Temporary Full Implant Teeth. Why Do This Step?

Temporary Full Implant Teeth. Why Do This Step?

Temporary Full Implant Teeth. Why Do This Step?


In this video learn why it is important to go through this step to make sure that the final all on 6, all on 4 etc. is made the best way possible. You cannot imagine how many patients I see that come to me for problems that either could have been avoided by an extra step with a digital design PMMA provisional “test drive” could have solved!  The common complaint is that the all on four teeth feel “bulky.”  Often people refer to these as “permanent dentures.”

The PMMA temporary all on 4/6 are intended to test many things such as:

Watch the video, look at the pictures and post comments. These are all starting points and temporary only . The final pictures are not included on this post.

If you are looking for information on single-tooth front dental implant temporary steps read this post

There is so much more to dental implants than just screws and surgery!    These temporaries are different than the temporaries that are placed at the time of surgery for immediate loading (same day teeth).

Please keep in mind that replacing nature is no easy task.  Dental implants are not teeth… They are a replacement for teeth.  Although I strive for perfection, all of these patients have compromised situations.

Final x-ray with upper and lower solid zirconia Bridges on 12 implants. There are 24 teeth supported by these 12 implants.

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


  1. Debbie

    Just got temporary bridge. I told them in the beginning that i do not like stuff in my mouth. Had no ideas these would be so uncomfortable. They are so rigid hard plastic covering way below gum line and curled under on top of roof of mouth. Getting ulcers on bottom of mouth in palette from pressure. Back teeth feel like little chunks of wood. Wish i would have understood this. Doctor said she would work to modify. This is driving me crazy. Much worse than pulling the teeth and inserting the implants. If i could take these out myself i would. I really hope i made the right choice on implants. Temporary should be at gumline and if you break temporary it is on you! This is horrible.

    October 9, 2020 at 11:17 am Reply
    1. Ramsey Amin

      Oh gosh. It sounds like you are expecting one thing and ended up with another. I am sorry to hear that things are working well.

      How can I help?

      October 9, 2020 at 6:33 pm Reply
  2. Debbie

    Just got temporary bridge. I told them in the beginning that i do not like stuff in my mouth. Had no ideas these would be so uncomfortable. They are so rigid hard plastic covering way below gum line and curled under on top of roof of mouth. Getting ulcers on bottom of mouth in palette from pressure. Back teeth feel like little chunks of wood. Wish i would have understood this. Doctor said she would work to modify. This is driving me crazy. Much worse than pulling the teeth and inserting the implants. If i could take these out myself i would. I really hope i made the right choice on implants. Temporary should be at gumline and if you break temporary it is on you! This is horrible.

    October 9, 2020 at 11:17 am Reply
    1. Ramsey Amin

      Oh gosh. It sounds like you are expecting one thing and ended up with another. I am sorry to hear that things are working well.

      How can I help?

      October 9, 2020 at 6:33 pm Reply
  3. Kevin

    Hello Dr Amin,

    How large should the gap between the all on 4 all on 6 appliance and the gum line be? I have looked at many photos online there seems to be a wide difference between doctors.

    May 23, 2020 at 1:20 am Reply
    1. Ramsey Amin

      No real gap. It should rest in the gum with mild pressure but still able to easily thread floss underneath.

      June 4, 2020 at 12:20 am Reply
  4. Tara B. Klein

    I underwent full arch implant surgery with significant bone grafting. My treatment plan and quote called for either zirconium or porcelain-on-gold teeth, and I was charged a few thousand more than my dentist quoted for zirconium. I have discovered I never got the temporary fixed teeth that my treatment plan called for and the only fixed teeth I ever received were the ‘final’ ones, and I recently discovered that my teeth are acrylic…not zirconium. There was never any discussion of a change to acrylic. I’ve had 5 teeth break in the less than 2 years I’ve had them, and when I inquired about why acrylic was used, he has given several implausible answers. Does this meet with accepted practice guidelines?

    December 3, 2019 at 8:05 am Reply
    1. Ramsey Amin

      It is not how I would have done it …sorry

      October 14, 2020 at 8:16 pm Reply
  5. Renee

    Hello Dr. Amin!

    I wish I had found your site before surgery. I thought I did research, but obviously not enough 🙁
    I received immediate load all on 4 procedure 14 days ago.
    I feel the consultation was misleading, however, it may be my own ignorance that is the real problem.
    First, I did not know the standard was to get a converted acrylic denture as the temporary. The conversation and advertising consistently calls it “bridge”, therefore, I expected the prosthesis to follow along the bottom of the gum line, without this excess covering the gums in to the rim. I also did not expect to have any bulk of material on the roof of my mouth.. During the consultation, I was very clear about my desire for a dental restoration without a palate. This is when I was shown the “bridge” to assure me that the results would be optimal. Dr. Amin, do you think it is misleading to not educate the patient about the temporary piece being everything that the patient does not want? I now feel a distrust toward the dentist, however, I don’t know if it’s my own fault for assuming the temporary would be similar to the final? To me it seems like information is being withheld if the patient has no way of knowing that this is a question they need to ask.. I wondered if you usually explain this to your patients? I anticipate having a long road ahead with this Dentist, and I hate to have to go forward with this feeling of distrust.

    Also, I have screws on the roof of my mouth as well. If this is the location of the implants, then it looks like my final will have to extend back to the roof of my mouth as well, correct? If so, I am totally dissatisfied, because I absolutely did not want palate coverage, which was one of my deciding factors to have this surgery.

    When I look at photos of your work, it appears that the bridges connect at the bottom of the gums..without wrapping around and to the top of the gums in front and back, and without the bulk on the roof of the mouth (palate).

    I truly appreciate any incite you can give me. I am very confused and worried about my future experience.

    November 19, 2019 at 6:35 am Reply
    1. Ramsey Amin

      wow…so sorry you are going through this. You really just need to talk to your DDS to know what to expect. Hopefully they can make them smaller and better fitted at the gum level. I always spend two full visits before the surgery discussing what to expect. Was there only one pre-op visit? Did they show you a sample?

      November 21, 2019 at 5:00 am Reply
    2. JF

      Hi Renee,
      OMG! I just had my surgery a week ago and I have your exact situation!
      I am trying to find answers why I ended up with a prosthesis with a back palate.

      Did you get your answers? Did they explain why you have this instead of the gum line model?

      Did they say if it can be changed to what you were expecting?

      I would really appreciate you sharing the answers as I am desperately wanting to have answers for my situation.
      You can email me directly if you want.


      July 5, 2020 at 7:44 am Reply
  6. Philip Green

    Hi, I had all on 4 done on upper, Things seem to be going well in healing process the temps feel plastic and bulky and there is no feed back with bite of soft foods …I don’t like the no feed back, Question: Will the permanents feel better with a bite with some feed back and more gum to meet implant for more natural in mouth feeling ? Will I enjoy eating ?

    August 25, 2019 at 12:18 pm Reply
    1. Ramsey Amin

      Proprioception is a constant feedback loop within your nervous system, telling your brain what position you are in and what forces are acting upon your body at any given point in time. The way that we can tell that an arm is raised above our head, even when our eyes are closed, is an example of proprioception.

      With all the teeth gone there is much less feedback. Give it time to adapt. Good luck 🤗

      September 1, 2019 at 4:16 pm Reply
  7. Brian

    I just had All on 6 done on uppers and lowers 3 days ago. The upper temp feels pretty bulky and uncomfortable. but I think that’s just part of the deal. My question is will my permanent zarconias feel more natural and comfortable ? My temps look awesome by the way. Just not comfy.

    August 10, 2019 at 1:43 am Reply
  8. Jen

    I had the all on four procedure done a month ago. I now have my “healing” acrylic teeth in. They are so bulky and uncomfortable and I speak with a lisp. There is a rather large portion of it on the roof of my mouth. I’m set to get zirconium after the healing process is done and my question is this: Will my permanent zirconium teeth be smaller and less obtrusive? I’m extremely miserable.

    May 24, 2019 at 12:17 am Reply
    1. Ramsey Amin

      You actually landed on the right article within the blog! Hopefully the final restoration can be thinned out. Keep in mind that every material has a manufactures minimum thickness guidelines. If you get to thin you’ll have a catastrophic fracture of the bridge necessitating a complete redo or revision.

      The lab design and contour of the bridge is ultimately important for long-term health and success.

      May 30, 2019 at 4:33 am Reply
      1. Connie Capone

        My daughter, age 24, just had 15 implants done 12 days ago. They extracted her teeth and her 3 remaining wisdom teeth and put the implants and temporary teeth all in the same day. Her bone was all good and she didn’t have any infection. 6 months or so and they will put her permanents in. My question is whether it is normal for her to still have excruciating pain in her lower left jaw and what could be the cause of this. She wakes up crying in pain. Her surgeon didn’t seem concerned but I am a little worried. I haven’t seen any implant stories that mention this.

        July 9, 2019 at 3:39 pm Reply
        1. Ramsey Amin

          I don’t see that commonly with my patients but it is possible that maybe she has a dry socket considering she had wisdom teeth extracted. If she has pain in her ear and very likely she has a dry socket that needs to be treated.

          That is certainly a lot of teeth to be removed at once and implants placed. I have removed 31 teeth And placed Implants simultaneously. The last 32nd tooth I decided to leave behind it since it was a wisdom tooth that may have caused problems. I extracted it later on when it would not cause as much pain

          July 12, 2019 at 6:23 am Reply
      2. Brian

        I am having the exact same issue. The top bridge feels big and bulky and uncomfortable and I have the lisp thing going on as well. I hate that more then anything

        June 4, 2020 at 12:36 am Reply
  9. Louise Townend

    I have full top and bottom implants which were placed in 2013 badly and I now have implants placed in my sinuses. I had a hip to mouth bone graft in 2012 and further bone grafted when the implants were placed, I had no sinus lift. I have seen a specialist through my solicitor as I have a negligence claim in hand. I have suffered chronic sinus problems since the first bone graft and even had narcotic bone removed from one sinus. The specialist I saw has recommended I have all the top implants removed and zygomatic implants placed as I already have bone loss and 6-7mm pockets around some of the top implants. Is it hard to remove implants this long after they were placed?

    May 21, 2019 at 11:12 am Reply
    1. Ramsey Amin

      Oh gosh… sorry for your issues. The implants on the upper are easier to remove than the ones on the bottom. Often they can just be reversed out and not have to be cut out.

      Hopefully everything works out for you 🙏

      May 25, 2019 at 5:20 am Reply
  10. Sherry Halladay

    Hope I am not being whiny. Two weeks ago I had all top teeth pulled and then the next day received the temporary. The surgeon and dentist I’m using are very reputable. When I went the next day to get the temporaries they looked kind of ridiculous when he put them in, and felt really weird. The bite is terrible. I told him all this, but he screwed them in, I left the office crying. – I’m 62 btw. When I said I wanted them out ( after my family confirmed for me that I was not being overly sensitive, that they really do completely change my looks) they said I cannot change them for 3 months or it will compromise the implants. I had received a call from the dentist office about a month before the surgery saying my dentures were ready. ??? anyway, they told me it was normal to have dentures made and then send them to the lab when the teeth were pulled to be converted to the temporaries, is this true? . I have cried every day for 2 weeks now….

    March 2, 2019 at 1:29 am Reply
    1. RamseyAminDDS

      The technique you had done is common and reputable. A denture was converted into a fixed bridge to be used as a temporary. The main thing is that the measurements taken at the impression appointments before the teeth were removed have to be accurate. Besides accurate measurements there is very much arch to setting up teeth to be aesthetically appealing. Lip support and facial aesthetics have to be taken into account along with your bite. Hang in there. I hope they can correct all this for you before going to the final

      March 7, 2019 at 12:41 am Reply
  11. Jeff Sampadian

    I have had all of my top teeth extracted over the last 10 years. With the last 4 extracted a few weeks ago. I was told I had gum disease and severe bone loss. I have immediate dentures right now but I was wondering if I am a candidate for implants? I have been told before that I wasn’t because of the bone loss but I have seen some of your work and I think you might be able to help me. Thank you for your time.

    September 26, 2018 at 3:34 pm Reply
    1. RamseyAminDDS

      I have never had a patient that wear his dentures that I was not able to treat with implants in almost 2 decades. Obviously I provide some unique and advanced procedures to make this happen in a safe and predictable manner. Some upper cases require zygomatic implants if the bone is very thin and Hollow.

      October 8, 2018 at 3:11 am Reply
    2. John

      wow..I wish my dentist knew all this. My teeth did not turn out well. I should have went to the guy that cost $8000 more.. he said he would do all these steps.

      I thought I was saving money

      January 10, 2019 at 5:43 pm Reply
  12. Peter Steigerwald

    I have all on 4 upper and lower implants. I have the provisional full arch bridge on the upper and lower. My question is why does the upper feel like it is flexing? The bottom feels rock solid.

    September 19, 2018 at 3:07 pm Reply
    1. RamseyAminDDS

      you are chewing way too hard if you just have provisionals! These are high density plastics intended for soft tissue medium diet. Once you convert to something more durable such as Prettau zirconia you will be able to eat whatever you want.

      September 19, 2018 at 10:24 pm Reply
    2. Peter

      Thanks for your timely response. This is an excellent forum. Very educational!

      September 20, 2018 at 2:47 am Reply
  13. I just had full extractions done and 8 implants on bottom and 6 on top. Had sinus lift and bone grafting. Woke up after procedure with temp dentures that don’t come out. They are on top of my gums and feel bulky and I don’t like the way they make me look. I still have slight swelling as it has just been 1 week today after surgery. My dentist said that next week I will get another set of temps. Will these be the same type ( on top of find,no molars) or more like a bridge on gums?. Have appt tomorrow but can’t find any answers about what my next temps will be? Hoping that they are not as big and uncomfortable as these. Any advice or help would be appreciated. Thank you.

    September 6, 2018 at 4:16 am Reply
    1. RamseyAminDDS

      Yikes. Sounds like you and your dentist need to talk about the plan and expectations. You need to be very clear what you’re having. I was suggest you ask about materials and longevity.

      You are on the right blog post about why I make temporary full arch implants before going to the final.

      September 9, 2018 at 12:35 am Reply
  14. ANA

    Hi Dr Amin

    I wish i could see you and ask for your opinion but i am all the way in Australia.

    I had done bone graft and few implants in my upper jaw: front left central incisor, my right side:canine, first premolar, second premolar; on my left: first premolar, second premolar and first molar. Its been a long ride for me and implants are healed and im due for crowns now. Im still deciding weather to do temporary crowns for all of the teeth and bridge on my left. My dentist said it wont make much difference with shaping of the gums as i was hoping for. He recommends doing temporary crown on front tooth only. Do u think i should still go for temporary crowns on all of the implants and how long for?
    Also dentist said its a challenge to make the colour look exactly the same to blend in with the rest of my teeth? Initially i was thinking doing thin veeners on my teeth to match better with crowns in terms of colour. Do u think this is a good idea?

    Many thanks


    July 6, 2018 at 12:42 pm Reply
  15. Dina

    Dr. Ramsey,
    This is my frist time I came across this page, I want to ask you one question. I am a 40 year old female living Washington DC. I had periodontal disease and I lost four front tooth. I had bone graft and implant done. After four months, I did a tissue check and everything is ok. The perodintist refere me to general dentist for crown. The general dentist took impression, x-ray and pictures for the lab. His plan is to make one single crown and three tooth on bridge. The lab have tried several times but couldn’t able to get the angulation correct. The dentist said it is because of the implant is too deep. The final decision is to make angular abutment and to make the angulation close to normal, he said we add fake gum on the top of the crown. He said since your smile line is small, no body see the fake gum.
    My question to you have you ever done this type of crown? Food is not trapped under the fake gum they are planning to add on the crown? To make cleaning the crown difficult?

    I appreciate your help! Just want to know before my appointment day. I spent a lot of money for the whole procedure.

    Thank you

    June 7, 2018 at 8:07 pm Reply
    1. RamseyAminDDS

      A deeper implant is usually better than one that is too shallow. But in the front of the mouth this can make the crowns look too long. Unfortunately this should have been preplanned before ever placing the implants. This is known before the implants are placed so that it can be planned for not thought about as it happens.

      If lip line is low probably go with elongated only white teeth.

      The examples on this page are more extreme than what you probably need but pink can be added even in small sections but better without.

      Here is example of pink for the front teeth.


      June 10, 2018 at 2:34 am Reply

    Hi my name is Yaneek I just ran across your page and I like how you explain different ways of implants I would just like to know where are you located and do you do snap on dentures

    May 29, 2018 at 4:17 am Reply
    1. RamseyAminDDS


      500 E. Olive Ave, Suite 520
      Burbank, CA 91501

      June 7, 2018 at 12:11 am Reply
  17. Roy Murray

    Hello Dr. Ramsey,
    My name is Roy and I had the all on 4 done on my upper only in Nov. 2017; fast forward to f/u with surgeon 4 months later; torc test was completed and passed the surgeons test; at 40 ?; anyways , I have had nothing but a horrible experience with the temporary prosthetic since day one , in which a second one was made just recently because of poor workmanship on the first and the surgeon didn’t want to disrupt the implants as to why I had to wait for a new prosthetic. Anyways, with multiple impressions made and a wax fitting…I’m so aggravated with why the Hybrid Specialists and dental lab are having a hard time producing a prosthetic (temporary) with all these complications of discomfort and imperfections; I realize there will be modifications, adjustments etc…. but it has become ridiculous with numerous office visits…. Any suggestions…Please !!!

    April 29, 2018 at 12:23 am Reply
    1. RamseyAminDDS

      hmmm….all I can say is work out the issues in the temporary before moving to the final. There are times where your skeletal structure and skeletal bite placed limitations on how the teeth can be made to fit your smile, bite etc.

      All on 4/on X is a complex procedure. This is a full body part replacement with a prosthetic. Many people are misinformed to think that’s so simple. there is so much to this process it is unbelievable.

      April 30, 2018 at 4:58 am Reply
      1. Roy Murray

        Thank you. I appreciate your time with getting back to me.

        April 30, 2018 at 2:02 pm Reply
      2. OJ

        Dr. Ramsey, I am in the same shoes as Roy…. I had my all on four procedure done in may 2017, 7 implants were placed by the oral surgeon during the surgery, however, I had an impacted eye tooth and the last implant was placed later in October. It is July 2018. I am still in temporary denture that is killing me. The first denture did not fit, the teeth were too small and upper denture was too inside and short. I totally lost the upper lip, it got inside. The lower was so wide that any liquid I took in a mouth was pouring out. After I’ve begged for couple months, they finally redid the lower denture. I could keep the fluids in a mouth but the teeth looked fleered outside, like in a goat jaw. They also redid the upper (even they were not happy that I am insisting on it, but the upper was to much forward and to the left. All this time since the surgery I keep biting my cheeks , my jaw started hurting and I started having headaches. The dentist and the lab tech that the oral surgeon “hooked me with”(as he said) were saying “it is just temporary, finals would be different. After an appointment in May I realized
        that I should seek for help. I got a second opinion with a prosthodontist who pointed out quite a few things that should have been done to improve my condition. Now I am about to go to court, because the lab tech is not giving money back for poor work (the dentist did reimburse her fee). I am going through very hard time. I wish I knew from the beginning that I need to go to prosthodontist. But, I trusted the oral surgeon who was the one to organize the treatment and is now telling me that he did a “Stella job”. However I feel far from “Stella). I appreciate your advices. I read your posts and you are very sincere and nice. I wish I had a doctor like you though.

        July 8, 2018 at 11:32 pm Reply
  18. Kay

    Wow…what a great post! There is nothing like this on the internet! Bravo!

    March 22, 2018 at 8:25 am Reply
  19. Aaron

    Dr. Amin,
    I’m a 35 y/o Oklahoman and had a full extraction of all remaining teeth on Jan 31 this year. I won’t make excuses. I neglected my teeth badly, no oral hygiene at all most days. I’ve endured at least a dozen abscessed infections over the last 15 years, so you could say I’ve paid penance. Sought no emergency care for any of them, just bummed pain pills off relatives and waited them out. Almost all of the upper jaw teeth were worn down to stubs, but the root tips had not loosened. One root was deep enough that it penetrated the sinus cavity, so after extraction I had a channel between the left nostril and upper jaw for about 10 days.

    The oral surgeon who performed the extractions was as conservative as possible about drilling into bone considering my age. He recommended at least a month of healing time before being fitted for dentures, ideally three. My question is, if I pursue implants instead, should it be ASAP or would I need even more healing time first?

    March 16, 2018 at 4:57 pm Reply
    1. RamseyAminDDS

      If you are having fixed implants a can happen very soon. If you’re having overdenture type of implants or regular dentures than waiting would be best. In general for had to give you an exact number wait for 4 months from the time of extraction and then have a CBCT 3-D scan for evaluation.

      March 18, 2018 at 9:18 pm Reply
    2. Brian Friedman

      I just had All on 6 done on uppers and lowers 3 days ago. The upper temp feels pretty bulky and uncomfortable. but I think that’s just part of the deal. My question is will my permanent zarconias feel more natural and comfortable ? My temps look awesome by the way. Just not comfy.

      August 10, 2019 at 1:42 am Reply
      1. Ramsey Amin

        hmm…. you would definitely want to work that out before going to the final. It may be possible to reduce to dimension by proper lab design a can be made to be both cleansible and aesthetic.

        August 12, 2019 at 3:05 am Reply
  20. Derron

    I’ve been watching your videos for about two years. You’re very informative about your practice and It gives me confidence and hope that one day I can actually get my dental work done by you. I am 29 and have had two lower teeth extracted and currently my two upper front teeth have pus coming from the gums do to this abscess and my dentist wants to pull these two teeth.. Since I was in the 6th grade I have had gum disease and was told my teeth would start to come out by 30 and it’s happening! . It’s extremely frustrating and depressing. And of course dental insurance has been the same since the 70s so my ppo cap is a thousand dollars and don’t cover “cosmetics” aka surgery. Here in L.A nothing is affordable when you need major work done. I would sweep the floors if I could be blessed with an experience doctor like you to work on me lol… I would definitely like a consultation from you .

    March 12, 2018 at 6:31 pm Reply
    1. RamseyAminDDS

      Thank you for your kind words. He need to get yourself into a very good dentist that can help treat your gums. Continuing to have abscesses and gum disease is only can a make everything more difficult. Try to save you teeth. You are a young man. Have some deep cleanings done in a dental hygiene program. Since you live in Los Angeles I would suggest you go to Pasadena city College dental hygiene program. Have them evaluate and treat your gum problems for an extremely low cost. Then have your teeth cleaned every 3 months. Once it is all stabilized we can consider having implants for the missing teeth. Follow through on this!

      March 18, 2018 at 9:34 pm Reply
      1. Derron

        I’ve Already had the laser gum surgery. It just makes It worst that it’s now the two front teeth . I would like to come to you for your consultation and opinion before I go forward.

        March 27, 2018 at 6:09 pm Reply
  21. Julie A Carlson

    I am in the process of having a full upper implant bridge placed in my mouth. I wore braces from the 4th grade all the way to when I was a senior in high school. I am now 60 years old and I was told that many of the problems I am having now are most likely due to genetics (my dad had terrible teeth) and the many years of orthodonture work that I had done when I was child. (I got braces back when they first came on the scene and apparently they did not know what the long term effects would be of moving someone’s teeth so quickly.) Apparently, one of the residual negatives was that the roots of my teeth became weak and some of them even detached from my jaw bone, so many of my teeth have been sort floating in my mouth for years (this is what i have been told).

    Anyway, I am now 60 years old and I have spent thousands of dollars on my teeth in the past 10 years (no dental insurance). My dentist kept recommending root canals/crowns every time one of my teeth would go bad only to have the tooth break off a couple years later and then the tooth would have to be removed. Recently, it came to a point where I only had 5 teeth left in my upper jaw, thankfully they were all my front teeth, nevertheless, it was impossible for me to eat most normal kinds of food. For the past three years, I have only been able to eat soft foods like pasta, jello, ice cream, etal. I told my dentist that I wanted to pursue getting a full upper implant denture/bridge and he didn’t seem real comfortable doing this kind of procedure, he kept insisting that he could save what teeth I had remaining in my mouth with root canals/crowns. I felt that I was just wasting money to go down this same path again. I talked it over with my husband and we agreed that we had the money to go ahead pursue a full set of upper implants.

    I found a dentist in a city nearby who said that she could perform the full restoration of my upper teeth. ln the past 2 months I have had 10 teeth extracted and my new dentist also placed bone graph material in every spot where she removed a tooth and I have to wait a few months for the bone graphs to take hold before we proceed with placing the implants structures in my upper jaw bone. She said that I would have to have CT scan done by a lab that specializes in reconstructive dentistry and that they will map out the correct placement and angles of the implants for her. In the meantime, I had to be fitted, pay for, and now wear a regular upper denture.

    There two things that have been bothering me about my new dentist. The first thing is a comment that she made to me early on in which she said that she was going to check to see if we could reuse the $1,347.00 upper denture that I am wearing now for my full implant denture. Which seemed sort of odd to me because I was under the impression that when everything was done there wouldn’t be anything blocking my upper palate. She said that she checked with a few of her peers and that this was not an option, i.e. that reformating my regular temporary upper denture would not work. She has also never mentioned any sort of temporary bridge being put in on the same day that my implants are placed. She said that there are smooth caps that will placed on the tops of the implants and that I will have to continue wearing the regular full denture until the implants have healed and joined together with the bone before the final full arch implant fixture will be attached.

    My question is, should I be concerned that she doesn’t seem to be very experienced in performing a full arch all-on-6 upper dental implant? In other words, I have been doing a lot of research on this procedure for the past few months and it seems to me that my new dentist, while she seems to have a lot of experience placing single implants, it appears that she is going to be using a lot of older techniques for this full arch upper dental implant procedure. This is of great concern to me because at the end of all of this I will have spent close to $25,000 and I certainly can’t afford to have anything go wrong. Do you have any advice for me and my situation? I am going to ask my new dentist a lot of questions before we begin the next phase of this process and in the event that I am just not comfortable enough with the answers my new dentist gives me, do you know anyone in my are that you could recommend to finish my dental restoration procedure? Thank you so much for your valued time.

    March 7, 2018 at 11:06 pm Reply
    1. RamseyAminDDS

      I think you should just have a rather frank conversation with your dentist. It ultimately comes down to how comfortable you and your dentist are. Those of us that are more experienced in this procedure are able to streamline it quite a bit. For instance in my practice is rare that implants are not placed at the time of extraction. This saves a lot of money from doing bone grafting of extraction sockets. What is critical to me is the long-term results. In this article I right about prototypes being used to work out all the details before going to the final. Sometimes a patient’s existing denture can be used for a temporary fixed bridge conversion. It is never used as the final but is handy during the process. Almost all of my cases are done with immediate fixed teeth avoiding dentures altogether. Again, these are comfort, skill, experience and judgment calls. It sounds like your dentist is very cautious and careful which is a great thing.

      March 9, 2018 at 2:17 am Reply
      1. Julie A Carlson

        Thank you so much for responding to my concerns. I believe the reason that implants were not inserted on the same day that my last few teeth were extract by my new dentist is because she had some concerns with the amount bone loss that was present in my upper jaw bone from teeth that had been extracted by my original dentist in the past years. Whenever, my original dentist would extract one of my failing teeth, he never gave thought to the idea that I might want to pursue a full upper arch dental implant procedure some time in the future and thus he never offered to place bone graft material in the spaces where he had extracted teeth. When I met with my new dentist, (two months ago) I only had one back tooth left in my mouth, the only upper teeth remaining in my mouth were near and in the very front of my mouth, but there were spaces on the side front areas of my upper teeth as well (I had no chewing teeth left). I have to tell you that my mouth and teeth were a mess. Lol. But as you were able to discern, my main concern is that I would like to have someone with credible experience in performing full upper arch dental implants and comments by my new dentist suggest that maybe my concerns are valid. I live about 35 miles east of San Francisco, in the S.F. East Bay Area. Do have anyone you could recommend in the event I am not comfortable going on to the next stage of this procedure with my current dentist?

        March 9, 2018 at 2:25 pm Reply
      2. Julie Carlson

        After my last comment above, my dentist at the time began to make numerous statements that did not coincide with the information I have been reading on your website as well as other websites that have current information about Dental implant restoration procedures. Throughout the months following my March comment above, the dentist, who advertised herself as an dentist experienced in advanced dental technology, continued to make disturbing statements about my up and coming treatment plan (which I never received anything in writing from her) and the things she was saying were not the things I expected to her her say. By the time, July rolled around there were so many red flags that had been raised, I knew that I needed to pay attention to my gut feelings and my gut was telling me not to go forward with this dentist.

        I finally ended up speaking to a Dental Implantology Specialist from Houston, Texas, and he informed me that performing a “Full Upper Arch Dental Restoration’ was probably the most difficult procedure to perform in the field of dentistry. He advised me to contact two organizations in our country that were actually formed in order to provide dental patients with some sort of assurance that the dental professional they had chosen to perform difficult dental procedures such as the one I was needing,knew what they were doing. These organizations conduct a series of peer reviews, test both the knowledge and practical experience, and they constantly carry out reviews and updates of the educational background of dental professionals who wish to be certified to perform these kinds of procedures, resulting the dental professional achieving accreditation from these organization, and being given titles such a Diplomats, or Fellows.

        I immediately contacted both organizations and searched their database to see if the dentist I had been going to was certified or accredited by either of these two organizations and, low and behold, she was not!!!! I knew right then what I had to do. I looked through their database and I located a Board Certified Diplomat of Dental Implantology and Oral Surgery. He was a highly respected Dental Implantologist whose practice was located about 30 minutes away from my city. I scheduled a consultation with him and I found out that many of the things that I had been told by this other dentist were, in fact, considered to be out-of-date procedures. I also found out that the $1,600 in bone grafting material that this other dentist placed in my mouth immediately following the extraction of my remaining upper teeth last January was improperly performed and could not be used and would likely have to be removed.

        I think is it very important to tell patients that most likely a general dentist should not be the one performing any procedure involving multiple implants, i.e. a full arch restoration. Patients looking for this type of procedure need to seek the services of an dental professional that has received accreditation from both of the organizations I mentioned above if they want to increase the odds of a successful outcome for this complicated procedure.

        I don’t understand why those in charge of regulating the Dental Industry do not require dental professionals to be certified by at least one of these two organizations before they are allowed to perform these types of complex procedures on patients. I compare my experience to this scenario; what if I needed some sort of delicate heart surgery and my regular family doctor (general practitioner) decides, that because he attended a weekend class on “How to Perform Basic Heart Surgery”, that he was now educated enough and had obtained an appropriate amount of experience during his weekend course on heart surgery, that it was okay for him/her to go ahead and perform the delicate heart surgery that I needed. Would you allow your regular family doctor to perform heart surgery on you or a member of your family after a weekend course they went to on Basic Heart Surgery? I don’t think so.

        So, I would like to encourage everyone out there who is thinking about getting multiple dental implants for the purpose of a full arch dental reconstruction including a full arch fixed or removable dental prosthesis, please look for a qualified dental professional, i.e. someone who has received a title of Diplomat or Fellow from one of these two organizations, the American Board of Oral Implantology / Implant Dentistry or the American Board of Dental Specialties. There are only about 1500 certified Implantology Diplomats in the USA, so please make sure to ask your dentist if they have received this title. I hate to hear that so many patients have been misled about the actual abilities of the dentists that performed their implant surgeries. The Dental Industry needs to investigate this aspect of their professionals and they need to implement stricter regulations on who can perform these complex dental restoration procedures and who cannot.

        PS – I just had my big implant surgery performed two weeks ago by my new Dental Implant Specialist, who is certified by both organizations above and is a highly respected Diplomat of the American Board of Oral Implantology / Implant Dentistry, with close to 30 years experience in Dental Implantology. I already had an implant in my upper jaw that was placed back in 2011, and I just had 5 more implants placed along with some bone grafting material that was placed in strategic areas of my jaw. Total cost was $34,500 which includes CT Scan, implant surgery, anesthesiology services, and a full upper arch Zirconia Porcelain bridge or a Prettau Porcelain Implant Bridge (I live in the SF Bay Area of California so costs are probably higher here). I am looking forward to receiving my Full Upper Arch Bridge very soon!

        November 12, 2018 at 8:53 am Reply
        1. RamseyAminDDS

          Julie…thank you for your post. These are words of wisdom right here! I am glad to hear that you are in much better hands! There are approximately 500 diplomates of the American board of oral Implantology. I am one of them.

          Who are you seeing now? I will not post that publicly.

          another interesting note: DID YOU KNOW?
          There are huge variations in experience and skill level even between other board certified providers.
          training, experience and judgment are crucially important qualifications that lead to excellent long-term results and realistic expectations.

          November 15, 2018 at 1:52 am Reply
          1. Connie Capone

            My daughter, age 24, just had 15 implants done 12 days ago. They extracted her teeth and her 3 remaining wisdom teeth and put the implants and temporary teeth all in the same day. Her bone was all good and she didn’t have any infection. 6 months or so and they will put her permanents in. My question is whether it is normal for her to still have excruciating pain in her lower left jaw and what could be the cause of this. She wakes up crying in pain. Her surgeon didn’t seem concerned but I am a little worried. I haven’t seen any implant stories that mention this. NJ

            July 9, 2019 at 4:56 pm
          2. Ramsey Amin

            How is she now? Usually this is not a painful procedure especially if you had sedation to sleep with an IV steriod.

            October 14, 2020 at 8:17 pm
  22. Zoe

    Hello Dr Ramsey, I found your website very useful while I was searching the Internet. I read through most of all the info. Thank you very much for it. I have periodontal disease. Two months ago teeth #3 was scheduled to be extracted due to ongoing infection, it ended up with both #3 and #4 were extracted, no bone grafting. Then I was scheduled for bone augmentation a few days ago (tin mesh, graft, PRF, Infuse). It ended up with #2 was extracted and surgery scheduled in 6 weeks. When I asked the periodontist for the next procedure, the reply is undetermined even though dentist had a note with bone augmentation. After #3 and #4 were extracted I saw 2nd periodontist and was told he can do implant for #4 and might be able to do sinus lift for #3 then possible implant but not guaranteed. I was told by 1st peridontist 6-8 weeks is the best time to do bone augmentation so I went ahead for the sugery. Now I am really very sad with losing three teeth. I will think this should have been planned out ahead instead of extracted two more than planned. I feel like the dentist tries to do experiment on me when I heard dentist saying will try infuse on me, also said there will be a lot complications. Does my dentist’s practice sound normal or should I find another one? Do you think it is possible to do bone grafting for three teeth with the tin mesh and Infuse? What is your opinion about Infuse? The fee is very high, but now my concern is if I should go ahead to do the surgery in 6 weeks and what option could I have? I know time is critical since the bone is reabsorbing and I don’t have any bone grafting performed. I feel there is barely no done left now. Sorry my reply is unrelated to the post. I really hope I can fly to your office for treatment. I need professional advise for my condition.Thanks for your time reading my message.

    February 28, 2018 at 3:21 pm Reply
  23. Sujaya

    Not sure if this is the correct place for my query. My firstright molar fell out in August. It had first caused problems in 2012 by being infected. From the OPG two dentists said bone grafting wasnt possible and the tooth needed to be pulled out. I preferred to leave it and it then fell out last year. No pain etc This was followed by a crown (lower second molar)which fell out a few months later. I am in India and had a new crown fitted in December and at the time asked the dentist about the upper missing molar . He said as there was no bone, nothing could be done. I went back yesterday as the first lower right molar seemed much larger than the crown placed next to it. He said it was because of the upper tooth missing. He then said the lower will eventually fall out, or he could do a root canal and get it rid of it now. I then searched the different websites and found yours. I called another dentist who says they can graft bone and do an implant same day!?? Is that possible or will it just be useless .
    2. Also they use synthetic bone material, not cadaver or ones own. Any suggestions of what the best treatment would be very welcome, thank you. Rest of my teeth are fine.
    3. I will be travelling for a month on Saturday. If I wait another month till I am back will there be more issues? Just not keen on surgery and antibiotics prior to travel.
    Thank you very much indeed. Your website is a mine of information

    February 13, 2018 at 9:29 am Reply
  24. Blair

    Hello Dr Ramsey, I’m in New Zealand so have no way of seeing you but you seem extremely knowledgeable about implants so would like to ask you a question. Some time ago my upper first premolar cracked (#24 think?), I have had a root canal performed but unfortunately the infection has returned and my dentist would like to remove it and replace it immediately with a MAX tapered implant. Do you have experience with those? It seems odd to me to place an implant immediately when there is infection (minor) at the site. Any advice would be much appreciated. Thanks!

    February 4, 2018 at 8:07 pm Reply
    1. RamseyAminDDS

      Hello Blair,

      The type of procedure you are being recommended can be extremely successful. I do this all the time. Please keep in mind that it is not so much the brand of implant as it is the skill, experience, judgment and expertise of the providing dentist. Having an immediate implant placed requires more skill then a tooth that has been removed already. There are excellent benefits to having an immediate placement and I am a big proponent of this technique for the last 20 years. I know I have not answer your question exactly but it really boils down to your unique anatomy, your ability to heal and the skill of the dentist. Do your due diligence and make sure that you are working with an expert to avoid long-term problems. I find that many dental implant procedures being done today are based on fads rather than good science and long-term follow-up.

      February 4, 2018 at 10:04 pm Reply
      1. Katie Dodds

        My name is Katie. I am 32 years old. I don’t know what to do anymore. I have been through two horrible abusive marriages. I have been shoved in trash cans, had hot coffee and bleach pored on me multiple times even gasoline. I have lost everything I had… I have been knocked out more then once.. Woke up in a field with a rug over me.. I was completely drained of what money I did have.. Nobody would help me. Nobody.. I have a six year old who I am trying to take care of. I lost my teeth during pregnancy. I have had no insurance what so ever for six years. I can’t afford it. I am in so much pain that it is unbearable to live with everyday. I am so embarrassed about it and horrified to walk with my head up. I just want a chance to get my life back.. I want to be healthy for my son. He needs me.. But dentists only care about money and how much they get from you. I can’t stand to look this way anymore and I am desperate.

        February 26, 2018 at 5:40 pm Reply
        1. RamseyAminDDS

          Oh gosh Katie. Most dentists are not as you describe. You need to find a caring and compassionate DDS that can help you get your dignity back. I custom made set of dentures for now, then maybe implants in the future. Dental schools in the largest metropolis near you usually can make nice dentures for an affordable cost.
          Respectfully…Dr. Amin

          February 28, 2018 at 9:32 pm Reply
          1. Zoe

            Hello Dr Amin, my earlier post didn’t show sorry I try to post again and really hope you can see this and give me some advice. I am far away from your state and wish I can fly to your office for treatment. First thank you very much for answering us the questions.

            This is my case, I am in my 40’s:
            1. Nine weeks ago teeth #3 scheduled to be extracted due to ongoing infection, it ended with both #3 and #4 extracted, no bone grafting.
            2. one weeks ago, bone augmentation (Tin-mesh, PRF, Infuse) scheduled, after the gum being opened periodontist decided to extract #2 instead of augmentation
            3. Now surgery is scheduled in 6 weeks. Surgery procedure seems to be undetermined even though periodontist left a note with bone augmentation.
            4. After #3 and #4 extraction I saw 2nd periodontist and was told the plan of implant for #4 and sinus lift for #3 then possible implant but not guaranteed.

            Dr. Amin can you let me know if my case sound normal? Should I find another dentist? What do you think with Tin-mesh and Infuse for 3 back upper teeth? The dentist mentioned about complications of the bone augmentation. The fee is very high, but now my concern is the outcome of the surgery. Should I be conservative about doing the surgery? I was told I have sever bone loss and I am very worry about the failure case. If I wait what option could I have in the future? Partial? I know time is critical and I don’t have any bone grafting performed so far. I feel my gum is very high up to the upper roof.

            March 1, 2018 at 3:51 am

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!!!