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

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

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

Having fixed “permanent” dental implant teeth is a process. This process can vary greatly from as short as one day and can extend up to two years. The average is a few months. Here is a 5 step summary of the process.

Upper Lower Fixed Dental Implants
Upper Lower Fixed Dental Implants
“Permanent” is in quotations because nothing is truly permanent.  Everything can be removed if needed and all dental work (crowns, fillings, root canals) wears out and needs to be replaced. 

I have written on numerous occasions about the wide array of differences you should ask about when having your teeth replaced with fixed bridges vs. overdentures. (Is it an All on Four economy plastic bridge replacement or is it fixed porcelain on a normal amount of dental implants?)

Why does it take so long…or short?  How much bone you have is the number one factor in determining your unique process.  If you don’t have enough bone, then the bone will need to be rebuilt with a bone graft.  If you have plenty of bone, there are many options and the process is much faster. You may have been told you don’t have enough bone.

If you are replacing ALL the teeth in one jaw, I may be able to help you avoid ‘major’ bone grafts. (Major bone grafts are lateral wall sinus bone grafts, onlay block bone grafts, large segment guided bone regeneration, and nerve repositioning.  I routinely perform these grafts when needed and they are not to be avoided)

There truly isn’t ever a one day process because you have 1-5 evaluation and preliminary records appointments before your actual surgery if you want this to turn out right.  Beware of what you see on TV and hear on the radio.

3D Planning --Ramsey Amin DDS
1. Initial Visit: This is where I begin to understand your needs and wants.  Your medical and dental histories are crucially important.  Digital photographs, intra-oral, panoramic and/or 3D x-rays are taken in my office. Molds of your mouth may also be made. I will study your situation carefully between your first and second appointment.

500 W Olive, Burbank_HI RES-62
2. Treatment Consult: This is where I review your options, risks, benefits, timeline and financial commitments.  This is a very important appointment for you to digest all the information. This is usually 30 minutes to an hour.

3. Surgery or Additional information: If your situation allows, your next appointment may be surgery.  This may involve extractions, bone grafting, and/or placing dental implants. If more molds or temporary fixed teeth or dentures are needed 2-4 measurement and analysis appointments may be needed.  If you are having this process done with me, you will ALWAYS have temporary teeth!  You will not be without teeth during the process!

4. Making the teeth: After the steps of the surgery/extractions//bone grafting are done it is time to start making the final teeth!  You and I will choose the specifics of how you want your teeth to look. I will coach you on color, how much teeth/gum you should show when you smile, the length/shape and about 1000 other details.  This process includes digital and real molds, facial analyses and bite measurements. Many of the Prettau dental implant bridges I make involve a digitized version of fixed temporaries to allow you to test drive the real teeth before they are made.

fixed dental implant
5. Deliver the final teeth: The installation or delivery of the final teeth usually takes 1-3 hours.  The teeth may be screwed or cemented into place over custom or prefabricated abutments.  Your bite must be balanced carefully. Post-operative x-rays will be taken. I will train you on how to maintain your teeth and what to look out for.  It is crucially important that you know your part in the long-term maintenance. I want to see your teeth last!

That is the overall process to replace all your teeth.  Keep in mind it will vary greatly in your unique situation. You will be seen for several follow up visits. I personally perform every step of the process from start to finish.

Having one implant dentist in charge, in my opinion, gives you the best result. You don’t have to worry about any sub-contractors!

Ramsey A. Amin, D.D.S.

Diplomate of the American Board of Oral Implantology / Implant Dentistry

Fellow-American Academy of Implant Dentistry


  1. Tori Sanchez

    Yes I just had my permenate hybrid full upper denture put in, I have several issues 1. The pink plastic used for gum line I don’t like the feeling under my lip feels like coated braided cord I want it smoothed out it kind of burns . 2. On Right side feels like a gap along gum line The pink material needs to be built up more up under my own natural gum line to the implant gum I’m getting air and poping in between both gums very annoying. 3. Need screw holes smoothed out more feel rough. 4. I’m feeling Two posts the second screw on left side I can see and feel the post and third screw in the middle feel that one more two gaps in between those posts feels odd not comfortable, my tongue wants to feel those two posts. Also their super white ugh I picked the color wished I would of took one color down my dentist even told me but I didn’t listen . *Also on right side the last tooth feels bowed out more then left side wants to rub on my inner cheek very annoying. right side of my upper implant teeth sit a slight bit over my lower denture and on left side upper implant teeth sit normal on lower denture. I will soon be getting a new snap on denture on bottom ,once, I get these new upper implant teeth to feel right in my mouth. Please can you tell me can those all be corrected that I’ve mentioned above ? My dentist says I’m picky because I wanted the eye teeth on the new implants to not be so pointy she said I was being picky it hurt my feelings as I’m paying over 20k these are the teeth I’m going to be looking at for the next 30 yrs if I’m lucky please Doctor can these issues be corrected I’ve had them in my mouth not even 2 weeks and my temps felt so much better ! Help need advice 🙁

    March 23, 2018 at 8:09 pm Reply
    1. RamseyAminDDS

      hmmm…..see this post for detailed answers...this is generally all worked out in the temp stage.

      March 25, 2018 at 5:09 pm Reply
      1. RamseyAminDDS

        My staff informed me that you may have inadvertently replied somehow to our office rather than to your blog post. Please cut and paste your message back into the actual blog. Replying to emails does not post the question.

        March 27, 2018 at 1:49 am Reply
  2. Anonymous

    Dear Dr,

    I just want to know if it is possible to convert a fixed bridge implant supported appliance in to a snap on denture.

    I have a full upper fixed fridge that attached to a set of implants with screws. I would like to get ride of that. It is too costly to resurface and maintain. I would to remove it and use the implant to support a snap on denture. Is it possible

    Let me know. Thanks

    June 15, 2016 at 2:58 am Reply
    1. RamseyAminDDS

      hello anonymous,

      The short answer is yes.

      It sounds like you have a fixed hybrid bridge which is the most basic of all fixed Bridges. I absolutely do not like fixed hybrid Bridges because they break all the time. A hybrid means that you have plastic denture teeth fused onto a metal base. Rather than convert your current implant bridge to an overdenture, I would suggest you converted to a solid zirconia fixed bridge such as the Prettau dental implant bridge. If designed correctly, they do not chip or break at all. They do not stain and look like brand-new for years to come. You will not be happy with an overdenture if you have been used to a fixed bridge. The problem is your bridge requires way too much maintenance and is way too fragile. That is why I do not do these types of Bridges although they are less costly in the short-term they do not last in the long-term.

      Find an expert in your area to do this so that you have it done right the first time.


      Ramsey Amin DDS

      June 16, 2016 at 9:26 pm Reply
  3. lisa

    Hello there, I have some questions for you regarding zirconia implants for a entire mouth of no teeth and some gum tissue removed from the mouth. My dear mother, had a awful case of periodontal disease and had remaining teeth and some gum tissue taken away by a dental surgeon. she also had bone grafting simultaneously. Now she has no teeth, absolutely none, and has been wearing temporary dentures a few hours per day but doesn’t eat with them. She eats only food she can break down without teeth. Very soon the next step is she’s supposed to have a full mouth of titanium implants placed in her mouth. I am very concerned with this because I know there’s much information on titanium implants and dangers(galvanic electricity) etc. Also, please address the amount of years is average in this type of situation for implants longevity, being that she’s only 60 yrs of age, that should be taken into consideration. She refrains from smoking, doesn’t take any medication, and has a healthy diet, now has raw green drinks daily since teeth removal. Shes absolutely terrified of complications we’ve been reading about (teeth falling out, pain) etc. She’s very young to have mouthful of titanium implants, having just turned 60 yrs old and looks more like 50 yrs old. I’m not sure if you have experience with such a serious case of dental issues as outlined here, but I would be very interested to know if you have a referral in Michigan or your expert opinion in general. Could you take over at this point with the oral surgery and grafting having been completed July 29, 2014? Do you have an estimate based on this paticular situation of what you charge? All advice and information is welcome and desired. Thank you for your time and attention.

    April 2, 2015 at 2:22 am Reply
    1. Ramsey Amin DDS

      Hello Lisa,

      Happy Easter. Sorry for a bit of a delayed reply. It has been a very busy week.

      I have mentioned before on many occasions over the last 6 or 7 years that zirconia is not a good material to make the actual dental implants out of. Zirconia is excellent as an abutment or the final bridge or crown, but is not a good material as a dental implant inserted in the bone. The implants have to be made of 1 single piece and have no ability to redirect angulation with a removable abutment. This means that once the implants are placed, you are stuck with the position that they are in. Almost every complex full mouth dental restoration requires custom abutments in order to make all of the implants angled the same direction for the teeth to fit properly. Zirconia implants lack this ability.

      Titanium dental implants and zirconia dental implants are not poisonous and do not cause medical problems. Titanium dental implants have a long track record of success over the last 40-50 years. I have placed in my own family members. As of 2015 I would not do this in another human being as of yet. There are not enough long-term studies to support it and I don’t use my patients as guinea pigs. Do not believe everything you read on the Internet.

      You had one sentence that said it all “Shes absolutely terrified of complications we’ve been reading about “

      You need to see a very skilled and experienced dental implant specialist. I would suggest you see a single provider and consider replacing all teeth with the Prettau dental implant bridge which is all zirconia placed over titanium dental implants. Galvanic reactions do not occur in these types of teeth restorations.

      I would to be more than happy to take over her situation. Given that you live in Michigan, you may want to consider finding somebody closer to home. Attached are some articles to help you

      Prettau Dental Implant Full Mouth Bridge

      case planning for Prettau bridge

      How to Choose an Implant Dentist

      Very Respectfully,

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

      April 5, 2015 at 10:38 pm Reply
  4. Danny

    Hi Dr.Ramsey Amin,
    .I came across your blog as I was trying to get more knowledge through the net. A year ago, part of my upper tooth (No. 26) was cracked, and I went to a good dentist who made a root canal treatment, put a temporary filling in order to go for a crown by another dentist. Here is my mistake, I left that tooth untreated for a whole year, the filling wore and got off in few days and I continued chewing on the uncovered tooth. Of course, It was crazy but it happened. Then my tooth started to crack more which made me go to the same dentist. When he checked he said that it was vertically cracked to the level of under the gum and nothing can be done to save it, and I have to extract it. I thought of a bridge (onlays…etc) but the before and after teeth are still in good condition. besides, I hear that bridges won’t stop gum from receding with time. I’m afraid to go for a implant for three reasons:

    1- I’m afraid of having a metal thing inside my mouth. I’m afraid of infections and the effect of metal on health.

    2- I’m afraid to lose hair as I read on internet, some patients claim they started losing hair after implant, while nothing seem sure. I already suffer from moderate hair loss, and I don’t want things to get worse. Many claims that any implant will cause Auto-immune state.

    3- I’m afraid of the success of that operation and which dentist in my country can do it.

    I also read about zirconium implants which are white and they say are metal-free. I would really like to know what do you think of everything I mentioned. What do you suggest?

    I will appreciate your reply so it can help me take decision. Thank you so much in advance.


    January 9, 2015 at 1:10 am Reply
    1. Ramsey Amin DDS

      Hello Dan,

      Titanium dental implants have a long history of success. They also have 100s of thousands of articles to document through scientific research, all of the problems and positive things about dental implants. They have been around since 1965 in the titanium form. Zirconium dental implants have not been around for very long at all and I would not suggest them to be used for the actual screw as of 2015. Zirconia is excellent as and abutments and as a final crown material I would not suggested as the implant screw that goes into the bone.

      The titanium alloy is bio inert. This means that your body really cannot see it at all. There is no immune response that can cause an autoimmune states, hair loss, infections from being sensitized to it. I have placed dental implants in my own family and would place one in my own mouth. I don’t know of this skill, training, judgment and experience of a dentist in your country, but I would suggest you do your due diligence and find somebody very good.

      Here’s some information:
      How Long Have Dental Implants Been Around?
      Solid Zirconia Custom Dental Implant Crowns and Abutments Instead of Metal

      Good luck,

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

      January 12, 2015 at 11:10 pm Reply
  5. Marilou Soriano

    How much is the total cost of Fixed Permanent dental implant teeth for the upper jaw,, from the consultation, procedure, bone grafting ,sinus lift up to after result check ups?
    Thank you and God Bless.

    November 13, 2013 at 5:01 pm Reply
    1. Ramsey Amin DDS

      Hi Marilou,

      Specifically a Prettau Dental Implant Full Mouth Bridge is what I am referring to. It ranges from $28 -$37,000 per jaw. It is precisely fabricated by a computer out of a solid piece of zirconia from my design. This allows the bridge to be virtually unbreakable and beautiful at the same time. There is no plastic “All on four” types of acrylic. This is an all inclusive cost using usually six implants.

      I hope this helps!

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

      November 13, 2013 at 9:47 pm Reply
  6. lucas

    When replacing multiple teeth (3) (using an implant supported partial), are abutments mandatory (at $700 each)? Is it possible to use screws to screw the appliance directly into the implant? Or is my dentist trying to upsell me?

    September 1, 2013 at 6:44 am Reply
    1. Ramsey Amin DDS

      Hi Lucas,

      Your dentist is NOT trying to up sell you. Dental implant crowns and bridges require abutments UNLESS you have one-piece implants.

      Most implants have two pieces and require an abutment. Even if you have screw retained implant teeth, an abutment has to be used to connect the interface of parts.

      That interface can be casted or luted to the teeth. There are also some cad/cam options too.

      I hope this helps!

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

      September 2, 2013 at 3:42 pm Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!