“Sterile” Dental/Bone Graft Implant Surgery… Is It Possible?

“Sterile” Dental/Bone Graft Implant Surgery… Is It Possible?

“Sterile” Dental/Bone Graft Implant Surgery… Is It Possible?

UPDATE: This 2014 post is especially important in the age of COVID-19!!! READ THIS

Dental implant surgery should be done in an “aseptic technique” which is a close modification of sterile technique.  This means that your dental implant or bone graft surgery is not just being done with the typical dental bib held by the alligator clip chain!!!

Implant Surgery Needs To Be Clean

Dental implants and bone grafts can be contaminated very easily which can lead to infection, implant failure and bigger things such as osteomyelitis.  Some people are more prone to infection than others so you really have to be careful.

sterile dental implant surgery
Ramsey Amin DDS and assistant in sterile dental implant surgery

I treat patients with complex medical histories and patient’s that are 90 years old.  Safety comes first!  Besides some patients being more prone to infections, some procedures are more prone to infections.  This is just another reason to keep the surgery as sterile and clean as possible.

A dental bib is not enough for dental implant/bone graft surgery.

Your jawbone is essentially sterile (pending no pre-existing infection) until the gums are opened and it becomes exposed to the bacteria of your mouth and other bacteria of the environment.

Aseptic technique is used in medical procedures and microbiology to keep processes and procedures free of cross-contamination.

The mouth is naturally full of bacteria, so sterility is impossible.  The goal is to reduce the bacteria in your mouth from contaminating the implant or bone graft as it is being placed.

Even though we all take showers every morning, our skin has certain bacteria called Staphylococcus, which is sometimes just called Staph.  You may be wearing clothes to your dental implant surgery appointment that you didn’t realize you wore the other day when you were gardening.  Bacteria on your clothes and/or skin can be inadvertently brought into your mouth.  The point is not to allow cross-contamination into your bone or bone graft and keep as sterile as possible.

Precautionary Measures Against Dental Implant Infection 

In my office these are just some of the things that I do for every procedure whether it be one single implant or 12 dental implants and bilateral sinus bone grafting.

Your mouth will be pre-rinsed with chlorhexidine for 30 seconds immediately before the dental implant/bone graft procedure.  I also go one step further and will wipe down the immediate surgical site with Betadine/iodine to decontaminate any natural plaque you may have that can be introduced into your bone.  This means that we take a Betadine swab into your mouth and scrub the gums and teeth.

Every dental implant and bone graft procedure in my office is done in an extremely aseptic environment using at least 2 dental assistants per procedure.  There is no way to have a super clean surgery with only one dental assistant.

Textile drapes that have been autoclaved through a sterilizer will cover you to about your thighs and a comfortable head wrap will leave just your face exposed, covering your hair.  Your eyes will not be covered unless you prefer them to be. The photographs on this post show many of these concepts during live procedures.

To prevent cross-contamination with the dental light, it will be covered with a sterilized foil barrier.
My dental assistants and I will gown in special sterilized gowns and hats.  We also wear sterilized gloves, not just regular gloves out-of-the-box.  These are crucially important in maintaining a 99% success rate.  It helps to prevent you from having infections which will, in turn, reduce pain, swelling, and help you heal up faster.  We do not touch anything that is outside of the sterile area.  We can’t even scratch our head if we get an itch!

“I was trained in a hospital setting in an operating room. This process is second nature to my team and I. Before placing our sterilized gloves we go through a surgical scrub of our hands, also using a special scrubber embedded with chlorhexidine surgical soap.”

Your facial skin will be wiped down with either chlorhexidine or Betadine.

Clean and covered patient having IV sedation for implant surgery
Clean and covered patient having IV sedation for implant

One of my dental assistants maintains the field of sterility while the other can hand items to me from outside the field.  When she opens a dental implant package, bone graft material, sutures, membranes, etc. they are in two packages.  She opens the outer non-sterile package and drops the sterile item onto our sterile surgical instrument set up without touching anything.  This way nothing ever touched the item that will be going to your body.

Our suctions and drill tubings are covered in sterilized disposable plastic sleeves.  Even though these items are wiped down thoroughly between each patient, I prefer complete sterility.

Of course dental instruments are placed in a cassette and sterilized after several pre-sterilization cycles.

Yes, I know it sounds and looks like brain surgery, but it is all for your benefit

Many of my patients have IV sedation anesthesia so it also functions to keep them warm while they are sleeping through the procedure.  The wires for the ECG, pulse oximeter, carbon dioxide sensor and blood pressure cuff are also under the surgical drapes.  This prevents cross-contamination between dental equipment.

Sterile/aseptic technique is more of a way of life in my office than it is a procedure… It is just what we do.  It is not clumsy or foreign.

Feel free to ask questions related to this blog post article.

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

25 Comments

  1. Jennifer Chan

    Hi Dr. Amin –

    We are currently revamping some of our policies and training. Was wondering if you self-glove or if your assistants do the traditional assisted “gloving and gowning” after you’ve scrubbed-in (i.e. plunge gloving technique). Thank you!

    May 15, 2020 at 3:56 am Reply
    1. Ramsey Amin

      A bit of both but certainly a very aseptic method using actual sterile gloves not just regular gloves.

      June 7, 2020 at 8:19 pm Reply
  2. Jennifer Chan

    Professor Amin – It must be so gratifying to know that you have always gone the extra mile (even at your own cost) to use the highest level of sterile protocol (including full surgical PPE) to protect your patients and your team. I’ve been talking with a lot of colleagues in the field of periodontics and endodontics and these new PPE standards have them scrambling to procure and teach their surgical teams how to ‘don’ them properly.

    How do you feel about face shields? For assistants, they seem like a good idea. However, for us who are wearing a headlight and loupes the shields can create quite a glare and obscure the surgical field. I’ve been doing it the last few cases and perhaps it will just take time.

    I’ve also added another scrubbed-in assist to all of our major cases (sinus lifts, ridge augmentations, multi-implant placements, etc.) – so now I have two assistants scrubbed-in assisting chairside and one ‘circulating’ and grabbing supplies as needed.

    May 12, 2020 at 1:45 am Reply
    1. Ramsey Amin

      Thanks for your kind words. This is all I know how to do 😉 Face shields are part of the post COVID 19 era. I am using a custom made, 3-d printed shield that allows light to pass through. I agree, that it is another lens to look through that can cause some blurred vision. We will get through this!

      May 12, 2020 at 2:42 am Reply
  3. Alexandra Nguyen, D.M.D., M.D.

    Professor Amin –

    Thank you so much for this post. As a new OMFS practitioner about to open my surgical practice, you hit the ‘nail-on-the-head’. I have 2 AAAASF-certified Operating Rooms that will be used for all procedures (from wisdom teeth to implant placements to full jaw reconstructions). Yes, there are costs associated with doing all procedures in a hospital-level fashion (my sterile team of 4 scrubs-in, does assisted gloving-and-gowning, and dons full surgical PPE from head-to-toe); we also have a Dental Anesthesiologist and 2 Circulating RNs in the room. What you gain is ‘peace-of-mind’ and what you can lose is far more…credibility being top-of-mind. I applaud your willingness to share your thoughts on this topic, especially in light of everybody in the OMFS and Periodontics community pointing to one or two studies that say such precautions are irrelevant. They’re irrelevant until you have to explain to a patient why they have a terrible infection that could have been prevented.

    Have a great weekend.

    – Alex

    May 25, 2019 at 9:18 pm Reply
    1. Ramsey Amin

      Thank you for chiming in Doctor! It amazes me how unsterile people are during dental implant and bone grafting procedures!

      May 30, 2019 at 3:33 am Reply
  4. Annie Clark

    I just had a extraction done and a bone graft. In preparation for an implant. The dental professionals did not drape me, they also contaminated the sterile field. A half used IV bag hung above the sterile field from the last procedure, the girl said to me you can use the same IV bag. I said the blood from the last patient can go up the tubing, you can’t use the same solution on the next patient. That a big no no. Then during the procedure the assistant picked up an instrument with plain gloves off the sterile field and dropped it again onto the field showing the “surgeon” see we use this one to push it in, she said. I watched in disbelief she was suctioning me and was the unsterile person the only other person in the room with the dental surgeon. Never mind telling the Dr. what he’d have to use in the procedure. Being a nurse myself I cannot believe this is the standard used in the field of implants and bone grafts. I also had to ask for antibiotics for after the procedure, as I have titanium implants in my back. I had been on Antibiotics 2 week prior to the procedure and wondered also why I didn’t have antibiotics a few hours before even though I had been on them 2 weeks ago. Anyway I went home with Clindamycin 150mg tid. I just don’t understand why dential specialists aren’t taught sterile techniques. Why not set higher standards when there are so many cases of post procedure infections. Why aren’t they reported to the CDC. Hospitals have infection control nurses and Doctors in charge and infections and the type of bacteria’s that they are infected with are reported and kept an eye on. Hospital acquired infections are reported, why not in Dental offices? Yes people need to be aware and Dental specialists need to be held accountable. I have suffered with this infection for years not knowing what it was until I had a CT scan and it showed a failed root canal and an infection in the bone. Along with the aching and pain it caused every dentist thought it was due to my TMJ and tooth grinding. I had a fractured root also they said although it was hard to see on the tooth itself when it came out.
    I just hope it was extracted with good reason. Anyway I’m praying that the bone graft doesn’t get infected and I can have the implant done in 4 months. I feel I should wait until I know it’s healed well and not going to get infected into the graft and fail or something.
    Any reason not to wait to have the implant implanted in 4 months?? He said the teeth shouldn’t move or anything. Regards,

    September 14, 2018 at 6:46 am Reply
    1. RamseyAminDDS

      Wow…that is quite a story. It sounds like the IV fluid was used for irrigation rather than intravenous. Obviously I run a much tighter ship than what you have described. I also believe in aseptic technique. The reality is the mouth is such a different surgical site compared to the rest of the body as it is filled with bacteria. It doesn’t mean you can be sloppy but the workflow is a bit different. I’m sure the tooth was extracted for good reason. I would wait minimum of 4 months before placing the implant may be even up until 6 months to make sure the bone is mineralize properly. Thank you so much for your comment. I have some additional information on antibiotics on this video.

      September 19, 2018 at 10:32 pm Reply
  5. Lily

    Dear Dr. Amin,
    First, I want to say (as many others have already said) that your website and blog are extraordinary. The fact that you respond so kindly and thoroughly to questions from strangers reflects such incredible decency and generosity. I am half-tempted to try to make an appointment and fly across the country from New York to have my implant done by you.

    I was hoping to ask a couple of questions. First, is there any way to identify and choose an implant specialist who practices the same aseptic techniques that you describe above? For example, is there a particular certification that i can look for, or is it a matter of just asking each practitioner whether they follow these protocols? More generally, do you have any suggestions for how to choose an experienced and skilled specialist? (I am in New York City, if that helps.)

    I also have another, more specific question. I posted a similar question on your blog a month or so ago, but I foolishly did not bookmark the particular page and now cannot locate it. Basically, I’ve recently read a lot of information about serious problems arising with implants years down the road (from peri-implantitis or other causes), and so I’m a little nervous about my chances for long-term success. So I wanted to ask whether you think an implant might be a good option for me given the following facts:

    * A lower molar (#19) had a botched root canal years ago and will likely need to come out and be replaced with an implant. I will be seeing an endodontist shortly to find out for sure.
    * I clench my teeth at night. I wear a nightguard, but I understand that teeth clenching can cause problems with implants — either with the initial osseointegration, or by making peri-implantitis more likely down the road.
    * This molar is next to another tooth with a root canal (#18). I seem to recall reading that implants adjacent to root canaled teeth are more likely to fail.
    * I am very careful about brushing and flossing, and my dentists have always commented that my oral hygiene and oral health are excellent. However, I do have slight issues with dry mouth — nothing severe, but enough that I’m pretty paranoid about the health of my teeth. (I have tested negative for possible autoimmune causes of dry mouth such as Sjogren’s Syndrome, but I understand that it’s possible to have autoimmune issues without positive test results.)

    One final note: the two root canals described above (#18 and 19) were performed about 10 years ago, by an unscrupulous dentist who later lost his practice for performing unnecessary procedures. I later found out these root canals were likely unnecessary, as neither tooth was symptomatic and x-rays showed no serious problems. (I mention this only because I feel a little sheepish about having had 2 root canals despite saying that I am scrupulous about my oral hygiene.)

    Thank you so much for any advice or suggestions.

    May 17, 2018 at 1:36 am Reply
    1. RamseyAminDDS

      Thank you for your very kind words. As for locating an implant dentist with bona fide credentials please refer to this post.

      Keep in mind that the vast majority of patients do not have issues long-term with dental implants. This is a very small percentage. The chance of having long-term issues such as peri-implantitis can be reduced by being treated by a high level practitioner. Of course genetics trumps everything and there are times that even the best will have problems.

      About 5% of patients will develop some small issue years down the road… But 95% will not. I have the pleasure to follow up and maintain my implant patients for almost 2 decades now. If this was such a big problem I would’ve stopped doing this long ago! I only see about 1- 2% issues in my own practice.

      As long as your adjacent root canal is healthy then having an implant next door will likely not be an issue. If it is questionable either retreat the root canal so that it is 100% healthy or extracted in place a second dental implant.

      Grinding in clenching do have some long-term issues. It is important that the final crown restoration be designed with this in mind. The bite is relatively flat and needs to take into consideration all of the side to side excursive movements that are jaws make.

      Dry mouth is a big issue for natural teeth. Routine fluoride use, fluoride treatment, gum with xylitol can help reduce long-term issues with your natural teeth and help prevent further tooth loss.

      I hope this helps you~!

      May 20, 2018 at 11:25 pm Reply
  6. Fiona smith

    I have recently had a dental implant placed in my mouth. I had to return to dentist 6 weeks later as there was an area of my gum that was sore and red – the dentist gave me antibiotics – I have been wondering how this infection could have occurred as I was careful at keeping it clean – then I remembered as the dentist was placing the implant he dropped it into my mouth by mistake – could this be the cause of infection?

    October 10, 2015 at 9:43 am Reply
    1. RamseyAminDDS

      Infections can and do occur without any reason whatsoever. Likely it will be just fine. Were you on a course of antibiotic’s during the implant procedure?

      I have a blog post the talks all about antibiotics. Please search for it it will answer a lot of your questions.

      October 10, 2015 at 3:39 pm Reply
  7. jim

    thank you for this lovely blog. The attention to details and the cleanliness of the surgery area amazing.
    Thanks for sharing

    June 17, 2015 at 10:32 pm Reply
  8. Francisco Antig

    Great information you got here. I came across this article by Googling Dental Implant Surgical Asepsis. I just had recently had an implant done and there was nothing close to your procedure in terms of aseptic technique. I asked the dentist why he has not instituted sterile technique procedure. He replied that wasn’t neccessary since all equipment are sterilized before hand. Unfortunately it was already done. I demanded however that I be prescribed antibiotics. Which the dentist would not have prescribed until I said something.
    My question is, is this standard of care for all dental implants and is it regulated by the Dental board to provide aseptic technique on all dental implants ?

    May 20, 2015 at 7:10 am Reply
    1. RamseyAminDDS

      Hello Francisco,

      Every dentist is different. You did not have treatment below the standard of care nor is there any regulation to provide aseptic technique. Every dentist utilizes there training and judgment to base their decisions.

      Keep in mind that I do large dental reconstructions and huge bone grafts inside people sinuses, the base of the nose, and even reposition nerves. A simple and straightforward dental implant fortunately has a high degree of success as long as the dentist has some experience. Antibiotics are not always a necessity, but are often needed for more advanced procedures.

      Although you did not have full aseptic technique done, it does not mean your dental implant will fail or you will become infected. It is considered best practices to do full draping as I have described in this post. I was trained with surgeons in the hospital so my background is very different.

      Most of the dentist that are heavily involved in implant dentistry with a good reputation, do this aseptic technique whether it be one implant or 16 implants with advanced bone grafting.

      I’m sure you will be fine. Your dentist meant no harm to you.

      Respectfully,

      Ramsey Amin DDS

      May 21, 2015 at 12:54 am Reply
  9. Claire

    Great information here Dr. Amin. I wish more practiced this way. I am curious to know if you double wrap your cassette setups and use the inner wrap as your sterile work field? If not, can you explain what you do? I am an Infection Control and Efficiency Advisor here in the New England area and previously practiced as a Hygienist and a Dental Assistant in the Air Force 20 years ago. We also practiced this same aseptic technique and I believe all Oral Surgeons should as well but many do not. Thanks so much. Would you ever be interested in participating in my podcast series? I think it’s important for your peers and patients to hear the quality and care you provide. You are a fabulous example of exceeding the standard of care.

    May 7, 2015 at 5:39 pm Reply
    1. RamseyAminDDS

      Hi Claire,

      Thank you for your very kind words. I do believe this is the standard for aseptic surgical techniques.
      Yes, most of our instrumentation and materials are double wrapped. This allows the instrument or products to be “dropped” onto the sterile field by a third or fourth assistant

      Respectfully,

      Ramsey Amin DDS

      May 13, 2015 at 10:39 pm Reply
  10. Christy

    I am so impressed with your website with the wealth of information in detail. I thought I was getting an upper full mouth bridge, they called it a one piece Hybrid bridge but after the surgery I had a big bulky Halloween feel like false teeth over denture in my mouth. The plastic was so big it extended towards the back of my throat causing me to gag and with a large bulbous lump under my front teeth making it difficult to form my words and speak. I panicked and they ended up telling me they could add pink to it and it would be fine but they could not do anything for 3 months while the implants healed. long story short, ended up they don’t know how to do it and admitted I would be a test case. I had 5 implants and am wearing a temporary overdenture that they had a different lab create when they tried to make a more bridge like teeth with different material, but after 3 tryons that were horendesly off size and shape They had me come into their office while the lab tech took the original temporary over denture to the lab, for the dimentions, they said, but it ended up being just like the first one they just took a copy of it, even had the same crooked cant to the
    left. They said they would try putting two more implants in and fashion a bridge that may work. I am scared to death at this point and after the research I’ve done i’m worried about my bite, and the quality of the work. I wanted my bridge to be as close to my natural teeth as possible in size and feel and don’t want to live the rest of my life with with a device that I want to pull out of my mouth, like Halloween teeth after a party. I would like to come to Burbank to your office for a second opinion as soon as possible,

    March 19, 2015 at 5:28 am Reply
    1. Ramsey Amin DDS

      Hi Christy,

      Wow…. It sounds like you have quite the issues going on. A full upper fixed implant bridge is by far the most difficult dental restoration to make in all of dentistry. This is one of those particular things where experience really counts.

      I would love to see you as a patient. I hope it can be corrected. The reason why I say “I hope” is because the position of the surgical placement of the implants is going to dictate how your teeth can be made. The implants have to be in an exact spot or at least close to this exact spot to make things feel as natural as possible. Aesthetics, phonetics and function are all worked out during the try-in and prototype phases. This allows test driving of the teeth to make sure that all aspects have been accounted for so that when the Bridges delivered at the last visit there is no surprise. Also, typically the upper jaw requires a minimum of 6 implants to restore properly. 4 or 5 is typically not enough because of the soft bone. Adding the additional implants will help the long-term.

      I do have many patients that travel to see me. I would need you to be able to make it to all the visits that it takes to fabricate a full mouth upper bridge such as the Prettau

      This link should help you:
      The Process of “Permanent” Fixed Dental Implant Teeth -5 Steps to Replacing All Your Teeth

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

      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 9:01 pm Reply
  11. Henry

    thank you for giving so much unbiased information. Your really a true doctor.

    February 5, 2015 at 8:28 am Reply
    1. Ramsey Amin DDS

      thank you!
      😉
      Dr. Amin

      February 15, 2015 at 2:13 am Reply
  12. Nyra

    Thanks a lot for sharing this with all people. I worked for a dentist that had SO MANY FAILURES on his implants. He never thought covering the patient and cleanliness was important!

    January 1, 2015 at 1:09 pm Reply
    1. Ramsey Amin DDS

      Hi Nyra,

      Wow…that is too bad. Unfortunately, some dentists do not care as much but fortunately most do. Most of the time it is a lack of training and experience and always doing what you have always done.

      thank you for sharing your comments especially that you are in the dental world.

      Ramsey Amin DDS

      January 4, 2015 at 5:30 pm Reply
  13. greggi

    I am a dental assistant. I worked for a dentist that did implants with only of bib.

    I always wondered why we had so many infections and failed implants!!!! I work for a much better surgeon now that drapes the patient’s like you do. I like the way you use the patient’s own blood to make them heal better.

    patient’s need to know more information like what you are giving them. Too many patients think that 1 dentist this is good is another and a shop by Price.

    November 11, 2014 at 3:04 am Reply
    1. Ramsey Amin DDS

      Hello Greggi,

      Thank you for your nice comments and voted of confidence. I strongly believe that excellent infection control and a sepsis during surgery is critical to the safety and success of dental implants/bone graft surgery. I always wonder why other dentists do not do this even though most know that they should. I don’t believe this is a corner that should be cut.

      With regards to patients blood concentrates, L-PRF is excellent for rapid healing of bone grafts and dental implants. I have been using a combination of PRP/L-PRF for a long time now and I have found it to be extremely successful. I find these patients to have tremendously less pain and bone graft surgeries to heal faster and with higher-quality, density and volume of bone.

      Here is a link about using your patients own blood. Show your Dr. this video.
      Do I Need PRP/PRF/PDGF/BMP For Dental Implants and Bone grafts?

      Very Respectfully,

      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 17, 2014 at 2:44 am 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!!!