What is a “Block Bone Graft” Associated with Dental Implants? — Video

What is a “Block Bone Graft” Associated with Dental Implants? — Video

What is a “Block Bone Graft” Associated with Dental Implants? — Video

UPDATE TO THIS POST —-CLICK HERE

Many patients have come to me for second opinions about bone grafts. Specifically, they were told they need a "block graft" or "onlay graft."

Although this procedure is popular and works well, there is not a lot of patient information available about it.

This video should give you a good understanding of the procedure.

There are also many alternatives to this procedure

50 Comments

  1. Amna

    Hello

    Thank for sharing these valuable information. I hope to have a consultation with you. Are by any chance coming to the UAE in anytime?

    I had the same problem done on Feb 2018. I went for 4 other doctors that it seem bad. All of them said they don’t have solution and it was the best done for my case! Also it is so difficult to change implants. And that my lip line is covering this. But I really don’t feel comfortable and hates my smile.

    Thanks

    October 29, 2020 at 5:14 am Reply
    1. Ramsey Amin

      My practice is in Burbank California so although I love coming to Europe I only practice in Southern California. these types of treatments are very technically demanding and require a lot of skill and experience.

      November 4, 2020 at 12:12 pm Reply
  2. Amna

    Hello

    Thank for sharing these valuable information. I hope to have a consultation with you. Are by any chance coming to the UAE in anytime?

    I had the same problem done on Feb 2018. I went for 4 other doctors that it seem bad. All of them said they don’t have solution and it was the best done for my case! Also it is so difficult to change implants. And that my lip line is covering this. But I really don’t feel comfortable and hates my smile.

    Thanks

    October 29, 2020 at 5:14 am Reply
    1. Ramsey Amin

      My practice is in Burbank California so although I love coming to Europe I only practice in Southern California. these types of treatments are very technically demanding and require a lot of skill and experience.

      November 4, 2020 at 12:12 pm Reply
  3. Kat

    Hi,

    I had a block bone graft 3.5 weeks ago to replace bone loss due to a traumatic bike accident late last year where I lost my bottom four front teeth. I’m worried the graft is going to fail because although most of the wound has healed well I still have an area of exposed bone approx 5mm x 2mm. Even if my gum does heal over the area how likely is it that I will have ongoing complications? How long would you recommend waiting to see if the graft survives? If it does fail, how long would you recommend waiting before trying again or should I be considering an alternative treatment?

    February 8, 2020 at 8:59 pm Reply
    1. Ramsey Amin

      Was it your own bone or cadaver?

      February 19, 2020 at 5:58 am Reply
      1. Kat

        Thank you so much for replying. It was a block bone graft done with my own bone from the front of my lower jaw. I’m now 5 weeks post surgery. The gum has healed over a little but I still have a similar area of bone exposed. The surgeon said he expects the exposed bone to gradually flake off and cover over in time. I’m still concerned that this will compromise the rest of the graft.

        February 19, 2020 at 8:45 am Reply
        1. Ramsey Amin

          Should be ok

          February 19, 2020 at 2:19 pm Reply
  4. Anonymous

    Hello Dr Amin, I recently had a cyst removal (above the tip of the root), extraction of that tooth, bone graft and immediate implant placement with cover screw at UR2 (as it wasnt infected) at the beginning of April. I need a root canal on molar UR6 – how long should I wait until I have this done – is it too soon to have it done now – im not in a lot of pain or anything but CT scan indicated I need it doing. If so how long is not too soon? I dont want it to ruin the success of all the work at the implant site. Thanks :@)

    June 21, 2016 at 1:32 pm Reply
    1. RamseyAminDDS

      These are separate areas and they are not right next to each other so the timing is not as critical. If you have a bad tooth next to the implant tooth or bone graft then it becomes much more immediate to have the root canal done so that it does not affect the healing bone graft or dental implant.

      June 26, 2016 at 6:12 pm Reply
      1. Anon

        Thank you Dr!! They have decided to monitor the already root canalled tooth as they are unsure if what the ct scan is showing is old scar tissue from the old infection ten years ago. Since the tooth doesn’t present pain. Just tenderness on a bony lump above the root when I press it which they say can be something that presents after a deep root filling. Like a callous on a foot. So….As my implant will be uncovered after six months and a temp crown put on…. If I do need root canal a month or so after that if it gets worse…. Will the impressions for the new crown affect the newly exposed implant. Impressions always feel like they’re going to take my teeth out and id be worried about it moving the new implant tooth? Thanks

        June 27, 2016 at 7:39 pm Reply
        1. RamseyAminDDS

          I prefer to use digital impressions. This is a video scan of her mouth without having to use any molding material. This is what I use in my practice.

          July 19, 2016 at 1:25 am Reply
          1. -

            Wow. I’ve never heard of those being used in the uk. If they are it’s very new. Have you done any videos or posts on what you think will be the future of dental implants and bone grafting in the next ten to fifteen years. I hear a lot about stem cells etc. It’s really good to know what the advances may be in the future :@)

            July 19, 2016 at 7:58 am
          2. RamseyAminDDS

            so much to say…too little time!

            July 21, 2016 at 1:35 am
  5. rebecca

    Hi Dr, Amin

    Thank you for your informational videos. I wish I could afford to fly to CA to see you.
    I have a missing molar, 2nd to last on my left lower jaw. I recently saw the only physician in my area who advises a bone block graft. I know he is a good surgeon,but he says he doesn’t use CAT scans. Should I be worried?

    September 7, 2015 at 12:23 pm Reply
    1. RamseyAminDDS

      I don’t think any prudent dentist implant surgeon would do that type of procedure without a scan in the year 2015. Even back in the early 2000’s before the age of in office 3-D scanning, I use to send my patients to the hospital to have a scan done. I’m sure a local hospital or x-ray lab can perform a 3-D scan for you….. But the main thing is that your surgeon knows how to read it and is comfortable doing the interpretation. You have to be able to use the scan for virtual planning not just view it.

      Ramsey Amin DDS

      September 9, 2015 at 8:12 pm Reply
  6. Cai Saint Logan

    Hello Doctor,

    I am about a month away from getting bone grafts on the bottom left side of my jaw so that my jaw may sustain four dental implants. I’ve been missing the teeth for about five years. As such, much of the bone has shrunk away, and the contours of my face have changed. I’m wondering, which type of bone grafts, if any, will return the volume and structure to my face?

    Many Thanks,
    Cai

    June 24, 2015 at 3:24 am Reply
    1. RamseyAminDDS

      Hi Cai,

      I believe I answered your question and a different blog post, so here is that same answer.

      Also this updated post about block bone grafting has been updated. I would highly suggest you reviewed this particular post about block grafting.

      Hi Cai,

      It sounds like you have a combination of vertical and horizontal bone loss in the lower back jaw. This is a particularly difficult area to build back especially if the bone is lost vertically. Many female patients that have been facial bone structure and thin skin may have a more collapsed appearance when teeth are lost.

      Without seeing you and a 3-D scan, it would be impossible for me to tell you exactly what to do. Try having and inexpensive removable temporary partial denture called a flipper made. If this filled in the space, then having implants in the area should do the same. The design is going to have to be critical on the teeth to be able to fill in the facial voids. You may even need some pink porcelain if the teeth are tall and vertical bone cannot be rebuilt. Sometimes these areas are so bad that a nerve repositioning needs to be done.

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

      June 28, 2015 at 4:59 pm Reply
  7. kelly sutton

    I had a root pulled in the upper left side of my mouth about 2 weeks ago. I know that feeling some small bone granules in your mouth from time to time is normal and it looks as though the sutures has started to dissolve. When I took a look at it there some thick white substance that look as if it came from the socket. Is this normal or is my bone graft coming out?

    May 24, 2015 at 5:24 pm Reply
    1. RamseyAminDDS

      Hi Kelly,

      This post may answer all of your questions. it sounds like you have some bone and possible membrane exposure.

      Ramsey Amin DDS

      May 27, 2015 at 4:43 pm Reply
  8. Michelle Nguyen

    Please be advise it that normal still swollen from block bonegraft since 17 days ago!! Will it change my profile! I fell the distance from my nose to my lips it look bulky!!!when I touch both side of my nose feel hard! is that cause still swollen!!should I get 2 dental implant or 4 implant!! Thanks Dr Ramsey!!

    May 5, 2015 at 9:51 pm Reply
    1. RamseyAminDDS

      This is my guess: You may have been used to the appearance of bone loss. Now all of the sudden, the normal contours are restored and it looks weird to you. If the the bone blocks were big give it one month to smooth out from swelling.

      Changing profile for the negative is very rare. Some people have very thin skin and they can tell, but the majority can not tell a difference from the outside.

      I hope this helps.

      May 14, 2015 at 1:56 pm Reply
    2. Michelle Nguyen

      Hello dr Ramsey thank you for your 1st reply to my question I m in 1 mos of my block bone graft the dentist filed in 6mm cadaver allograft building the widlth of my instead if 4mm as original plan!!do u think by doing that it make the distance from my nose to my lips longer and bulky I’m not happy w the way it look right now??with in six mos waiting for bonegaft to integrated will I have my nature look back at the end result and do u think it too crowded to have 4 single implants for my front teeth or 2 implant w a bridge I care about my pretty face more than perfect teeth with an ugly face!! Hu hu !!
      I m very appreciated It thank you dr Ramsey!!!

      May 17, 2015 at 3:59 pm Reply
    3. RamseyAminDDS

      Hi Michelle,

      If it was a huge graft you could have minor swelling for 4 weeks. How is it now?

      2 versus 4 dental implants is going to be determined by the distance between each implant. He want to have a minimum of 3 mm between each implant. You also have to determine whether your gum is thick or thin and whether you have a high or low scallop style of tissue. Of course these are things your dentist has to help you decipher. If this choices made incorrectly, your teeth will look very square which is okay if your other teeth are very square. Most of the time people don’t have room for 4 dental implants and 2 of them and up looking better if we are talking about the 4 front teeth.

      Sorry for the delayed reply. My blog had about 200 spam comments which has now been fixed. Your comment got mixed into those 200 comments.

      May 24, 2015 at 9:40 pm Reply
  9. Jim Geisling

    Has anyone had any/much experience with Auto transplantation. I started the process of an implant a few months ago and after putting the bone material in, waiting a few weeks and then putting in the implant post, the post fell out. For reasons I don’t understand the bone material is not working and I am now being given the option of a block graft, a full sinus graft or pulling one of my unused wisdom teeth and inserting that in the space where the tooth is missing. This is the procedure my dentist is saying will work best

    March 9, 2015 at 7:07 pm Reply
    1. Ramsey Amin DDS

      Hi Jim,
      Auto transplants do not work. They have been tried many years ago. It is not a new idea. I believe there may be some ability for this to work in the pediatric population in an extremely rare indication. I am guessing you and your dentist had a misunderstanding.

      Bone grafting, when done properly in a healthy patient is extremely predictable.

      Respectfully

      Dr. Amin.

      March 11, 2015 at 3:24 am Reply
  10. Anne

    Hi Dr. Ramsey. I am about to do my implants in 2 days. My doctor said that he will do bone graft and 6 implants at the same time. I have been wearing denture since I was 13 and am now 40. Based on what I read in the net it takes 4-6 months For bone graft to Heal before placing the implants. I am now worried that my implants will fail because of what he will do. But he is very confident that he can do both at the same time. Could you enlighten me please. Thanks. -Anne-

    January 10, 2015 at 6:50 pm Reply
    1. Ramsey Amin DDS

      Hi Anne,

      It is really common to do a simultaneous bone graft and dental implant placement. Oftentimes this is beneficial because the dental implant occupies space and bone can be added to the outer wall. This is called guided bone regeneration abbreviated GBR. Oftentimes this is combined with a membrane made of collagen or my preference would be to use platelet rich fibrin abbreviated as PRF.

      Sometimes it is a really bad idea to do a bone graft and simultaneous dental implant. So the reality is that it is a case-by-case decision that needs to be made very carefully. Some bone grafts are much larger than others and require much longer healing periods. Some bone grafts are very tiny. Some of the bone grafts I do go all the way from 1 molar always across the front of the jaw all the way to the other side. Sometimes involve titanium mesh or bone fixation screws such as an onlay block bone graft.

      I’m sure you are in good hands. Good luck to you. Please keep me posted in reference your original post when you reply. I would definitely suggest a round of antibiotics if you’re having both dental implants and bone grafting done simultaneously. Make sure to watch the antibiotics video. It is short and very helpful.

      These web links may help:
      Burbank Implant Dentist Explains Titanium Mesh Bone Grafting for Dental Implants
      Do I Need PRP/PRF/PDGF/BMP For Dental Implants and Bone grafts?
      What Is A Membrane? Do I Need One For My Implant Bone Graft? My Membrane Fell Out/Sticking Out And Exposed
      Antibiotics for a Tooth Infection, Dental Implant, Bone Graft… Do I Need Them? 

      Very Respectfully,

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

      January 12, 2015 at 2:04 am Reply
  11. Olivia

    Dr Amin. I now got my three implants on my lower jaw back bone. All in one raw. Before the implants, I had block bone graft because of the narrowness. My doctor attached chunky size of bone to the outer side of my narrow bone to make it wider. It healed and integrated well but there was always a degree of unhappiness because I felt it was too bulky. There was only a minor assymetry after the block bone graft, but I could feel it and get annoyed. I always hoped that my dentist would shave excess bone during the placement of implant. But guess what, he didn’t and in addition to it he placed there an IMLANT looking horribly misaligned from the rest of the teeth. I am going to ask him remove that cursed implant in one month. The other two is bearable but not perfectly positioned either. Do you think it’s a good idea that I ask him to remove it? I would rather be toothless! What would be the best option for me? I know marrying you is the best option 🙂 but I would be happy even if you just address my questions. Many thanks beforehand! 🙂

    August 13, 2014 at 10:16 pm Reply
    1. Ramsey Amin DDS

      Hello Olivia,

      You are too funny… LOL. I am already married!!

      It is always better to have more bone than last bone. The reason why is some bone graft shrinkage is expected that will happen naturally. Having an excessive amount of bone on the outer wall of your dental implants will help long-term stability and prevent you from developing a condition called peri-implantitis.
      What is Peri-implantitis and What Do I Do About It? – Bone Loss Around Dental Implants ~Burbank Dentist, Ramsey Amin Reviews

      Just by looking in your mouth, you cannot judge the position of the implants. Your dentist likely has a reason for the positioning of the implants. Sometimes dental implants are placed on a purposeful tilted and sometimes they’re placed straight up and down. Generally speaking there should be some space between them. If the crowns are on the teeth yet, a lay person would have a difficult time assessing whether the implants are in proper position or not. Removing dental implants would be a last resort if the implants were truly placed in a very poor position that could not be corrected with a custom abutment. Sometimes dental implants are placed slightly off axis to engage the most volume of the available bone. So even though they may look horribly misaligned right now, they may indeed turn out perfectly. I am only speculating of course because I have never seen you.
      Do I Need Custom Dental Implant Abutments?

      The excessive bone can be trimmed back at any time if it really causes you an issue. Unless your skin is very thin, it would be unlikely that you can see a facial change from a dental bone graft.

      Respectfully,

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

      August 18, 2014 at 12:05 am Reply
    2. Tamara

      Olivia
      who is your bonegraft specialist? I would love to go see him. I am missing tons of bone and surgeons are telling me its beyond their scope of work. They can’t help me. Please let me know asap. Thanks

      August 29, 2014 at 6:54 am Reply
  12. Dr. Ramsey,
    I am in need of some serious advice! I had an apicoectomy on my 4 front teeth (7,8,9,10) back in the late 70’s. I had all four teeth capped in or around 2002. For the past seven years I’ve been having problems with these 4 capped teeth (loose and cracking). II finally decided to start the process towards implants. I met with an oral surgeon who removed # 8 in May 2014. The surgeon packed it with bone graft but there is a pretty big gap/hole there. Now I’m wearing a flipper (which I absolutely hate, and it doesn’t fit). My gums are pulling away from the remaining caps. Now, more than ever, I want to get the ball rolling in the directions of implants. The oral surgeon who removed my tooth #8 says that I have a “high smile line”. He said he is concerned with the outcome being a “very long tooth” appearance in the front of my mouth. He mentioned my other three caps being loose. I said that I am fine with removing them and putting in implants. Initially, he said that we could do two implants with an additional tooth attached to each implant which would replace these four teeth. That was our original plan. Now he suggest doing a bridge instead. He doesn’t sound assured that I will be happy with the end result. He emphasized the pain, money and inconvenience. What do you think? I live in Westchester, New York. Do you have anyone you would suggest for a second opinion? I am aware that we are talking about money, time and pain but what would you do if it was your mouth?

    July 9, 2014 at 6:08 pm Reply
    1. Ramsey Amin DDS

      Hello Penny,

      If you’re having your dental implants done by 2 different providers, the dentist making the teeth should be the one directing where and how many implants are put in. If you have a separate oral surgeon and a separate dentist, one may be far more experience than the other.

      There is no doubt that a patient with a very high smile line is far more challenging to get an excellent result. I would suggest to take it slow and predictable route rather than try to speed through every step. With the high smile line, make only one miracle at a time.

      I don’t know anybody personally in your area, but I would suggest you find Diplomate of the American Board of Oral Implantology or a Fellow of the American Academy of Implant Dentistry.
      Your case would be considered more difficult. Good luck with everything!

      Dr. Amin

      July 11, 2014 at 1:14 am Reply
  13. Shirley McMellen

    I had sinus lift surgery on June 19 the and my oral surgeon says I need additional grafting to build height and width of the area. I realize that taking my own bone for this would be the best but o am concerned with the recuperation and amount of pain of the donor site (the hip). What has been your experience with patients that have undergone bone removal from the hip?

    July 1, 2014 at 5:08 pm Reply
    1. Ramsey Amin DDS

      Hello Shirley,

      Bone grafting from the hip is not very common anymore. I did quite a bit of it during my residency training. It is call the iliac crest bone graft.

      Nowadays most things can be done with cadaver allograft including major bone block onlay grafting with screws to fixate the bone in place. There is a much reduced morbidity by a not going to the hospital and removing bone from your hip. I would strongly suggest another consultation with a dentist who is very skilled and bone grafting for implant dentistry utilizing allograft bone blocks. I do this all the time. I also take bone from patient’s own jaws when needed, but I have found that onlay bone blocks made from cadaver bone work just as well, if not even better!

      https://www.burbankdentalimplants.com/bone-grafting/

      If you’re missing all of your teeth, you are likely going to have to be without a denture for 1-2 months while the gum completely heals. For most patients this is not possible. You could consider doing it in smaller sections.

      Good luck and keep me posted.

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

      July 7, 2014 at 2:42 am Reply
  14. Olivia

    Dr Ramsey, I have to say you are a wonderful person, your advices are so helpful. As mentioned in my earlier posts, i had block bone graft for dental implants because my low back jaw bone was too narrow. More than nine month has passed since the surgery and the bone seems to be well integrated as confirmed by many doctors. Now its time to do the implants. I plan to have three in a row (yes i lost my 3 teeth accidentally too early, im 29 now). Im so worried now because i am afraid that Inferior alveolar or mandibular or whatsoever nerve can be damaged from excessive local anesthesia during the surgery that i had before or from future implants . So i have two questions:
    1) Is it better/safer to have 3 implants on a row or 2 with a bridge? My doctor says 3 is better but its profitble for doctors to say so. So i need your second opinion.
    2) question is about nerve damage either from block bone surgery or Implants. I realised that i have altered sensation (very little) in the area where bone was grafted (lower chin). Im now panicking that maybe the screws used for block bone just punctured my nerve tissues or something horrible happened that im not aware of. Im now planning to go to micro nerve specialist to check if my nerves on lower jaw got any injuries. How safe is bone graft and implants with regard to Nerve locations.? Do dentists actually study the nerve system of the jaw bone?

    May 24, 2014 at 2:39 pm Reply
    1. Ramsey Amin DDS

      hello Olivia again 😉

      Thank you for your very kind words. I will try to answer some of your questions. It sounds like you of seen a lot of doctors and really should stay focused with just one.

      if the implants are on your upper jaw, he may want to consider having one implant per tooth due to the softer bone in this jaw. If the implants are on your lower jaw where the bone is more dense, 2 implants and a bridge may be deemed suitable if the bone is strong and thick. It is always better to have more supporting implants than less supporting implants.

      Dentist who do dental implant and bone grafting need to be well-versed in anatomy of the jaws. There are nerves and arteries that traversed through the jaws that need to be avoided or sometimes moved out of the way in order to do proper treatment. A dentist must no anatomy very well especially when getting involved in complex bone grafting.

      https://www.burbankdentalimplants.com/nerve-repositioning-lateralization/

      Respectfully,
      Ramsey Amin DDS

      July 7, 2014 at 3:05 am Reply
  15. Olivia

    Hi. I had block bone graft 4 month ago on my law jaw bone for future implants as I had too thin jaw bone.. Doctor put extra large bone (bio oss) saying that some of its volume will shrink. 4 month passed and I still have a little bit of bulkiness on my face. I love to have symmetric facial features and that bulkiness really annoys me even though there is small difference. My first question is how i can resolve it and get rid of my bulkiness on the face? Also do you know how long the risk of block bone failure last? Can I say I’m safe because 4 month passed already?

    September 11, 2013 at 5:25 pm Reply
    1. Ramsey Amin DDS

      Hi Olivia,

      Extra bone is a wonderful thing! Most of the time the graft shrinks about 20% so most prudent implant dentists add extra.

      The solution…when you have the implants placed, some of the extra bone can be shaved away. This is really easy to do.

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

      September 12, 2013 at 3:43 am Reply
    2. Ramsey Amin DDS

      Olivia,

      One last thing…. Yes, usually you are in the clear once the gum has healed. That usually is about 1 month.

      Good luck.

      Dr. Amin.

      September 12, 2013 at 3:44 am Reply
  16. Heather W

    I have a very unique situation involving an implant (#8) that was placed 20 years ago. I have developed peri implantitis and now the implant has to be removed. Problem is that my bone has gone down to basically nothing in that area both vertically and horizontally. I have been to 4 periodontists/surgeons and have had a couple of different opinions although basically the same. First 2 were going to do bone grafts using synthetic materials, one a block bone graft and another BMP. I do not want to use BMP at all whether or not the results may be predictable. I would like to do a block bone graft using my bone because I know something substantial has to be placed in the area to avoid major shrinkage. I know without seeing me it is difficult to diagnose but would you use another method in a situation like this? Can a block bone graft and distraction be used together? Thank you for your suggestions.

    March 24, 2013 at 8:52 pm Reply
    1. Ramsey Amin DDS

      Hi Heather,

      A block bone graft and distraction osteogenesis can be used together, but not at the same time. This is a lot of work though.

      The block graft with guided bone regeneration should work well if done properly and you heal well. Titanium mesh works too. It sounds like the implant should have been removed long ago when the bone loss wasn’t as bad.

      I wish you the best of luck. You don’t have an easy situation. Find someone in your area with the credentials that I have and you will be in good hands.

      Respectfully,

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

      March 28, 2013 at 3:46 am Reply
      1. Heather W

        Thank you so much for your answers!

        March 30, 2013 at 4:57 pm Reply
      2. Heather W

        Hi Dr. Amin,

        I have another question for you. My dentist is talking about using PDGF and/or Emdogain. What are your experiences with them? Are these considered common when using guided bone regeneration? I do not want to use BMP, are these similar? Thank you in advance for your answers!

        April 2, 2013 at 6:04 pm Reply
        1. Ramsey Amin DDS

          Hi Heather,

          If the graft is REALLY complex, then growth factors help. If it is simple and you are healthy, your body will do what it is supposed to with good surgical technique.

          Respectfully,

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

          April 10, 2013 at 10:35 pm Reply
  17. Distraction osteogenesis is another way to build height. It is the process of “stretching” bone to make more bone.
    Each situation is so different Cheryl so I cant exactly tell you what to do.
    BMP is used in conjuction with a bone graft to build new bone. It is probably not necessary.
    It is easier to build height in the upper jaw rather than the lower. Often times you can bypass building the height back and just build back the width of bone.
    The height can be corrected with some creative prosthetics and avoid complex and costly surgeries.
    I have done this for so many patients and sometimes it is te only option. I also build bone vertically when needed especially for an upper front tooth.

    July 25, 2010 at 10:11 pm Reply
  18. Cheryl O'Bryan

    I am in florida …
    Aside from bone grafting what else can grow bone so I can increase the height so I can get the implants done?
    What is bmp used for? Is this necessary?
    Thank you.

    July 21, 2010 at 1:37 pm Reply
  19. Hi Cheryl,
    Bone expansion of the LOWER jaw is a technique that a handful of dentists do and have mastered. The upper jaw is easier to expand.
    In my opinion, it is the very best for long term crestal bone stabilty.
    More important than the type of bone used is that it is the right type for YOUR situation. Surgical technique of your dentist is critical to the result.
    If you reside in my area, please come in for an exam and maybe I can help you.

    July 20, 2010 at 10:25 pm Reply
  20. Cheryl O'Bryan

    I emailed you in another section of your presentation. I do not think that there are dentists in my area that do bone expansion process for the width needed in my case.
    What other bone growth materials can be used that will grow bone width versus doing a bone graft or bone expansion process?
    This is for the lower back right teeth to place a 3 implant bridge once my last tooth is removed.
    Thank you for your suggestions.

    July 20, 2010 at 4:07 pm Reply
  21. M

    Thanks for sharing this informational video.

    July 6, 2009 at 5:59 pm Reply

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