Category Archives: Cost of Implants

Should I Pull All of My Teeth and Get Dental Implants?

This is a question I hear often. Worse yet, some people say should I pull all of my teeth and get dentures?

Most of the time the answer is no! BUT…sometimes it IS better to pull your remaining teeth and have full mouth dental implants.

Many times people present with either all of their top decayed and/or infected with gum disease. Many times these teeth have already had root canals, crowns, and tooth bridges in addition to bone loss.

Sometimes fixing all of those bad teeth costs more than replacing all of the teeth with a fixed porcelain dental implant bridge with gum colored porcelain.

IMG_0252This woman is a good example. She had cancer, and her lower teeth were a constant problem for her during chemo. Other dentists she saw suggested she try to save the lower teeth with crowns. She wanted to keep her upper denture, though. 

In the final result picture you can see the difference between what a typical denture looks like and the fixed porcelain bridge I made for her IMG_0255on 5 dental implants. Unfortunately, most dentures look like this after about 2 years because they are made of plastic.

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Even more convincing than having a lower total cost is the fact that the teeth that were “saved” are likely to go bad again in just a few years. What many people do not realize is that crowns get cavities too! Root canals often leak and become infected. Unfortunately, even the best dentistry will eventually fail.

It comes down to predictability and how long each option will last.

The cost difference can be quite substantial most of the time. I am often able to save the patient between $5,000 to $20,000.

In this technique,Ramsey Amin DDS, Burbank dental implantssome bone grafting will not be needed. I can avoid some bone grafting with a unique positioning (this is not the all on four method).

Most of the time, I extract the remaining teeth, place the implants and make temporary teeth all on the same day. Of course, there are a few visits before this procedure so I can take molds of your teeth, take a 3-D x-ray scan and carefully plan the implant teeth. In fact, the final teeth plan is made before any teeth are even removed.

It’s not the scan, it’s the plan. A diagnosis and treatment plan is the most critical step of all.

Another factor for you may be your appearance. Rehabilitating the bad natural teeth may not look as good as the types of dental implant bridges that I make.

I’m sure you can see that the implants look much better than the upper denture!

Dental Implants Placed and Restored by Ramsey Amin DDS, Burbank, CA

Dental Implants Placed and Restored by Ramsey Amin DDS, Burbank, CA

Please comment below or ask questions.

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

818-538-5718

 

Full Mouth Dental Implants – Burbank’s Ramsey Amin, DDS Review -Video

Burbank Dental implant specialist Los Angeles

Full Mouth Dental Implants – Gun Shot to the Face – Bullet Fragments

Full mouth dental implants can be very confusing and highly varied in technique and cost.  In this video, I explain the things you should know about having dental implants to replace all of your teeth.

Here is a recent x-ray of a patient that I placed 14 dental implants and upper and lower fixed dental implant bridges.  He lost his teeth to gum disease.

Burbank Dental implant specialist Los Angeles (2)

14 Dental Implants and Fixed Bridges -Teeth Lost To Gum Disease

The other shows eleven dental implants for a full mouth reconstruction in a patient that had a gun shot to the face.

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

Fellow-American Academy of Implant Dentistry

3 Myths About Tooth Implants -Pain, Expense and Time – Burbank Dentist Explains

dental implants Burbank CA

dental implants Burbank CADental tooth implants have been in use for more than 40 years!  Even though they are quite common, there are three “myths” that I hear potential patients describe all the time.

1. Dental implants are painful!

2. Dental Implants are expensive!

3. Dental implants take a long time!

1. Dental implants are painful!

FALSE! In my more than a decade of placing dental implants, most of my patients say, “that was much easier than I thought!

There are three things that will predict whether this procedure will hurt.

The ease or difficulty of your unique situation is first. The second factor is your ability to heal well. And third, the skill and training of your implant dentist.

Pain should not be a factor in your decision making process. Choose the treatment that will give you the best result.  Although I do write narcotic prescriptions such as Vicodin, most of my patients end up just using tylenol and/or advil.  IV sedation is highly recommended as it will reduce post-operative pain too!

2. Dental implants are expensive!

FALSE! Dental implants do not cost much more than an average 3 tooth bridge! In my office in Burbank, the cost is almost identical. The long-term cost for having an implant versus a bridge is much lower, since a bridge will be replaced every 7 -15 years. Your dental implant will most likely never need to be replaced!

If you have a bridge, your adjacent teeth will be irreversibly ground down into little nubs. This fact alone is worth it.

3. Dental implants take a long time!

FALSE! Having an implant usually takes 2 – 4 months on average.  A bridge takes 3 – 6 weeks.

It is a short term sacrifice for a long term benefit!

Bone by nature, takes a while to heal. Have you ever broken a bone and had to wear a cast? I’m sure you had to wear it for a several weeks! The bone around a newly placed implant has to mend, just like the bones in your arm would have to.

A bone graft, may or may not extend the amount of time it takes for healing.

In my Burbank office, you will always have a temporary tooth! You don’t have to walk around with missing teeth during the process!

Here what my patients have to say: Burbank Dentists Video Testimonials

Burbank Dental Implant Specialist Case Example – Lower Front Tooth With Temporary on Abutment

This 24 year-old female came to see me at my Burbank office.  She already had an implant, a custom abutment and a temporary crown on her lower front tooth. She was ready to be fitted with the real crown.

The temporary on the dental implant custom abutment did not look very good at all.  Neither the patient, nor I really liked it.  Besides being dark and black at the gum line, it lacked other the right shape of gum.  It looked to "set back" towards her tongue.

The tooth was further complicated by the implant being about 0.3mm to 0.5mm too large.  Yes…that tiny amount makes a HUGE difference in the final result.

I reshaped her temp and "trained" her gum to fill in between the teeth and make them the same length. This took a few weeks for this to occur and is done by modifying the temporary…NO surgery is done.

Below is the photo series of the dental implant restoration using her existing custom abutment.

This is how she came to me with her existing temp in place:

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Here is the abutment after I reshaped it:

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The final porcelain crown and corrected gum line appearance:

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Final x-ray:

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I was able to help her control the cost of the restoration by using the existing titanium metal custom abutment rather than starting from scratch.  A narrower implant and abutment would have made this much easier.

Comments? 
 
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com
  

Abutments -Burbank Dental Implants Expert -Dr. Ramsey Amin – Case Follow up

Here is some follow up pictures to this case posted a few months ago:

In my office in Burbank, the final abutments were placed on these four implants that I placed.  The process takes me about 45 minutes to complete.

Impressions can be made, and teeth fabricated directly on the dental implant abutments.  These are not custom abutments.

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These abutments can be shaped in the mouth.  This method can greatly reduce cost if you are considering tooth replacement.

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Notice the perfect alignment of the implants.  This is critical for the best long-term success.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com

Dental Implants With Just One Surgery? – Expert Dentist, Dr. Ramsey Amin Explains

Traditionally most dental implants were placed using a two stage surgical technique.  That means you would have two surgeries for just one implant!

The first surgery would be to place the actual implant in the bone.  At that time the dental implant would be covered by the gum so it is not visible.  That is the part that people refer to as the "screw."

Here is an x-ray example of short implants that had to be buried due to the patients medical condition:

Gibbs 
The second surgery would happen a few months later to "uncover" the implant from under the gums.  This allows the gum to heal around the implant as it is newly exposed in your mouth.

In my office in Burbank, nearly 95% of my patients do not need the second procedure.  Not only does this prevent you from needing a second procedure, but it helps reduce the cost.  It increases the price, when you have to have two surgeries rather than one. One stage implants help me decrease the cost to patients.

Here is an example of a one stage surgery (note that the implants are taller so they are visible in the mouth):

Slaby 
What makes the determination for one or two stage?  It varies, but I find that many dentists and surgeons still do two stages because that is the way they have "always done it." There is  a lot of scientific proof to allow the implant to be done in one stage.

The other determination is mostly in how "tight" the implant is when it is first put in.  That tightness is very much controlled by the skill and experience of your implant dentist.  This is especially critical for dental implants in your upper jaw, where the bone is usually very soft.

I do on occasion use the two stage technique when it is better for your situation.  I may do it if I am doing a large bone graft at the same time the implants are being placed.

The most common area of the mouth to use the two stage surgery is the upper back molars. This area has very soft bone so implants in this area may not get as "tight" when first placed.

Having a tight implant also positively relates to the long term success of your implant.  I accurately measure how tight or loose your implant is using a torque wrench.

So there you have it… One stage, one surgery if it is predictable for your particular situation.

Please ask questions in the comments section below this post.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com

Does Insurance Cover Dental Implants? – Burbank Implant Dentist Advice

Usually not.

It is really unfortunate that dental insurance usually does not cover this very common procedure.

What most patients don't know is that dental insurance has a "cap" or "ceiling" of money (benefit) on a yearly basis.  Unlike medical insurance, most dental insurances max out at $1500 per year!  That means anything above that amount is owed by you.

Medical insurance may cap off at the 1 – 2 million dollar mark!

This maximum of $1500 has been the same since the 1970's! If it would have kept up with inflation, the maximum yearly benefit would be about $8800.

Dental insurance just has not kept up with the times!

About 75% of my patients in Burbank do not have dental insurance for their dental implants or bone grafting procedures.  They seek me out as an authority of the dental implant procedure. I do not suggest you "shop" around by price, but rather pick the best implant dentist and check out their credentials very carefully.

That said, I have had written extensive narratives for my patients and got their insurance to pay for implants many times over the last ten years.  I have also gotten them to pay for it when it wasn't even a covered benefit.

Bottom line…don't let your insurance dictate the proper treatment you need or want.  You control your health care.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com

Upper Molar Dental Implants to Replace Missing Teeth – Case Study -Dr. Amin, Burbank

Here is a nice basic case to follow from beginning to end.

This man's upper molars on one side were in bad shape:

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The teeth were extracted and replaced with three dental implants in my office in Burbank.  He also had a deep cleaning.

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The color denotes the size of the implants.

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Standard abutments were able to be used rather than custom abutments.  This helps reduce cost, but most implant surgeons don't know how to place implants to prevent having to use custom abutments. 

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Final Teeth: 
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He was really happy to have teeth again.  He can eat anything he wants!

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com 
 

The Process of Having a Dental Implant – Video by Leading Burbank Dental Implant Dentist

The process of having a dental implant is very unique for each situation. This video, that I made in my office in Burbank, will help you understand the basics of what is involved. It explains how the procedure is done and sequenced.

A dental implant can be completed in as short as one single appointment in one day, or it may take a few months.Depending on the process, the cost can vary.

The process is illustrated on my website.

If you cant see the video, watch it here: http://www.youtube.com/watch?v=DlDRhHH8tsM

A related topic is "immediate dental implants" which is something I have done very routinely for about 10 years.

Your comments and questions below will be answered!  (No need to sign up, just click the "comments" tab below)

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com