Antibiotics for a Tooth Infection, Dental Implant, Bone Graft… Do I Need Them? 

In this short, but highly informative video, I review some of the common truths and misconceptions about antibiotics in relationship to tooth infections, dental implants and bone grafting.

Use of antibiotics should be judicious and carefully thought out.  Just because you have an “infection” in your tooth, it does not mean you need an antibiotic.  Also, not all “infections” are actually infections.  Not all infections can be cured by antibiotics alone.

Antibiotics are commonly needed for procedures that involved cutting through bone or addition of bone graft materials.  There is a limited supply of new blood vessels that can get your natural immune system’s protection in the first few days following a significant procedures such as a surgical extraction, a bone graft, sinus graft, apicoectomy and dental implants.

Antibiotics are extremely helpful in many situations.  I also discussed common questions such as antibiotic resistance and what happens with common stomach issues and what to do about them.

I think you will find this video helpful.  Please feel free to ask questions below.

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


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63 thoughts on “Antibiotics for a Tooth Infection, Dental Implant, Bone Graft… Do I Need Them? 

  1. Lina

    Hi Doctor Ramsey, Thank you for your post and video.
    Acute question: I just had a dental implant procedure done at a specialist clinic, not my normal dentist. I was given antibiotics to take post surgery (which is right now now): Amoxicillin for 7 days (no pre-antibiotics). I was not prepared for this and I don’t want to take Antibiotics..

    Im 30 and very healthy. No smoking or drinking, Taking lots of vitamin C and supplements.

    Do you think it’s a stupid risk to run not taking the antibiotics? I’ve read several studies online and see that succes rate without A is 94% vs, 97% with A. In healthy, low-risk people like me.

    Thank you, your opinion is very muc appreciated and I will read your other comments now.

    Reply
    1. RamseyAminDDS Post author

      An implant is a foreign body that “in general” should be covered by antibiotics. Many of these studies are done with really simple, straightforward dental implants and not ones that are in bone loss situations or bone grafted situations. If it were me I would take the antibiotics and I would also take a yeast based probiotic along with. This way it does not cancel out the probiotic because it is a nonbacterial version. I like the brand floarstor and recommended routinely. I would also suggest to her mouth rinsing with 0.12% chlorhexidine 3 times daily for a week. This has antibiotic properties also. Without antibiotics, most of the surgical procedures done in medicine today would not even be possible!

      The providers experience, surgical sterility and time taken can also increase or decrease your chance of becoming infected

      Reply
  2. Jo Kucher

    Dear Doctor, I had a tooth extracted, due to a cracked root canal and an immediate bone graft placed with an implant screw. The site was healing very nicely at week one, then it started to have a foul smell and part of the bone graft seemed to come out. Since then at week 3 I have a very swollen gum, it has swollen over the implant and I can no longer see the top of the implant. Also I now have pus draining from the site. I started on Azithromycin 500 mg. and am on day two of the antibiotic. I have also been doing salt water mouth wash. There is redness and pain in the area now. What should I do, I have travelled and am not in the same country as the implant was performed. Should I seek a local dentist? How long should I wait until I see someone?

    Reply
    1. RamseyAminDDS Post author

      Do not wait to see a dentist. The area should be evaluated and a second antibiotic or different antibiotics should be used in addition to a possible Betadine irrigation or debridement. There is a good chance your losing bone or could lose the implant entirely. Find someone that focuses on implant dentistry rather than just regular dentistry.

      Reply
  3. Alison

    I think this is the most informative site about dental implants.
    I want to say thank you. There are just not enough honest open sites like this.
    I think there is a lot of people out there who have not been given the facts needed to make an informed choice.
    I wish I had found this before my surgery.

    Reply
  4. Vee

    Hi
    Dear Doc
    I had a root canal done 4 weeks ago..(bottom right) it caused terrible pain, also crown was too high,it has now been adjusted. It hurt for a full 7 days! While healing i noticed i had another pain i thought it was the top (upper right) of the teeth but the dentist said nothing was there, there was no crack! . But i just realized it was the tooth behind the root canal root.. it feels sensitive to biting!! I cant believe this is happening!! Its been so expensive! Is it possible that the tooth behind (root canal tooth) become infected? Does this happen ? Cant this be cleared by antibiotics… This tooth was fine before the one in front became infected! Just what do i do now? I cant afford any more time from work or money! Wont this just get better on its own?

    Reply
    1. RamseyAminDDS Post author

      Yes. This can happen.
      This blog is intended for dental implant related questions though. I try to keep it on focus.

      Reply
  5. Purnima

    Dr. Amin,
    Thank you for your informative video. I have to do an extraction of tooth #3 this coming week because it is still infected after a root canal re-treat. The additional complicating factor is that I also need to have endoscopic sinus surgery for polyps and chronic sinusitis – this was originally scheduled for 2 weeks from tomorrow but now may need to be rescheduled. My sinus dips down right above the root of this tooth, so it might likely require a sinus lift procedure too.

    My question is on timing of the bone graft – whether it needs to be done at the time of extraction, or can be delayed a couple months. My periodontist said he always ideally likes to graft bone at the time of extraction if the plan is to do an implant for the missing tooth, which I want to do. This would mean delaying my sinus surgery, which could be done, but how long do you think I should wait before the sinus surgery if grafting is done? And what would be the disadvantages of waiting a couple months to do a bone graft?

    Also, if there is a pre-existing severe infection around the root of this tooth, does this make bone grafting at the time of extraction more risky? Thank you.

    Reply
    1. RamseyAminDDS Post author

      The two procedures should be separated by a 2-3 months.
      I would take out the tooth first and graft at the same time as long as the infection hasn’t penetrated your sinus.

      This way if you have any sinus complications the ENT can help on the tail end.

      Reply
  6. Erma

    Dear Doc Amin,

    Good day, im 28yrs old from philippines. i am so worried of my bone graft and don’t know what would be the consequences. I had 2 implant and bone graft at the same time 1week ago on my upper front tooth. After 1 week i have to come back as the stitch on the other one was gone loose and the bone graft was exposed i can tatse the grafts so i came back to him and he stitch again. The graft still expose and 1 day later when i woke up today the bone graft that has been exposed became a whole now that makes me worried. The other one was all ok which he made extraction too. But this one here that makes all the complications was a missing tooth 11yrs ago. What can u advice me doc, i am so worried please help.

    Thanks

    Kind regards,
    Erma

    Reply
  7. Tim Smith

    After, I had a infected tooth extracted and my face swelled up. I had to submitted to the hospital due, to swelling.

    Reply
    1. RamseyAminDDS Post author

      I’m guessing this was a lower tooth like it wisdom tooth or second molar that can compromise your ability to breathe if the infection heads towards your throat or if you develop hematoma on the inside surface after extraction.

      Reply
  8. Lori

    I hope you can answer I am having an implant 6/17 no bone grafting planned…although this guy seems to prescribe antibiotics for implants regardless. I am dead set on not taking them unless infection occurs however i do have some holistic options on board for preventative. As I have no known health issues and am a clean unprocessed diet would this be an option you would entertain? I don’t really like what happens to me on antibiotics and it takes months for me to get my body back to normal after a round of them.

    Reply
    1. RamseyAminDDS Post author

      There are more factors to decide this than I can answer in a single post.

      If the implant is really basic I would suggest at the minimum a single loading dose of antibiotics 1 hour prior to first incision. An implant is a foreign body entering the bone. The bone space connects to many non intra oral spaces that infections can spread.

      Just some food for thought. ?

      Reply
  9. Diane

    Dear Dr. Amin,

    At this time I’m hoping you will be able to give me your opinion in regards to my current situation.
    I had an implant placed last July after the tooth was pulled 5 months prior.
    I had no infection after the implant was placed. About 2 months ago the screw in crown was placed . When the crown was placed the area were it was inserted was very sensitive for almost a week.
    Because it was sensitive I made the mistake of not cleaning it for the first week. I then started having symptoms of infection. It was on a Saturday when I noticed the infection. Because the implant was placed in the area of my left nostril, I decided to pour warm salt water down my nose to hopefully get rid of the infection. When I did pour it the pain was extreme as if someone hit me in the face with a baseball bat. I immediately took some advil and kept rinsing my mouth with salt water for a few days. The dentist then put me on anti-biotics and the infection cleared up. A few weeks later I fell asleep after attending a dinner party without cleaning my teeth. I woke up with another infection and started to again rinse with warm salt water and Listerine. A few days later I went to my regular dentist to have her unscrew the implant crown to check for infection and she said there was nothing visible. After another round of anti-bio tics and rinsing after every meal, I have no more issues and it’s been almost a month now.

    The x-ray that my regular dentist took, according to her, showed a slightly dark and cloudy area around the new implant tooth. She emailed it to me as well as to the implant doctor. He then had me come in to check the implant via his own x-ray. He has told me that because I have no current symptoms of any infection and that the implant and crown are not wiggling or lose, that there seems to be no issue currently. He does want me to come back in a month so he can take another x-ray and has said he will take out the implant if I have symptoms that there is an infection.

    Here is my question which I would so much appreciate if you would answer—

    Does an x-ray that shows some a slight dark and cloudy area definitely mean the implant is infected and needs to be removed even when there are no symptoms of failure?

    It’s the implant on the right side that is the one in question. I’m not an expert but I don’t see any difference at all around the area of either implant.

    Thanks in advance for any info you are willing to share with me.
    PS—I have 2 digital x-rays but don’t know how to post them here. Is there a way I’m able to post the x-rays?

    Thanks for your help!
    Diane

    Reply
  10. Chip Beard

    Hi … I have read through the blog and watched your video. I had an extraction and bone graft tooth #3 on 4/19/ 2016 after having a failed root canal and apico. The tooth showed signs of localized infection. I have a history of sever c diff and can’t take ANY antibiotics according to my GI. The extraction went well not much pain and day 2 zero pain however, your comments are concerning about the risk of infection . My oral surgeon said he cleaned the infection very well and all looked great and he understood I can’t take the antibiotics. Is there still a high risk of infection and how long until I am out of the woods?
    Thanks,
    Chip

    Reply
    1. RamseyAminDDS Post author

      All you can really do is assume the risk at this point. Either way is risky whether or not you take antibiotics or you don’t. The size and technique of the graft also placed a big role on whether or not it becomes infected or not. Because you developed C. difficile before your likely to develop that again. As long as you have a good immune system, you don’t have any bad lifestyle habits and the graft is fairly small hopefully nature will just do its thing. Good luck!

      Reply
      1. Chip

        Thanks for your reply! After having 4 severe cases of c diff that lasted for over a year and ended needing a FMT to cure the c diff obviously infection concerns me. What is the general time frame one would be looking at if an infection was going to occur?
        Thanks!

        Reply
        1. RamseyAminDDS Post author

          The first month after having the implant surgery and/or bone graft would be the most common to develop an infection. Did the FMT Fecal Microbiota Transplantation work?

          Reply
  11. Jennifer

    These videos are great. I had an upper molar extracted in November ’15 and have been putting off the implant process, even debating whether or not to replace it (the second from the back is what’s missing). The tooth originally had a crack under a crown and they attempted a root canal but it had to come out. I was on one course of climomycin (sp), then another on cipro back to back for the extraction. I developed C-Diff as a result. I’m only 55 and haven’t been near a hospital in 8 years and hadn’t been sick literally for 25 years prior to the tooth incident. I’ve recovered from that, but now I’m terrified not of getting an implant, but of having to take antibiotics. My dentist says there is no alternative. That’s why I’ve been considering leaving it alone. Have you heard of such a scenario? He doesn’t think I’ll need a bone graft – just the “tapping” procedure that you described. Thank you!

    Reply
    1. RamseyAminDDS Post author

      Each situation and each patient’s history has to be evaluated carefully to make a decision to do a dental implant without any antibiotics at all including preoperative antibiotics. Regardless, you’re taking risk but you need to have this discussion with your dentist. You might want to see somebody who is very experienced and has a long track record of success to reduce your chance of infection if no systemic antibiotics will be used.

      Antibiotics are most important when bone grafts are involved.

      Reply
  12. Marcy

    I was wondering if you have seen a situation where Clindamycin caused an increase in E. Faecalis? This happened and I was put on Doxy and Flagyl and they didn’t help.. my symptoms worsened and then I was put on Cipro and I feel as if I may get pancreatitis.

    Reply
    1. RamseyAminDDS Post author

      you should see an infectious disease specialist and be tested for susceptibility and sensitivity for antibiotics

      Reply
  13. Helen

    I have diabetes. I was told I need antibiotics for tooth removal and possibly implants. Issue here is I have had awful side effects on these. It’s bad enough to need all this work done but even worse is the thought of medication. Antibiotics cause my nervous system to go crazy causing effects like body burning, anxiety and so much more. Are they really needed. And if so what could be a conservative plan? I appreciate your video. Thanks.

    Reply
    1. RamseyAminDDS Post author

      each situation is unique. Her diabetes status needs to be evaluated in the context of the surgery and surgical technique/materials that will be used. You should speak to your dentist about this. Diabetics are much more prone to infection and slower healing of bone grafting and dental implants. The lower your blood sugar and hemoglobin A1c, the better

      Reply
  14. Phyllis

    Good Morning Doctor-

    I had bone grafting and 3 teeth implants done in Jan 22nd 2016… It is today Feb 22nd of 2016.. I have been on more medications and antibiotics, and I’m still in the same situation….. .. The middle implant got all infected, my Surgeon cleaned it all out and put me back on Biaxin for 10 days.. I’m going back this evening to see him, my Chin and bottom lip are all num… its already 5 weeks..

    Please reach out to me phyllism@bachrachgroup.com,

    Reply
    1. RamseyAminDDS Post author

      If there is questions as towards whether the implants are causing the numbness they should be taken out. This will likely resolve the infection and allow areas to heal.

      I would also suggest a treatment with some steroids also. Keep us posted

      Reply
  15. Jessica

    Hi Dr, Amin,

    Tomorrow my root canaled tooth #14 will be extracted. I am not prescribed antibiotics prior to my extraction which I am happy about it. My gum around tooth #14 is not swollen or sore. I feel fine. This is probably a dumb question but since I am very nervous about my extraction, will I feel pain during the extraction? I heard local injection will not numb my infection side if I don’t use antibiotics and having an infected root canal before the extraction date…

    My other question is I will have bone grafting right after the extraction. And then plan is having an implant in 4 months. I don’t like to use antibiotics especially because I used a lot of antibiotics in the past and I am only 30 years old.I would rather use vitamins and supplements to fight with the infection. But of course I do not now if it is required for my future implant operation. Do you suggest using antibiotics after bone grafting?

    Reply
    1. RamseyAminDDS Post author

      How did it go? Yes antibiotic should be used after bone grafting. Chance for infection substantial.

      Reply
      1. Jessica

        Thank you Dr, Amin. Your articles made me somewhat knowledgeable and my doctor was suprised while I was asking him some questions before my extraction:) hopefully I did not bother him.
        I did not feel anything during the extraction. It actually happened pretty fast. I hope that area is cleaned very well… Extraction With the bone grafting took about 15-25 minutes of the nitrous didn’t fool me:)
        I was not given antibiotics prior. My dentist said that the only reason he is giving me antibiotics now is because bone grafting. It is called cephalexing. As for pain relievers I am using Vicodin and ibuprofen one at a time exchanging. I took a day of from work and will take today real easy. Hope my healing goes well without any contradiction.

        Reply
  16. Dan

    Hello Doctor,
    I had a block bone graft done a month ago and everything was going well until I noticed the gum above one of the teeth near where the graft was placed has now healed and also noticed small amount of pus coming out. I did not take any antibiotics after the surgery and the surgeon not placed me on it for a week. I do not have any pain unless I press heavily with my finger on the gum where the graft was placed. Should I avoid the area with my tongue completely or is it a good idea to massage it around the healthy area that has healed. I was told I can use the antibiotic mouthwash and my finger to massage the area around. Thank you very much.

    Reply
  17. Dan

    Hello Doctor,
    I had a block bone graft done a month ago and everything was going well until I noticed the gum above one of the teeth near where the graft was placed has not healed and also noticed small amount of pus coming out. I did not take any antibiotics after the surgery and the surgeon not placed me on it for a week. I do not have any pain unless I press heavily with my finger on the gum where the graft was placed. Should I avoid the area with my tongue completely or is it a good idea to massage it around the healthy area that has healed. I was told I can use the antibiotic mouthwash and my finger to massage the area around. Thank you very much.

    Reply
    1. RamseyAminDDS Post author

      WHAT!!! DO NOT rub the area!! this is one of the worst possible things you can do!!! Are you absolutely certain it was an onlay block bone graft? This is a procedure that definitely requires oral antibiotics. Perhaps you did not realize that they prescribed you an antibiotic? I would call the office ASAP and see your surgeon. I perform a block graft quite routinely. Here is an article about it.

      Reply
  18. Karlene vanfleet

    My son has infection smell in his mouth where the bone graft is, he loose teeth, it’s oozing and serious pain. The dentist is hard to get ahold of and we have a poor insurance. He is taking hydro for pain and penicillin for antibiotic. Now what? Surgery was 7 days ago.

    Reply
    1. RamseyAminDDS Post author

      He needs to see the surgeon for a follow up asap….please reply when you find out the outcome for the benefit of other readers.

      Reply
  19. Vickie

    I just had a dental implant done and it is infected. My dentist increased my Clindamycin to 300mg 4x per day. I’ve finally had some relief, but still am having pain. I have about 3 days left on my antibiotic….. How long does this type of infection take to clear up!! Thank you for a reply in advance!!

    Reply
    1. RamseyAminDDS Post author

      Some infections can be aggressive and take 1-2 weeks to cure. I would suggest a culture and sensitivity test and perhaps switching antibiotics or adding a different antibiotic to the mix. Is the infection gone now as of Christmas Day?

      Reply
      1. Victoria

        We switched to Augmentin about 3 days ago. They took the bone graft out on Monday. I’m feeling a lot better, but still a little swollen and slight pain. I’ve been able to just use 800mg Motrin. I think I’m on the mend. Thank you for your reply.

        Reply
        1. RamseyAminDDS Post author

          wow…. Took the graft out….. I rarely have to do that and I do bone grafting procedures every single day.

          I’m glad you’re better but I am only sorry that you’ll end up having to repeat the procedure. There are other options of antibiotics and local treatment rather than removing the entire graft but sometimes it is the only option. Of course without seeing you there is no way that I could be certain.

          Thanks for the follow-up

          Reply
  20. James Jackson

    a month ago, firstly my doctor took a 3D scan of my mouth areas that I had been considering having dental implant, then he did a virtual surgery on the computer without touching my mouth. It didn’t hurt at all.

    Reply
  21. Ng Hao

    I just had a dental implant and was given antiobiotics Metronizadole and swelling medicine Dasathasone. I took one of each immediately after the surgery. Is it compulsory for me to continue taking the medicine as i am trying for a baby with my wife and i was told by my urologist that it is not good if the baby is conceived while i am on such medication? Will infections occur if i do not take them? After a night of rest, i do not feel any pain around the implant area. Thanks.

    Reply
    1. RamseyAminDDS Post author

      Hi Ng,

      You’re taking additional risks by not being on the antibiotics and the dexamethasone if it was prescribed by your implant surgeon. If it was a very straight forward, non-complicated dental implant without a bone graft and you’re a healthy young man with a healthy lifestyle, you will likely be okay.

      The experience of your dentist is got a lot to do with how well things will turn out. Also using a sterile set up like I have shown on this post, will help decrease the chance of infection. I’m sure you will be fine. Good luck on the baby….. I have a few kids myself and they are great!
      😉

      Happy Thanksgiving

      Very respectfully,

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

      Reply
  22. Narcie Haran

    Dr. Amin: I watched your video and have a few questions. I am post surgery from 9/18/15 and still having pain and swelling in the left lower jaw. I had two implants placed, teeth 20 and 21 and am beside myself. For two weeks I have been taking 800 mg of Ibuprofen and Hydrocodone for pain.

    I did go to a well known dental school in Philadelphia to have this work done but I am really tired of being in pain. I did go back a few days after surgery because I was in so much pain and the student dentist said everything looked good, no infection.

    I had the stitches out last Friday, October 2nd and again he said everything was healing nicely. If everything is healing nicely why do I have so much pain and swelling still. If I knew it was this much pain I would not have had this done and would have opted for a partial plate.

    Thank you for any input.

    Reply
    1. RamseyAminDDS Post author

      Take a 3d scan to evaluate the position of the implants to the nerve. It is possible that it is pressing on the nerve.

      Also a scan and a regular X-ray can look for rare things such as osteomyelitis.

      I am sorry you are having so much pain…this is not common but can occur especially in the lower jaw.

      If pain is not gone in 4 weeks and it is that bad, you may want to remove the implants.

      Your past and current medical history may also be the cause of the pain.

      Reply
  23. Steph

    Hi there,

    I’m wondering if you can offer some advice? I had my back upper 3rd molar extracted approximately 7 weeks ago. It was done with stitches and a cheek flap. Since this time I have suffered from continual pain in the bone in and around the extraction site. I think it’s improving and then it starts getting worse again.

    I have also had sinus surgery recently due to a bacterial infection caused by perforation of the same tooth. My sinus issues still continue and I’m on 2 antibiotics and halfway through a course of pulmicort which I’m inserting into my sinus rinses. I’m doing salt water rinses and basic pain killers only take the edge of the pain.

    I’m at my wits end and I feel as though I’m annoying my oral surgeon as he cannot see anything wrong and xrays have shown no abnormalities. I’m 33 and have been on antibiotics for the most part of this year and am desperately unhappy. I’m wondering if you can offer any advice or suggest any avenues that have not been explored.

    Reply
    1. RamseyAminDDS Post author

      Hmm…I hope you have had a ct scan and that the surgeon and the sinus doctor are the same person or they know what the other is doing. If not, see an ENT immediately.
      If you smoke or have any other medical conditions this could slow things down too.

      Some bone infections can get so bad that they turn into osteomyelitis and would require antibiotics via IV. Fortunately osteomyelitis is not that common in the upper though.
      The other likely thing is called an oral Antral fistula. This must be closed surgically for you to heal.
      Make sure if you reply to cut and paste this thread back into your new post.

      Good luck.

      Reply
      1. Steph

        Hmm…I hope you have had a ct scan and that the surgeon and the sinus doctor are the same person or they know what the other is doing. If not, see an ENT immediately.
        If you smoke or have any other medical conditions this could slow things down too.

        Some bone infections can get so bad that they turn into osteomyelitis and would require antibiotics via IV. Fortunately osteomyelitis is not that common in the upper though.
        The other likely thing is called an oral Antral fistula. This must be closed surgically for you to heal.

        Hi there,

        Thank you for your reply. Unfortunately, I cannot seem to find a doctor who can help with both the tooth and the sinus. I have seen two ENT’s and had the tooth removed by a reputable oral surgeon. The CT scan revealed that there is some congestion remaining in my sinus, however, I don’t believe that there was any evidence of an oral fistula. Every time I go off antibiotics, the sinus issue seems to flare up and becomes refilled with pus. I cannot help but feel that the pain at my extraction site is related. Examination of the site shows that everything is healing as it should. It is possible for an oral fistula to remain undetected on a CT scan? The new ENT I am seeing seems to think that the problem may be nerve related, but I am skeptical as the pain is always there. Anyway, any additional insight would be much appreciated.

        Thank you for your response.

        Reply
          1. RamseyAminDDS Post author

            if you’re interested in the virtual consult with me please call my office and speak directly to Sophia

  24. Kristine

    My dental implant in #5 that also had bone grafting, shows bone loss in the latest x-ray. I was told, I cannot get the implant. He told me to come back in a month!
    I went to another dentist because he is giving me invisalign braces on my bottom teeth. He said the “bone loss” is an infection, and he prescribed me the Z-pack as we were going out of the country, and that area, had shooting pain.
    Why would he not make an appointment to have it removed again?
    It hurt like hell when he had to remove it the first time it failed.
    He only prescribed antibiotics when he drilled in the implant.
    No antibiotics during the first bone graft, or even the second one, when he had to SCRAPE out the infected graft.
    I have a headache now and also #12 has shooting pain.
    No x-ray to check even when I complained about it.

    Is this NORMAL behavior when things go bad?
    I am terrified, both implants HURT, and I am getting NO CALLS back from the dental surgeon, or my own dentist.
    I emailed PUBLIC HEALTH, because I cannot get anyone to help me.
    I do not want to sue anyone. I just want this mess addressed!!!!!
    What should I do now?

    Reply
    1. RamseyAminDDS Post author

      Wow. Thank you for your kind words. I look forward to meeting you personally.
      🙂
      Dr. Amin.

      Reply
    1. Ramsey Amin DDS

      7-10 days would be considered normal.

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

      Reply