VIDEO -Hard or Soft Bone – What is Better for Dental Implants?

VIDEO -Hard or Soft Bone – What is Better for Dental Implants?

VIDEO -Hard or Soft Bone – What is Better for Dental Implants?

Most people think bone is just bone!  Actually, in the mouth it can be as hard oak wood or as soft as Styrofoam!!!

Your success with the dental implant procedure has got a lot to do with this.  The techniques of placing the implants into each type of bone is very different.  This video should help you understand this concept.


  1. Thalie

    Hello doctor, I am currently 20 yeard old and I have been missing my lateral incisor since I was 12. Last year december I got a bone graph done and this year july I got an implant placed, when i woke up from surgery my doctor told me that the bone was poor and said that it could happen because this part of my mouth havent been stimulated in so long. Now he wanted to take the implant off three weeks later and wants to give me a bridge(I cancel that appointment cause I wanted a second oppinion). I don’t want to get a bridge, so I would like to know if there anything that can be done so that I could keep this implant?

    August 19, 2020 at 5:38 pm Reply
    1. Ramsey Amin

      You need to see someone with more skill and experience. I would do this case with a block bone likely Khoury plate.

      August 30, 2020 at 8:23 pm Reply
      1. Thalie

        Hi doctor thank you so much for your response, if you were in Florida I would have love to get this procedure done from you, but I’m not able to travel all the way to California so, I would like to know If there is colleague that you can recommend me in the south florida west palm beach area please. And also I called a couple places about this issue but none would take me because they said they did not place the implant, so could you give me some advice on that please.

        Thank you for your time

        August 31, 2020 at 7:27 pm Reply
  2. Ashley

    Hello, I’m 21 years old, I just got my implants done and have to wait for three months to get the crown on it, my concern is that my doctor implanted on a soft bone and in scared of it will cause any failure. Also my gums aren’t so strong. What do you suggest?

    March 10, 2019 at 8:22 pm Reply
    1. RamseyAminDDS

      time will tell…let it heal LONGER than 3 months …go 5-6!!

      March 25, 2019 at 5:07 am Reply
  3. Peter Li

    I have an upper right back teen removed and placed implant at the same time 3 month ago. Today I am called by the dentist to go back check how the gum is healing.
    The dentist tells me;
    1. X-ray shows bone is growing good, and is ready to place abutment today.
    2. He injects some dosage of anesthetic at the gum, waiting about 5 minutes, I feel pain when pressure the gum with the sharp tool.
    3. He injects more dosage of anesthetic. He takes off the implant and says the bone is not hard enough for abutment today, then he places back the implant. Terribly I feel much pain when he does this, I almost jump from the chair. He closes the wound with suture and ask me to come back in 3 months. Nightmare !!!!!!!!
    4. Now I am afraid to go back to the dentist. Can you please advise if this is normal practice to check the bone hard? It is like a torture.
    5. Since I did not pay the rest of money, can I change a dentist? What I should do if I change a dentist, thank you for your review my case.

    October 20, 2018 at 3:04 am Reply
    1. RamseyAminDDS

      it’s hard to follow exactly what happened here. It sounds like you are going in for an uncovering procedure. It sounds like the gum was lifted up to attach a healing abutment and perhaps the implant moved. Typically the upper back teeth has very soft bone. I would suggest you leave it alone for a full 4 to 6 months before attempting to re-exposing implant. It sounds like torture because you probably were not numb enough. I do things very differently than what you have described but I guess this can work to. You can always change dentist. We still live in a free world 😉

      October 28, 2018 at 6:15 pm Reply
  4. Donna Hickin

    Hello. I have found this site by accident in searching for treatment for my daughter. We are both in the UK but wondered if you may be able to give us some helpful advice. Unfortunately my daughter was diagnosed with a rare genetic condition as a small child, she is now 24 years old. The condition she has is hypophosphatemic rickets (vitamin D resistant) which means that her calcium and phosphate levels are too low, which has had a detrimental effect on the development of her bones and also with her teeth. She was treated throughout her childhood at London’s Great Ormond Street Hospital and at The John Radcliff in Oxford. She has just been told that she will need root canal treatment on her lower front teeth and should prepare herself to lose at least two of them. Obviously if this becomes the case, then she would like the opportunity of having dental implants, however she has been told this probably won’t be possible due to the defectiveness of bones. Is this something you may of heard of or ever dealt with? Any advice would be greatly appreciated.
    Thank you

    October 27, 2015 at 7:54 pm Reply
    1. RamseyAminDDS

      I’m sorry to hear about your daughter’s condition. Dental implants may not be the best idea for your daughter. The physiology of bone formation includes phosphorus and calcium metabolism along with vitamin D. The bone is the reservoir for these minerals. If dental implants are to be tried, I would suggest doing just one in the lower jaw and seeing how everything goes before doing multiple dental implants. A young person at age 24 has such a better healing ability then someone who is older. You also may want to consider a dental school for treatment that may be able to consult with her orthopedic physician.

      Teeth can also be replaced with bridges that are more conservative such as a Maryland bridge. Be sure these are bonded very well so they don’t pop-off too frequently.

      Very respectfully,

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

      November 27, 2015 at 6:38 pm Reply
  5. Jackie roman

    I was so happy to read your info Ian 54yrs I look very young but my teeth is all missing from the side you were very helpful I live in Cleveland Ohio I want to have teeth implants can you send me your price and how you can put in my dental implants please email me Thanks for the info

    March 24, 2015 at 1:39 am Reply
    1. Ramsey Amin DDS

      Hi Jackie,

      Thank you for your kindness. I wish I could tell you more about your unique situation but I would really need to examine you in person and review your 3D scan for dental implants.

      March 24, 2015 at 3:24 am Reply
  6. Daniela Scholz

    Thank you for all this useful information. I did not think of implants until I had my left upper 7th molar extracted last year in August. I have waited 8 months. On Saturday, Aprl 23rd, 2011 I had a sinus lift with bone graft and implant, hoping that in about 4 months time all will have stabilized. I wish I had known about same day implants in August last year. Thanks again.

    April 24, 2011 at 7:12 pm Reply
  7. Shirrah

    many thanks Dr. Amin, you have a lot of information here on dental implants that I am considering to have implanted now. I am not from the US and I cannot come to your office, of course, anyway your site helps me a lot in making a decision. Thanks again
    Shirrah, slovakia

    March 30, 2011 at 1:54 pm Reply
  8. jordan

    This makes sense why my upper implant is taking longer than the lower one a had done last year.

    August 5, 2010 at 1:40 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!!!