:15 pm Reply
  22. Mrs Shaunna McLaughlin

    Hi, I’m looking for some advice on my front right lateral incisor. I have an apicoectomy done on this tooth 15 years ago. A few months ago a small whitish blister appeared a few mm above this tooth. No real pain but a pressure / aching feeling. My dentist has told me that he thinks that the tooth will need pulled as a root canal and apicoectomy was already done on this tooth..
    My question is this : is this the only possible option ? is there no way to save this tooth.. its at the front so I don’t want a gap at the front of my mouth
    The teeth to the right and left of this tooth are fine so if this infected tooth needs removed I don’t really want these teeth destroyed to make a bridge for the missing tooth. Is it possible to get an implant done? or is the infection in the bone and thus not an option..
    Also, I’m not sure if this is related but over the past month or so I’ve had a pressure feeling in my right ear(same side as infected tooth). My doctor has given me first and second line antibiotics and although these have helped I don’t think its gone completely.. could this be linked?

    November 19, 2013 at 10:30 am Reply
    1. Ramsey Amin DDS

      Hi Shaunna,

      If the tooth has to go, the infection wont prevent you from having a dental implant, but you are likely missing some bone at the apex of the tooth. The ear scenario is likely not linked unless it was a back tooth.

      Good luck,

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

      November 20, 2013 at 5:13 pm Reply

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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!!!