Dental Implants – How long does it take

Treatment time can vary greatly depending on your needs.

If you were to break your arm, the bone would take a few weeks to heal.  Bone in the mouth is similar.  It usually but not always needs the same amount of time.  The upper jaw usually takes a little longer due to softer bone.  The lower jaw is usually very dense which speeds up the time frame.

Techniques such as "immediate implants"  allow me to complete full mouth implants in one hour, sometime less. Each situation needs a separate evaluation. Some implants can be completed from start to finish in a single hour, while certain situations will require a few months of healing. Be assured that at no point in your treatment will you have no teeth.  Temporary teeth are used to make sure you can smile with confidence until the final teeth are completed. At your first visit I will be able to give you an approximate timetable.

Traditionally, the procedure has been performed in two steps. The dentist began by placing the implant, which was left for from three to six months to heal and integrate with the jawbone. During the healing period, the patient was given a temporary denture until the permanent crown could be put in place.

I  provide an alternative to the two-step method that allows you to have the implant placed in one single session. This new method has simplified the procedure for patients. The procedure chosen depends on several factors, such as your health, the number of teeth involved and which teeth are replaced. These factors will also determine the total number of visits.

Surgical Advances

My technique saves many months of healing that are typically associated with dental implants. Temporary teeth can be placed on the implants on the same day of the surgery. There are even many situations where the implants can be placed at the same time as a tooth extraction further minimizing the number of surgical procedures!  In fact, I am one of few dentists that can extract a molar tooth and replace it on the same day!  Advances in dental implant technology have made it possible in select cases, to extract teeth, and place implants with crowns at one visit. This process, called “immediate loading” greatly simplifies the surgical process. Most patients experience minimal disruption in their daily life. In some cases where significant bone deterioration has occurred, we may have to delay placing the final teeth for 3-6 months.

A patient of mine is featured below.  She broke her front tooth and it was not savable.  The next picture shows the SAME DAY extraction, implant and temporary crown.  Hence to say she was very happy.  With this procedure there is literally no pain when done correctly.  No incisions were made. The next picture is her final porcelain crown on the implant, four years after placement!  I think it looks great and she is thrilled.  The final x-ray shows how the implant is encased by bone.

  IMG_3535  IMG_3545

IMG_4866  

2 - Final restoration in function for a minimum of one year 1-6-09  

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71 Responses to Dental Implants – How long does it take

  1. LS says:

    This is amazing! I was told that I need to get a dental implant in my molar, and seeing this success story makes me feel less hopeless about my upcoming procedure.

  2. Dr. Amin says:

    Feel hopeful about your procedure! In the hands of an experienced implant dentist, this should be successful. I have been doing immediate implants for 10 years now.
    Thanks for your post. Let me know if I can be of any assistance.
    Dr. Amin

    • yuyu says:

      I need front implants my frint upper 4 .. I am really scare

      • Ramsey Amin DDS says:

        yuyu,

        Why not be sedated for the dental implants? IV sedation is extremely safe and will keep you very comfortable during and even after the procedure. I perform IV sedation 1-3 times a day for the last 15 years or so. make sure sedation is given by IV not by oral medications.

  3. John Krauth says:

    Wow. What a helpful post. I wish I lived closer to you. My dentist is not as thourough. :( I am having three lower molars replaced.

  4. Thanks for your kind words, John. Good luck!
    Dr. Amin

  5. Dr. Esen says:

    a great blog, you’ve inspired me to consider a blog for my practice.

  6. Susanne says:

    I currently have braces making space to put in an implant for my front upper lateral incisor.
    My current dentist has only quoted me for the completion of the braces treatment. Told me i have at least 8 months left to go… although I believe there to be a significant GAP in my front tooth already.
    This makes me self conscious and unwilling to smile or talk. Is there a way to make the gap less noticeable? Such as this temporary teeth you have mentioned in this post? While i complete my braces treatment?

  7. Hi Susanne,
    There is a neat way to have a temporary with your braces.
    Ask your dentist to “hang” a tooth on the ortho wire. This will fill in the space and still allow you to move the teeth.
    I do this all the time!
    Dr. Amin

  8. ssma4@msn.com says:

    I have to have an upper sinus lift and would like to know realistically how long the recovery; bone growth, etc will take before the implant is inserted? I get different time frames from different dentists. One said 6 months which is too long as with all my past dental work, I heal quickly. Thank you

  9. ssma4@msn.com,
    A sinus lift graft usually take between 4 to 9 months to heal. A lot depends on the size and extent of the graft.
    Dr. Amin

  10. Gary says:

    I had a front tooth implant placed 10 weeks ago and was told I can’t get my temp crown for another 10 weeks! My restorative dentist wants me to get a temp crown now to allow the gums to heal around it and to get me out my flipper (which I would love) Who’s right? and is 10 weeks to early to load a temp?

    • Hi Gary,

      10 weeks is not too early. If you have a class one bite and the implant had initial stabilty of more than 35NcM in great natural bone, you should be able to have a temp on a front implant. There are about a 100 more details to consider, but those are the basics.

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

  11. Tom says:

    Hi, 3 weeks ago had a tooth removed just in front of my wisdom ‘the top left’. The gum is not really healing at all. Can I get an implant now rather than waiting for this to heal then having it done afterwards?

    It is also giving me slightly bad breath and this is something that I have never ever suffered with and is making me slight uncomfortable speaking to people up close.

    Thanks Tom

    • Hi Tom,

      The upper back teeth area has VERY soft bone. In most instances, it is best to wait until complete bone healing before placing the implant.
      Bad breath is not uncommon after an extraction of the socket is not kept clean.

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

  12. Stephanie G. says:

    Hi Dr. Ramsey! Do you have any recommendations for this kind of procedure in the Saint Louis area? I am currently active duty and deployed, but when I get back I’d like to get an implant for a canine tooth I lost a while ago. I’ve been using a flipper with a wire across the front to keep my teeth in place. The flipper is better than nothing, but I hate my smile right now and am so self conscious about my smile. Looking into civilian because my plan for now is to get out after my enlistmet is up in January. Thanks!

    • Hi Stephanie,

      Thank you for serving our country and protecting my children. The world needs more people like you.

      Your best bet would be to find someone with similar credentials to mine. They are well qualified to handle your unique needs.
      http://www.aboi.org/diplomate.asp

      Thank you again and good luck!

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

  13. lucy says:

    hi dr i recently had a front tooth knocked out im 20 and my teeth are very important to me so you can imagine how i felt, because the whole tooth came out clean the dentist has put it back in and used a bonding agent across my front teeth to hold it in place, will my jaw re accept the tooth, how long will it take roughly, and when do i need to look at getting a root canal treatment done ? thanks in advance

    • RamseyAminDDS says:

      Hi Lucy,

      Sorry for the delayed reply. This comment did not come through properly.

      When a tooth is knocked out the prognosis is really variable. They do not always need root canals or dental implants.

      How is it doing now as of late november 2012?

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

  14. tammy says:

    I am having alot of trouble i was going to get implants after getting a bone graft for my lower 4 front teeth, my dentist pulled the teeth than done bone grafting, i waited for about 2 months than i had a ct cone scan, his office called me in about a week to tell me they needed another 5000.00 for a bone block. at no time did he tell me that this could happen. i have already paid him 4600.00. now i dont know what to do. do you know anything about mini implants? thanks i’m just so sick about all this.

    • RamseyAminDDS says:

      Hi Tammy,

      Ugh. I understand your concern. Often after a recent extraction, the whole outer wall of bone disappears quickly.

      If this were the case, another, more major bone graft would be needed.

      In my practice I am usually able to predict this 99% of the time, but there is no guarantee as how the human body will heal.

      Respectfully,

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

  15. MICHAEL WUESCHISNKI says:

    Hello Doctor,

    I had my two lower teeth pulled and now finally I got two post in the front of my mouth. The doctor told me it would take 4 months for the posts to heal and see if they will stay in?(whatever that means) Is that, a all right time frame for healing and then getting the crowns(I think that is what they would be called) fitted and then to put back in? After that, How long will that take SO I got the post in and waiting for it fo heal and then get implants in after 4 months?

    • RamseyAminDDS says:

      Hi Michael,

      I don’t totally understand your question. Can you please rephrase it?

      4 months is fairly average time to allow bone healing.

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

  16. Mary Bartolo says:

    2weeks ago I had 4 implants on my lower gums placed,I am in a lot of pain .Is that normal.
    thank you

    • RamseyAminDDS says:

      Hi Mary,

      After 2 weeks it is likely that there is a problem. Generally speaking, by that time you should really be on the mend.

      Most of my patients take motrin or Tylenol after standard implant procedures and even large bone grafts. If they need strong meds, it is only for a 3 days typically.

      Some patients are more sensitive though. I suggest you see your dentist ASAP to evaluate the source of the pain. The bone should be checked for infection and vitality.

      Good luck!

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

  17. alice says:

    I have a crown thatt has a cavity. Its located on my top left. If they change it to an implant how soon can it be done?

    • Ramsey Amin DDS says:

      Hi Alice,

      If the crown can be replaced that would be a better option than extracting the root and having an implant.

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

  18. barbie says:

    i have severe decay in roots two lower molars and bad receding gums in the same area and they need to be extracted.
    The periodontist said he can extract them and put implants at the same time.

    The Oral Surgeon said not to do that but to extract and let them heal then do implants.
    What should i do?

    • Ramsey Amin DDS says:

      Hi Barbie,

      I would need to see you to make that determination. Sometimes delayed or sometimes same day dental implant placement is best. It is highly variable. Typically same day implants are located towards the front of the mouth.

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

  19. mropa says:

    doctor as it is known that implants is very expensive for the country i am Tanzania to us is huge amount of money plus hotel is it posible to have implants in the day of operation and the cost for 5 missing teeth

    • Ramsey Amin DDS says:

      Hello Mropa,
      Dental implants are placed all over the world. It is nice to hear from you being on the other end of the world!!! I would explore some local options and find a very qualified, skilled, dental implant specialist.

      Dr. Amin

  20. K says:

    i am having several teeth extracted and implants placed. I will be having the extractions and implants done at the same time and them in a month I will be having temporary crowns loaded on the implants. Will a month of healing be enough to load temporary crowns?

    • Ramsey Amin DDS says:

      hello K,

      Immediate extraction and placement of dental implants with temporary crowns is something I do on a daily basis in my practice for the last 15 years. I would not wait one month to do this though. The implants should be loaded either on the same day or within 24 hours or wait until 2 months has gone by. At the 1 month mark, the bone is going through changes were the implant is just about to anterior its weakest remodeling phase inside of the bone. This generally occurs at 6 weeks. The implants should achieve high initial stability and tightness in the bone in order to have temporaries placed on the same day. A very skilled implant team should be responsible for this.

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

  21. Friede Thiessen says:

    Hi! I had a single dental implant Oct. 2013. After 4 month of healing and follow up appointments w surgeon he advised that the bridge could be replaced and my dentist did the work. I have had strange sensations at the implant site ever since and often thought if it as phantom pain where the original toothed once was. Recently this sensation has become a nagging pain and I have to take Advil regularly. Is it possible that my body is rejecting the implant and what should I do now?! Thanks for your anticipated response.

    • Ramsey Amin DDS says:

      Hi Friede ,

      You need to see your dental implant dentist right away. X-ray should be taken, your bite should be checked and your gums measured for any pockets or early bone loss.
      It is imperative that you be checked out very soon!

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

  22. Melissa says:

    Hi, I’m currently 16 and I’m almost going to get my braces removed but I need two implants on my upper teeth and my dentist wants me to wear my retainer with fake teeth while I wait for my mom to start the whole implant process but can’t I keep my braces while I wait? And I’m still a little confused to how the whole implant process works. Like the day I’m set to get them do I get everything done and my implants are put and it takes 3-6 months to recover or?

    • Ramsey Amin DDS says:

      Hello Mellisa,

      It sounds like you are missing a tooth from birth. This is called a congenitally missing tooth.

      At 16 years of age, and you need to make sure that you are done growing. If you are still growing, you could outgrow your dental implant. This can sometimes be verified by taking an x-ray of your hand/wrist junction.

      During the process of having a dental implant to replace her missing tooth, you should always be able to have a temporary tooth on your braces. The whole process generally takes between 3-12 months depending on if you need bone grafting or not. Many times when you’re missing a tooth from birth, the bone does not form so it needs to be rebuilt. These can be very complex.

      Be sure you have the level of your gum line and evaluated for evenness prior to placing a dental implant in your upper front teeth. sometimes her teeth have not completely erupted and you have excessive gum tissue that needs to be removed so that your teeth don’t look so small. Your gum line is likely not completely mature at age 16, but that can be surgically altered to speed up and have a very nice cosmetic result.

      http://www.burbankdentalimplants.com/missing-one-tooth/

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

  23. Casey says:

    I had a first bicuspid removed in February. After 4 months healing it was determined that more grafting was needed due to a curved root in adjacent tooth. Now 4 more months to heal again, hopefully implant of post and then 4 more months before tooth can be attached. I’m so discouraged with the length of this process. Is there any way for this to be accelerated?

    • Ramsey Amin DDS says:

      Hello Casey!

      Some dental implants take a short is one day. Some dental implants that are complex can take two to 2 ½ years to complete. Every situation is so unique. I recently treated a very attractive young female that was missing her front and center tooth. I had to take her through several stages of bone and gum grafting in order to bring everything back to ideal. Once we finally place the implants, it was allowed to heal for four months. After the four-month healing duration, I fabricated a temporary on a custom abutment to help groom her gum to be shaped correctly.

      I can go on and on with the detail but just keep in mind that your unique situation and the skill, training, judgment, and experience of your dentist are all factors in what determines how much time your implant will take.

      Here’s a link that will help you

      http://www.burbankdentalimplants.com/dental-implant-bone-graft-healing-what-to-expect/

      ;)
      Very respectfully,
      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

  24. john says:

    Dr. Amin,

    Thanks for taking the time to answer our questions. I have been without four teeth for maybe 10 years, wearing a partial denture. One tooth on one side of my two upper front teeth, two on the other side of my upper teeth, and one on the bottom near the front are missing. With the teeth having been missing for over 10 years, will the bone mass be enough, and when I have the teeth replaced will the gums look natural?

    Thanks,

    John

    • Ramsey Amin DDS says:

      Hello John,

      If you have been missing teeth for 10 years, it is extremely likely that you will need a bone graft in order to have enough bone mass for dental implants. Because you haven’t used this bone for more than 10 years, natural atrophy has occurred and basically bone just melts away. When the bone melts away, the gum also shrinks too.
      Bone Loss
      It is very possible to get your teeth, gums and bone back to its original size and shape before or during the dental implant placement. It will likely require some extensive bone grafting to give you enough vertical and horizontal thickness for the dental implant posts.

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

  25. Tony Funkhouser says:

    For planning purposes, I have an appointment to have my 2 implants installed. What is this process since the molds have been taken and I assume the teeth have been made. Will this be my final visit and how long does this final appointment take? Are there follow-ups?

    Thank you,
    Tony

    • Ramsey Amin DDS says:

      Hello Tony,

      If you only had 2 simple dental implants, this will likely be your final visit. Expect to be there approximately one hour if both the final abutments and crowns are being installed. Also expect to have a dental x-ray taken at the end to verify that all cement has been removed. Follow-up visits are sometimes necessary in order to make sure your bite is accurate on the dental implants. I am assuming these are 2 dental implants for back teeth.

      Respectfully,

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

  26. bill says:

    There is certainly a great deal to learn about this topic.
    I like all the points you’ve made.

  27. Craig says:

    I was in an accident many years ago and subsequently had to have all my teeth removed. At first, the dentist wanted to wait to see if the teeth would reseat, but they did not, so he pulled them all. I have tried dentures several times, but I cannot keep them in because the cause severe gagging. I have thought about getting implants, but I don’t know how this would work or what the cost would be. I have heard as high as $34,000 for a full set, but this is way out of my price range. I am very self-conscious when needing to speak in public, but I just cannot afford anywhere near that kind of money and I don’t have any insurance to even offset even a part of the cost. Are these figures correct or would the cost be more or less?

    • Ramsey Amin DDS says:

      Hi Craig,

      Replacing an entire jaw with dental implants is an extremely complex procedure. Replacing our body parts is never inexpensive. The cost you were quoted are definitely within range. Oftentimes extensive bone grafting is needed in addition to dental implants and porcelain fixed teeth such as Prettau.

      A fixed dental implant replacement can range from $25-$50,000 for just the upper or lower. A high resolution 3-D scan and a very skilled implant dentist can help you achieve what you’re looking for.

      Most of my patients that have this done spread the cost out over time using healthcare financing such as CareCredit.

      3D Scan

      Prettau Dental Implant Full Mouth Bridge

      Hours and Financial

      I hope you’re able to do something soon before your bone shrinks so badly that treatment becomes even more expensive and complex.

      Very 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

  28. Mary Anne says:

    Dr.
    I had a root canal on # 5 done six weeks ago. There is still discomfort in the area of that molar. Have been on a six day medrol pack and ten days of amoxicillin. Have been checked by endo twice . Tonight I saw a tiny bump in the gum above the molar, does this mean an abcess and if so will I lose the molar? Thank you in advance for your reply.

  29. Lilian says:

    Hi doctor Amin. So enjoyed reading your comments. I am having my healing post fitted next Monday. On my front tooth I was just wondering how much longer until the implant ie whole procedure will be finished.

    Thanking you

    Lilian

    • Ramsey Amin DDS says:

      Hello Lilian,

      Thank you for your very kind words. Back teeth tend to be done more quickly than front teeth. Oftentimes front teeth need the gums to be groomed into position which may take 3 months after having the healing abutment and placed. Back teeth can typically have the crown about 4 weeks after the healing abutment is placed.

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

      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

  30. MrAnonymous says:

    Okay, so in September I had to get crowns over my two front teeth after the dentist took off the decaying areas. Its been almost two months and my gums still aren’t looking right. Between my gums and my crown there is a little blackness there. How long is it supposed to take before that finally heals up and advice to speed it up??

    • Ramsey Amin DDS says:

      Mr. Anonymous,

      Dental x-rays need to be closely evaluated for the presence of bone at the very crest of your natural teeth or dental implants. I do not know whether you have teeth or implants but it sounds like you’re talking about natural teeth.

      This post may help you, but ultimately a dentist needs to closely evaluate you in order to determine whether or not this triangle of gums will grow back.

      The Triangle of Gums Between Teeth and Implants

      Respectfully,

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

  31. Lee says:

    I want implants to replace some of my missing teeth. My dentist just completed a Flexi-partial, must say, looks great but hurts like an SOB. He advised Im not a canidate for implants as I’m a grinder. In your opinion, could I get implants? Thank you do much for your feedback.

    • Ramsey Amin DDS says:

      Hi Lee,

      Just because you’re a grinder, that does not mean you cannot have dental implants.

      It just means everything has to be done more carefully. You have to make sure you have sufficient bone, a good size dental implant, excellent adjustment of the crown, strong crown materials…. In essence everything has to be built very tough for you.

      You do not want to skimp on implant number. You need as many as possible to prevent a long-term failure and bone loss. I would also suggest the teeth be restored with monolithic zirconia if they are back teeth. This material is very strong.

      Dental implants are performed on patients that grinding that their teeth every single day.

      Check out this link:
      Ramsey Amin DDS Reviews Solid Zirconia Custom Dental Implant Crowns and Abutments Instead of Metal

      Good luck,

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

  32. Princess says:

    I did my implant on the 18Dec2014 and went to work the next day ,slept peacefully there was no pain.T

  33. Vincenzo says:

    Hello Dr. Ramsey,

    I had a traumatic incident about 20 years ago when my front tooth was severely injured. At the time it was saved, but I ultimately had it extracted in 2005 and wore a flipper for the last 7 years of that timeframe. In 2012, I decided to get Invisalign in order to straighten the teeth before proceeding with a dental implant. The tooth is the front tooth on the left side (tooth #9). I had the implant placed on july 28th 2014. At the time, the periodontist also placed additional synthetic bone alongside the implant to give it better structure since I had lost a lot of bone mass in the time I didn’t have a tooth. On december 15th, (roughly 4.5 months after the implant placement), I went in to get the abutment put in. The doctor took an XRAY and there was black spacing around the implant, but he told me not to worry because the occlusion is ultimately what matters in the end, and that this black space may never fill in. I am concerned that the black space means there is lack of bone in that area and that this could mean failed osseointegration and could end up leading to a failed implant. Does black space around an implant always mean lack of bone? Should I be highly concerned about this? I’m going back on Jan 19th 2015 to get moldings made for the crown, and then the crown will be place around the third week of February 2015. Any light you could shed on this would be great.

    • Ramsey Amin DDS says:

      Hello Vincenzo,

      I really appreciate your attention to detail… You would make a great dentist!

      X-rays are very difficult to read. They can only be read by a trained eye. They are variations of black white and gray. Not all black spaces are bad. There is no way for me to know what your x-ray looks like so I cannot give you a detailed answer. It is unlikely that your dentist will make a crown on a compromised implant.

      On a front and Center tooth, I would highly suggest that a temporary is fabricated first. Allow the temporary to be on the implant for 1-3 months prior to making the final crown. This will allow the gum to take shape. Any problems would be noted during this time typically.

      Ultimately it is the cosmetics of your front tooth that is most important. The occlusion of course is important but for a front and center tooth, aesthetics takes the pole position in my opinion

      Front Tooth Bone Loss and Dental Implant Replacement
      Front Teeth Dental Implant Samples

      Very Respectfully,

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

  34. Darrin says:

    Hello Dr. ,

    I had RCT on tooth #4 over a year ago. Despite numerous visits to endodontist and ENT specialist and My own primary. Xrays and Opinions are saying I should not have any pain but I do !! My primary recently found that I had a cavity on tooth #5 that had RCT and a crown so that was where my pain was coming from.

    So last week I got a crown put on #4 , got cavity fix on tooth #5 with a crown to put on next week… But I still feel pain in tooth #4… I guess at this time
    I am ready to get Tooth #4 extracted and possibly a dental implant.
    I am own blood thinners and was wondering can you get Dental implants if you temporarily stop blood thinners ?

    Thanks and regards

    • Ramsey Amin DDS says:

      Hi Darrin,

      Blood thinners are not typically an issue for the experience dental implants surgeon. Most of the time they will elect to leave you on the blood thinner and manage bleeding. It is typically safer to keep you on the blood thinner than to take you off of it. It depends on the reason why you are taking it in the first place such as severe atrial fibrillation.

      I would also suggest that you have a high resolution, limited field of view 3-D scan to make sure that all of the root canals are filled. This could lead to pain even after the root canals are complete. Oftentimes a fracture can be spotted on 3-D scan that cannot be seen nontraditional x-ray or by visualization.

      These web links may help:
      Blood Thinners and Dental Implants
      Cone Beam 3D Scan X-ray – Basics For Dental Implants

      Very Respectfully,

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

  35. Anna says:

    Hi,

    I had a root canal on one of my bottom molars when I was 11 (I’m 30 now) and the crown came off a few years ago. I had it replaced then however the new crown and part of the tooth came out a couple of weeks ago. The dentist I have now says I need an extraction and also need to get an implant and crown, but I can only afford the first part of the procedure right now. Once I have the implant put in, how long can I wait before I must get the crown? The lady who scheduled my appointment said the important thing now is getting the rest of my tooth extracted and getting the implant put in, and the crown can wait…but how long can I wait?

    Thanks!

    Anna

  36. girish says:

    Dear Sir,
    I have dental implant in bottom jaw center portion.4 months of implant placement with temporary removable acrylic denture, I felt implant loos & discomfort in bottom of implant(gums) with acrylic denture. Please advice me the reason for this situation & best solution to resolve it.

    Thanks in advance

    • Ramsey Amin DDS says:

      It sounds like your implants are failing. It also sounds like you had “immediate same day teeth”. This requires a dentist with a very high skill level and a patient that has the perfect situation for it.

      I would see your dentist asap.

      • girish says:

        Actually its not same day teeth.firstly implant bottom part was fixed with healing cap . After 3 months top part(abutment) fixed & then temporary denture removable fixed. but after one & half month I felt implant front & back movement(marginal may be 1 mm) & little pain on gums(implant bottom portion)There is no vertical movement.Can you please analyse this case? What goes wrong & what is to be done?
        Thanks in advance.

        • Ramsey Amin DDS says:

          without seeing you, there is no way that I can really give you a final answer. All I can tell you is that a dental implant is not supposed to move at all. If it is moving, it has failed. Sometimes it is only the healing cap that is moving and of course that can be easily tightened. But if the entire implant is moving, it needs to be removed.

          Dr. Amin

  37. Philip Rush says:

    Dr.. I have been without all of my teeth for a little under 2 years now. I finally got my law suit settlement and I would like to get my entire month done with Implants. Price is not an issue and I also don’t mind going without teeth for a while. My main concern is that the work is done right. I want the strongest teeth possible I am 48 years old. Are there different materials and strengths of the final teeth? How and what would you recommend if price is not an issue? Would I get an implant for every missing tooth? Or what I have been told is that they do (I’m going from memory and I might have the terminology wrong) but I think they said like a full on 7 or something to that affect. Where I’m guessing but I assume that 7 Implants would support the whole upper and the same for the lower. Anyway what would you recommend for someone in my situation where a complete upper and lower in other words I have absolutely no teeth in my mouth..What is the price of such a procedure? Thank you very much. I would like to have you do the work as you seem to be very knowledgeable and helpful to everyone who writes to you. Thank you again for your time and help..

    • Ramsey Amin DDS says:

      Hello Philip,

      In order to answer your question accurately I would obviously need to see you. The examination is extensive and usually takes about an hour and a half to complete. A full set of digital intra-oral photographs and a hi resolution 3-D scan is necessary. Molds are taken of your teeth and mounted in a simulated mouth that called an articulator.

      One implant for every single tooth is not always the proper answer even if money is no object.

      Your case needs to be evaluated closely to make your teeth strong, handsome and function well in the short and long-term. Your facial profile, lip support and ability to speak all need to be evaluated and built into prototype teeth and then made into the final teeth.

      The cost can vary tremendously for rehabilitating the mouth with implants that stay in full time. Most of it is going to depend on how much bone you have and how dense that bone is. Some people require extensive sinus bone grafting and even repositioning of their main nerves in the bottom jaw. Others require bone block grafts with screws in order to rebuild a really thin areas of bone. Some people have naturally ton of bone to work with v.

      Each of the two jaws can vary in cost from approximately $25-$50,000. This would bring a total mouth cost between 50,000 $100,000 at times.

      We have to think of our teeth as a body part or organ system. It is extremely important to design it in such a way that gives us the best long term. Dental implants are not teeth but they are the closest second place that we have.

      I would love to meet you in person. Please call my office to schedule an appointment. The phone number is 818-846-3203

      Very respectfully,

      Dr. Amin.

  38. maria erisa says:

    hi sir.im just asking is it possible to reimplant the knock out teeth after one day past?

  39. maria erisa says:

    is it possible to pre-implant the knock-out teeth after one day past?…my friend kept it in a dry area,but after one day he consult to a denstist and doctor said,he will preimplant his teeth then after they will wait and observe for three months if it will going to work…what do you think much better he do about it?.
    .thank u.

    • Ramsey Amin DDS says:

      Hello Maria,

      A tooth should be reimplanted within 1 hour of it being removed ideally. Ideally it has been stored in your mouth or in milk at a second choice. The tooth should not be scrubbed or cleaned at all. This removes the periodontal ligament fibers and natural cells and that would help reattach the tooth. It is extremely unlikely that 24 hours after tooth has been knocked down that it can be replaced. The blood clot already fills in the extraction socket in the tooth will not be able to fit back into the original socket.

      This would be the time to start looking for a dental implant specialist. He may even want to consider curetting out the socket and doing a bone graft some time in the first 7 days after the accident. A socket bone graft can be done even after the tooth has been extracted.

      socket bone grafting basics

      respectfully,

      Ramsey Amin DDS

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