ZYGOMATIC DENTAL IMPLANTS VS. SINUS LIFT BONE GRAFT REVIEW

ZYGOMATIC DENTAL IMPLANTS VS. SINUS LIFT BONE GRAFT REVIEW

ZYGOMATIC DENTAL IMPLANTS VS. SINUS LIFT BONE GRAFT REVIEW

Which one is better??? Zygomatic dental implants or a sinus lift bone graft?  I would like to start by saying that both are excellent options.  Both have long-term data to support their use and I do both procedures very routinely.Often I will recommend one over the other or give you the option to choose what is right for you.  There are times where both options are not good!

Try-in for upper and lower bridge. Upper implants are zygomatic placed by Ramsey Amin DDS
x-ray taken at time of zygomatic implant placement. The left sinus is a bit cloudy because it is taken on the day of surgery. This will clear up in just a few days since sinus passages are clear.

Both of these procedures only apply to the upper jaw.  Specifically they apply to the back teeth of the upper jaw.  In the back part of the upper jaw where your molars are, that bone is remarkably soft and it is generally hollow.  It is hollow because the maxillary sinus drapes down into this area.  The combination of hollow and soft does not make for strong and secure dental implants.  Something has to be done to augment it so that back teeth implants can be placed.I often tell patient that if your sinuses are hollow on 3-D scan and we need back teeth implants than either way I need to go into your sinus somehow.  Either it has to be grafted in the sinus to rebuild bone  …then… have dental implants or we have to go *through* the sinus (or very close to it) to place zygomatic implants in the cheekbone. 

Unless there is an option to bypass/avoid the sinus with a tilted dental implant concept, then there is no way to avoid the sinus.  I routinely use pterygoid implants as well to give additional support.

Please keep in mind that the distance from the cheekbone to the sinus is very similar.  It is not that much further up.  The outer wall of the sinus is the zygomatic cheek bone of the skull.  They are connected!

3-D image of zygomatic implants placed into the cheekbones on a severe bone loss patient
Final x-ray with upper and lower solid zirconia Bridges on 12 implants. There are 24 teeth supported by these 12 implants. The sinus was avoided
surgical entry point for zygomatic implants. Please note that it is not much higher than sinus lift bone grafting through lateral window approach
entry points for lateral window sinus grafting. Please note that it is not much lower than zygomatic position.

To properly restore your mouth you must have molars.  Without back teeth, everything in the front will fail prematurely and nothing will work right.  The bite must be level and stable.

The zygomatic implant is typically only used when you are replacing a full set of upper teeth.  This allows all of the teeth to be connected in an arch form called “cross arch splinting”.  This gives strength and rigidity to the system where each implant is strengthened by another implant.

A sinus lift bone graft can be used when you are replacing just one side of your teeth and not the other.  It can also be used to replace both sides of your back upper molars and bicuspids.

Sometimes I only use one zygomatic implant per side and sometimes I will use two per side (quad zygoma).  Sometimes I will only put zygomatic implant on the left or on the right and bypass the sinus on the opposite side.  It is not necessary for implants to be placed in a symmetrical nature because our bodies are not symmetrical.

The following table describes some of the differences and similarities between the two:

Sinus lift Zygomatic Dental Implant
Typically takes 8-18 months to complete Completed in a single visit – 1 day
Requires bone graft from human, cow, self or synthetic. Requires no bone graft
Not possible to have fixed teeth on surgery day Fixed temporaries on same day of surgery
Must have clear sinuses to perform Must have clear sinuses to perform
Pain and bruising –usually mild Pain and bruising –usually mild
In office procedure under IV sedation In office procedure under IV sedation
Antibiotics required Antibiotics required
Can be used to anchor teeth on one side or both sides, keeping some existing teeth Can only be used when all upper teeth are being replaced
Implants are regular length Implants are extended length
Patient must wait for healing You can leave with immediate loaded functioning fixed teeth on the same day of the surgery.
Very risky to use a temporary denture over the top while it is healing – best if no denture is worn for 1-4 weeks or not at all Upper denture is eliminated on the day of surgery for most patients. 
No option for immediate teeth Immediate teeth very likely
Sinus Lift cost  – generally more than zygomatic because of numerous appointments and graft materials Zygomatic generally less costly than sinus lift
Numerous appointments Single appointment
Bridge can be made thinner on inside The final bridge on the tongue side of the molars sometimes needs to be made a bit thicker
Must be done in the sinus Zygomatic implant can be placed partially in and partially out of the sinus
Multiple implants necessary per side Generally only one implant needed per side
3-D scan necessary for diagnosis 3-D scan necessary for diagnosis
Can be used for All on 4, 5,6,7,8 etc Can be used for All on 4, 5,6,7,8 etc
Existing bone is very soft Zygomatic cheek bone is generally harder
Procedure dates back to 1974 Procedure dates back to 1988
Can be used to replace one tooth Cannot be used to replace one tooth.

Both zygomatic dental implants and sinus lifts bone grafts should not be done if your sinus is not healthy or it is plugged shut.  The sinus is supposed to drain into your nose and other sinuses. If that area is blocked the procedure should be delayed until that blockage is cleared.  Sometimes clearing that blockage only requires some nasal sprays/steroids and other times and requires surgery by an ear nose and throat doctor.  Many smokers have thickened sinus membranes that are not healthy.

The zygomatic dental implant really opens the door for having immediate teeth on the upper jaw on the same day of removal of your existing teeth (PRETTAU dental implant bridge is one example)  This is a big deal for those patients that I am having to remove all of their teeth both upper and lower on the same day and provide them with new teeth and implants within 24 hours.  For a lot of people wearing a denture for a year is not an option.

Whether you are in the public eye, a stay-at-home mom, retired or a busy professional many people cannot tolerate a denture and need same day teeth.  The sinus lifts graft does not allow for this to happen.  Occasionally I have a patient that is okay wearing no teeth at all for 6-18 months and that really allows all options to be carried out.  There is no age restriction for either procedure although I would suggest you are 20 or older.

Both options are very stable long-term and neither option has a high risk for chronic sinus issues after the procedure.

Both of these procedures should be completed by a very skilled and experienced implant surgeon.  I would not consider these procedures for a novice!  They require a very in-depth knowledge of the anatomy.  Offices that do these procedures should do them under a hospital-like, aseptic surgical operatory to prevent infections.

I hope the detailed descriptions help you to make an informed decision.

Your comments are welcome.

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

47 Comments

  1. Lana Cookson

    Dear Dr. Amin,

    How fortunate the Californians are to have you. My teeth are nearly gone after 10 years of recovery from a brain aneurysm. I have 8 teeth scattered around, 5 implants, and 3 broken ones. A mess really.
    Can you recommend a good surgeon, and an excellent prosthodontist ? I don’t know how to look, what to look for.
    Am really lost because I was terribly hurt by a prosthodontist, really
    bad. I suspect I may be asking too much. Any pointers kind sr? Lana

    December 2, 2020 at 10:42 pm Reply
  2. Laura Dash

    What’s the difference between a iRaise implant and a zycomatic implant?

    September 28, 2020 at 9:55 pm Reply
    1. Ramsey Amin

      The iRaise is a bit of a gimmick. Its tool that allows a dentist to lift the sinus and place a regular implant. It is not for zygomatic implants. The reason why I say it is a gimmick is that it is trying to replace technical skill. A dentist that is scaled and trained in the sinus lift procedure does not need to use this.

      October 4, 2020 at 9:40 pm Reply
  3. Elvis

    Hello doctor! I am in a bit of a bad situation. Since I was young my parents never taught me to brush and now at 20, in my lower jaw on both sides I’m missing 4-5 teeth from the back of the mouth. My bone there has become very very think-like. What are my options doctor? I feel ashamed and embarrassed. I want something done I can’t even eat properly. Can I get implants? Do I need bone graft? Will it be possible? If so how many implants? Maybe the rest with a bridge? Please give me some advice doctor. Thank you

    August 16, 2019 at 10:51 pm Reply
    1. Ramsey Amin

      Of course without seeing you there is no way that I can give you proper guidance. My best recommendation is that you get in the hands of a very skilled dentist that can help you hopefully save the remaining teeth that you have and replace the missing ones with implants. It is all about having a good long-term treatment plan that will last as long as possible because even dental implants are not permanent.

      August 22, 2019 at 12:50 am Reply
  4. Myriam Blancquaert

    Dear Doctor,
    I am 58 and 9 months post op after 5 on 1 implants above and below; in the upper I had 3 zygoma implants and the result was superb esthetically and functionally. However, 1 zygoma implant can be felt in the upper cheeck like at some point it will pop out of my skin. It does not hurt but it is awkward and freeky to touch. Should I be scared. My doctor does not seem to be very worried. He has performed hundreds of these operations as he said and he is a well known surgeon here and abroad. Thank you for your feedback

    August 11, 2019 at 3:31 pm Reply
    1. Ramsey Amin

      It sounds like you have very thin skin… No pun intended. Many times zygomatic implants purposely are placed just a tiny bit outside the bone. Those with thin skin can feel them on the outside but most cannot. Do not make a habit of rubbing it.

      If it really bothers you an incision can be in the skin from the outside and it can be ground down a bit. The incision can be hidden in a natural facial crease.

      Generally I would suggest just leaving it alone unless it becomes a problem which is not likely

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

      August 12, 2019 at 3:03 am Reply
      1. Myriam Blancquaert

        thank you very much this does make me less anxious, although I am not sure whether I can now continue doing some facial or laser trreatments such as dry needling around the eyes or other skin improvement such as endermology to increase collagen etc.. you are right I do have think skin, I am blue eyed blonde.

        August 12, 2019 at 8:12 am Reply
        1. Ramsey Amin

          Make sure your surgeon knows everything before you do anything

          August 22, 2019 at 12:58 am Reply
  5. Laurie balboni

    Hi Dr. I had major bone grafts on both sides. My nasil cavity on the left side was fully exposed. The bone on that side was like egg shells. The bone took but not enough for the regular implants so I just had mini ones placed. 2 on each side was all that could be doneand one fell out. I might have the implants that go into the cheek bone. My concern is that 4 years ago I had a brain tumor removed called an accustic nerouma . it left some nerve damage and I have vertigo and eye pain also left my right ear dead totally deaf. There are plates on that side around my ear. Would this procedure be any more risky . thank you hope you cam answer this question and maybe have had this experience with someone.

    May 11, 2019 at 3:05 pm Reply
    1. Ramsey Amin

      I have treated several patients with acoustic neuroma. It is generally not a problem at all

      May 30, 2019 at 4:53 am Reply
  6. Diana Wels

    Dr. Amin,
    Yesterday 3-14-19 I had a CT scan taken by my dentist of the Maxilla jaw. The CT scan revealed that I would need a sinus lift and bone grating before implants could be placed. I was told that this would take up to two years before a bridge could be placed. I am a teacher and this time table is not satisfactory for me to go without teeth. I would prefer something less invasive.
    For the past 15 years I have had a fixed porcelain bridge being held on by 4 teeth (2-10-15-16.). Due to the condition of the teeth this bridge is now failing. Would you be willing to look at my CT and tell me what my options are? I understand you have done many implants and I thank you for what you are doing for patients with needs such as I. Thank you Dr. for your time.
    Best Regards
    Diana

    March 15, 2019 at 4:42 pm Reply
    1. RamseyAminDDS

      Thank you for your kind words but I would have to see you to make these determinations. Even looking at a scan alone is not enough information. That’s only about 50%

      March 19, 2019 at 3:33 pm Reply
      1. Diana K Wels

        Dr. Amin,
        I have scheduled an appointment with you for June 13-14. My Dentist has sent you all of my radiographs. I am looking forward to coming to California and meeting you and have you evaluate my case.
        Best to You
        Diana

        May 9, 2019 at 6:55 pm Reply
        1. RamseyAminDDS

          🌟🌟looking forward to meeting you 😁

          May 14, 2019 at 4:28 am Reply
  7. Heidy

    Dr. Amin, I need full upper dental implant. But on my lower jaw, I am missing first molars on each side. Due to not having these teeth for a while, it causes my teeth to shift forward and a misaligned lower jaw. I was told I may need to do Orthodontic treatment on lower to get the teeth and jaw in proper placement. But keep in mind that I also need to do the full upper implant. Can you please advise me on which is best to do first? Do I go for orthodontic treatment first on the lower jaw and then upper implants afterwards. Or, do I go for the upper dental implants first before orthodontic? Please advise. Thank you

    February 28, 2019 at 6:42 am Reply
    1. RamseyAminDDS

      Ortho first…but many times you can be treated without ortho.

      March 4, 2019 at 12:24 am Reply
  8. Lani

    Dr. Amin,
    I’m 3 weeks post op lateral sinus lift, upper left, 14 and 15 missing. Procedure went fine, lots of bone put in, his partner removed stitches and said he’s never seen so much bone put in and called him a rock star! I healed well. BUT Teeth 12 and 13 are numb!! Feel “tight” Thought/assumed that it’s normal and it would go away eventually, but OS said today he has no reasoning at all that this would have occurred. No nerves in the area, etc. He said he hopes it goes away, yet has zero logical reasoning as to why it’s like that. I thought because he packed a bunch of bone in there! Yet he said the bone is in the sinus area not by the teeth..CONCERNED! DO you have any insight? Would appreciate your valued opinion.
    Thank you so much!

    April 12, 2018 at 11:14 pm Reply
    1. RamseyAminDDS

      It is possible to be numb due to Graft or retraction on the flap. Most of the time these return to normal. Give it 2-3 months and will likely come back. The upper jaw is much more forgiving with nerve numbness than the lower jaw. I am assuming the skin of the side of your nose and upper lip feels normal.

      April 23, 2018 at 3:57 am Reply
      1. Lani

        Yes, the skin on nose and upper lip are just fine. I am wondering why he was so surprised and said “no logical explanation?”
        They feel tight- feels odd when I brush. Hope it’s safe to have the implant put in- scheduled in 4 months if it’s like this. Seriously, he must know it’s possible for this to happen as you stated- makes me question his integrity now. Ok to proceed with the implant?? One more notation- I’ve had numerous panoramic X-rays- is it really necessary for all that radiation exposure??
        Thanks again, your feedback is much appreciated!

        April 23, 2018 at 10:57 pm Reply
        1. RamseyAminDDS

          x-rays are normal to be taken several times during the reconstruction process. It is very important to do so. The numbness comes from the infraorbital nerve. It also has branches that sometimes traverse the sinus internally.

          April 27, 2018 at 1:41 am Reply
          1. Lani

            Dr. Amin,
            I know I’ve asked a lot of questions, you’ve been very helpful, patient, and kind to answer all my questions!
            You’re very much appreciated!
            Lani

            April 27, 2018 at 2:04 am
          2. Lani

            Safe to proceed with implant if numbness persists?

            April 27, 2018 at 2:11 am
          3. RamseyAminDDS

            Tough call. Upper jaw numbness typically always returns. 😁

            April 27, 2018 at 5:02 am
          4. Lani

            Good to hear after all that! Could the implant cause further issues?
            Why is it a “tough call?”
            I want it done of course, yet don’t want issues. Wil the implant be by that nerve, too? gosh, I sure hope not. Thx for your info:) Maybe everyone needs to hop on a plane and fly out to you for their procedures;)

            April 27, 2018 at 11:38 pm
          5. RamseyAminDDS

            Implant wont be near the nerve. Tough because you already have a problem in the area so from your perspective you may be reluctanct to move forward.

            April 30, 2018 at 5:07 am
  9. Wanda McKolskey

    Can you please explain sinus augmentation with bone or bone substitutes via a lateral open approach.

    Because I have bad allergies and constantly blow my nose, I opted not to have the sinus lift in June 2017. In March 20 I find that my dentist claims this procedure was done on January 3 – sinus augmentation with bone or bone substitutes via a lateral open approach at the same time the surgical placement of implant body: endosteal implant. Is there any way to tell if this work was actually done? I question whether this procedure was done since it cost $1500 for the sinus lift. Your help is clarifying this for me is appreciated.

    March 22, 2018 at 7:32 pm Reply
    1. RamseyAminDDS

      strange! How could you not know? See an experienced doctor for a second opinion. Only a 3D CBCT scan can really tell for sure.

      March 25, 2018 at 5:13 pm Reply
      1. Wanda McKolskey

        Wouldn’t the dentist need to inform me that I had a sinus augmentation via a lateral open approach so I wouldn’t blow my nose? If the original quote show the sinus augmentation crossed out because of my allergy issues, why would the other dentist try this procedure without my consent? Since I’m constantly blowing my nose every day, mostly during the nights and go through boxes of kleenex tissues wouldn’t I experience pain in my sinus area?. I did not have any pain in my sinus area when blowing later that day.

        When you say that I need an experienced doctor for a second opinion, you mean Dentist, right? If so, I will ask about having a 3D CBCT scan done.

        April 27, 2018 at 2:12 am Reply
        1. RamseyAminDDS

          Dentist not doctor.
          It sounds like there was some miscommunications. I’m sure everything will be OK

          April 27, 2018 at 5:04 am Reply
  10. Lani

    Thank you again! Just want it done now. Was going to get 2nd opinion on having crestal done, but probably won’t! I know the lateral is best choice with my vertigo. Thx!

    March 8, 2018 at 12:26 am Reply
    1. Lani

      Dr. Amin, had the lateral sinus lift on Thurs. Glad I was sedated- woke up and done! OS said it went great. No apnea. Curious tho, no steroids, no chlorhexidine- only antibiotic. Minimal bleeding, some swelling. Sleeping upright for 4 nights as per OS. Just following up for others that it’s not too painful, it’s necessary, and you’ll get through it! Can I take a long car ride? Or should I continue to rest for a few days? Also why no mouth rinse or steroid? Curious. Also, should I also do #15 since the bone is there now? OS said most do not do it, but prepared it so I can. Small mouth.
      Thank you!

      March 26, 2018 at 12:52 am Reply
      1. RamseyAminDDS

        excellent… Thank you for the follow-up. You may have had a steroid intravenously rather than a postoperative steroid taken by mouth. The intravenous or intramuscular forms are the best. Generally speaking chlorhexidine is prescribed for 7-10 days after this procedure. It is recommended although I would not say it is critical. Antibiotics are definitely necessary. Yes you can take a long car ride!

        Asked for replacing #15… If it is on the same side and you have a lower opposing tooth than I would definitely do this. He should strongly consider connecting to teeth together for strength since the implants are placed and grafted bone. This is an area of high bite force and low bone density even after grafting.

        March 27, 2018 at 1:44 am Reply
        1. Su

          If ever I need anything done I would want you to be my dentist . I think you know a lot and would give you all my trust. Please give me your info.

          October 4, 2018 at 2:56 am Reply
          1. RamseyAminDDS

            that is very kind of you to say 😉

            500 E. Olive Ave, Suite 520
            Burbank, CA 91501
            Phone: 818-538-5718

            October 8, 2018 at 1:34 am
  11. Lani

    Dr. Amin,
    I lost #15 at least 5 yrs ago. Just last week had #14 ext. with bone preservation and collagen for dental implant. I have dry mouth due to RA-I from TC 10 years ago. Having crowns and rct too frequently now. Excellent OH. I am literally freaking out about the sinus lift due to having no vestibular system on my R side. I’ve also had a torn retina recently. So that’s what scares me, more vertigo, and the possibility of having a torn, or worse yet, detached retina from the MALLETING!! It’s 2017- that’s barbaric! Those are my 2 concerns! I literally CANNOT tolerate any more vertigo or another torn retina. Please give your advice! Thank you so much for your time and your blog, it’s very informative! Wish I wasn’t in this position yet I know I shouldn’t leave the upper left minus 2 molars! Eek. Help please.

    October 25, 2017 at 1:26 am Reply
    1. RamseyAminDDS

      Simple solution…. Have a lateral window sinus lift bone graft rather than internal techniques. Internal or crestal approaches oftentimes require slight tapping from a mallet. There are also bone inflatable methods but they are not as predictable in raising the sinus membrane in the proper location. The lateral window bone graft does not involve any sort of tapping with a mallet and is extremely predictable. These procedures are extremely technique sensitive. Some of these gimmick-type balloon instruments are made for those that do not have a ton of experience.

      The lateral window graft is easy and they generally heal well and generate a lot of bone!

      Mallets are used in operating room’s across the world to insert prosthetic devices into knees, hips etc.!

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

      October 30, 2017 at 5:10 am Reply
      1. Lani

        Thanks Dr. Amin,
        My oral surgeon mentioned that- if I’m concerned about the MALLETING, he’d do the lateral approach- he was talking briefly while I had a mouth full of gauze. I see him soon for follow up and will get more precise details, yet I thought the newer less invasive approach was the indirect approach. It sounds like the lateral approach is more invasive…. And his assistant said much more costly! But I’m willing to do that if I can get away from the possible problems with vertigo, and the Retinal issues. I had the extraction without incident, and I can cope with the pain afterward, just have other medical issues that preclude me from wanting to go ahead with it.
        Thanks for your reassurance that it has predictable results, and is not so invasive. Just what I needed to hear. Any further words of wisdom are always appreciated. Thank you for helping the dental community, I am a former hygienist and you are very much appreciated!!

        October 30, 2017 at 12:57 pm Reply
        1. RamseyAminDDS

          😉

          October 30, 2017 at 6:16 pm Reply
          1. betty

            my friend has no bone and no teeth
            on top and her dentures keep falling out because she cannot find glue to hold them in and she’s tried many…is she a candidate for zygomatic implants??

            January 6, 2018 at 7:25 pm
          2. RamseyAminDDS

            Yes. This is the perfect indication for zygomatic implants. She can also have a fixed bridge placed within 24 hours.

            January 6, 2018 at 8:44 pm
          3. Lani

            Dr. Amin,
            I’ve completely healed well from procedure, and have amazing bone results, almost 6mm, yet not enough to forgo lateral sinus procedure. Shoot! Anyway, next concern, I have apnea, no c pap, from accident, neck damage, wt. gain, and the OS wants IV sedation with versed and fentanyl- I’m now concerned I will stop breathing being “out” and on my back. It happens all the time, yet I wake myself gasping, but being sedated, I don’t think i will awaken myself, and not get enough O2 to my brain/body. Can’t I just take a xanax? Don’t care about the noise/pressure etc thx!

            March 4, 2018 at 6:47 pm
          4. RamseyAminDDS

            Lani…we treat patients with obstructive sleep apnea all the time. Just make sure your dentist knows this. We don’t need to be out for this but basically sedation will help tremendously. Sometimes we augment our reduce fentanyl and just use Versed. Have this discussion with your dentist and good luck!

            March 7, 2018 at 9:53 pm
    2. Darnell Butram

      May I ask what RA-I
      TC What that stands for please

      April 26, 2018 at 5:04 pm Reply
      1. Lani

        RA-I means Radioactive iodine used to treat TC=thyroid cancer

        April 27, 2018 at 1:59 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!!!