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

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


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13 thoughts on “Full Mouth Dental Implants – Burbank’s Ramsey Amin, DDS Review -Video

  1. Chad Haugen

    Dr. Amin,

    At what point would a patient be a candidate for the All-on-Four procedure? I was diagnosed with periodontal disease in 2007 and have been struggling to stop or slow down the horizontal bone loss on both jaws (I’d be happy to send you my most recent panoramic). I have black triangles between most of my teeth. Most of my pocket depths are 4 mm or less. I’m having a difficult time finding anyone in my area that will do anything. Most advise waiting and seeing what happens. I think the writing is on the wall. I’m fighting something I cannot beat. For the first five or so years after my diagnosis, I brushed twice a day (Sonicare), flossed in the a.m., picked in the p.m. using a perio-aid, and rinsed with Listerine both times. It seemed like things plateaued for a while. About a year ago, I noticed more recession. Despite everything, the bone resorption continued. At one point, my periodontist said my home regimen was overly aggressive. So, after years of being admonished I wasn’t doing enough, I was told I was doing too much!! I left the office that day feeling completely hopeless.

    I’m tired of getting nowhere. As far as I can tell, we’re all just watching and waiting for things to get bad enough to finally do something. I’d rather be proactive about this. I had a fantastic smile 10 years ago and I would love to get it back.

    If pulling 27 ‘healthy’ teeth seems extreme, what other treatment(s) would you recommend? Veneers do not seem like a viable option, especially if my bone loss continues. I know my situation could be a lot worse. I haven’t lost any teeth (besides the molar near the top right and the wisdoms), I don’t have any loose teeth, and I haven’t had to deal with root canals or any other major procedures.
    As I said earlier – I believe the writing is on the wall. It’s a waiting game at this point. None of my peers are dealing with periodontal problems like mine (I’m 37 years old). Nobody in my family is dealing with it either. For whatever reason, I got stuck with this and I want to put it behind me.

    Thank you for your time. I would really appreciate your input. Even if you think I’ve lost my mind for even considering the All-on-Four, I’d like to see a list of reasons why pulling all my teeth would be a bad move.

    Sincerely,
    Chad

    Reply
    1. Ramsey Amin DDS

      Hello Chad,

      Happy Easter. I did see your panoramic x-ray that you sent. Of course without examining you personally I cannot give you definitive dental advice.

      You have extremely long roots with mild bone loss. It would be absolutely crazy to remove all of your teeth and replace them with a very under engineered all on 4. The all on 4 procedure is very weak in comparison to all of those big long roots that you have. At your young age it would be completely and totally overaggressive to remove all your teeth. If you had significant bone loss and all of your teeth had a poor long-term prognosis, then you may consider replacement of all teeth with a full arch of implants. If that were the case you would want to design your teeth with way more than just 4 implants per jaw. Those 4 implants in the all on 4 procedure would not last your whole life.

      If you want to cosmetically improve your teeth, perhaps consider veneers and/or conservative all ceramic crowns to achieve the smile that you want. Oftentimes orthodontics can help also with some teeth are crooked.

      By no means are you a dental implant patient. If your gums have receded and bone levels are good, gum grafting can be done to replace your missing gum tissue. The gum can also be slid down by moving your existing gums back over top of your roots. These are procedures that I do in my office every single day!

      Dental implants are a close second to your own natural teeth…. Do not pull all of your teeth!!

      All On Four Dental Implant Procedure Review: Is It The Best? –Ramsey Amin DDS

      All-on-Four Dental Implant Procedure -Ramsey Amin DDS Explains Pros and Cons

      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
      1. Chad

        Dr. Amin,

        I appreciate your reply. I’m most concerned with the tissue loss between my upper front teeth. I wasn’t aware tissue grafts could eliminate black triangles between teeth. It was my understanding that soft tissue always followed hard tissue and once the bone beneath your gums (between adjacent teeth) disappears, there’s no way to bring it back. That’s where I see a problem. It seems like I’d be throwing money away if I opted for veneers and/or crowns if the bone between my teeth continued to recede.

        To this day, I still don’t understand how none of my dentists saw this coming. I was constantly reminded I’ve got great teeth. I switched dentists in 2004 after moving to another city for work. Two years later, I was referred to a periodontist who dropped the “You’ve got periodontitis” bombshell on me. Initially, the scaling and root planing treatments didn’t hurt. Annoying, certainly, but nothing close to the sensitivity I have now when a hygienist pulls a cavitron from the tool rack. I seriously break out in a cold sweat whenever I see that instrument. Scalars and curettes also send chills when applied to certain teeth.

        The way I look at it, I’ve got decades more of this stuff to look forward to (insert sarcasm here). The advice I get from the local experts is to do nothing. I think I’ve been “blessed” with over-sized teeth (and roots) in an under-sized mouth with thin gums.

        Are you aware of any promising research in bone regeneration? It seems we’re pretty good at fixing vertical bone loss with products like Emdogain, but are really struggling to find a solution for the type of bone loss I have.

        Regards,
        Chad

        Reply
  2. JohnA

    Hi,

    Thanks for you informative blog, videos, and the willingness to take your personal time to answer people’s questions. You sound like a true professional.

    I’ve had a lot of damage from prior dentistry, including failed mercury fillings (with cracks and eventual breakage) some leading to root canals that broke or were removed too. At this stage, I have one molar removed for years and one pre-molar (rootcanal broken beneath gumline) next to each other on top. The far molar next it has a cavity, and the dentist I saw said they could not access it for filling and thus recommended a crown, which I was somewhat skeptical of. The bottom far molar below that suffered a crack and eventual fracture and would likely need a root canal and crown. On the opposite side of the lower there is a missing first molar (failed root canal) for several years. Above that there is a first molar on the upper jaw that also fractured and broke away and would likely need a crown and probably root canal (or of course implant). [For now I am keeping the two broken teeth treated with temporary fillings (clove oil and zinc oxide) and I have made an unobtrusive quasi-nesbit style denture for the two teeth at the cost of probably $1 using “non-toxic” moldable plastic, which I only use sometimes for cosmetic purposes, though they can operate sometimes in chewing too.]

    Needless to say, I am trying to decide what to do. In this case, would you recommend several implants? A partial implant on the upper and removing the aforementioned rear tooth? Is this a case where you would even consider a full set implant? I am 43 years old and neither Republican or Democrat.

    Thanks,
    John

    Reply
    1. Ramsey Amin DDS

      Hello John,

      Thank you for your inquiry. You are a very good writer and very funny too!

      Your situation seems complex. You definitely need to see a dentist who is skilled and full mouth reconstruction and possibly dental implants. The last thing you want to do is have your dentistry done in a piecemeal format.

      This will lead to a situation where the focus is on each individual tooth rather than the system as a whole. You could end up with a mouthful of teeth all of a different color, material and a bite that doesn’t function well.

      I would suggest a full mouth series of digital x-rays and a 3-D CBCT cone beam x-ray in addition to intraoral photography. This combined with an excellent oral diagnosis and treatment plan will lead to long-term success. At 43 years of age you really need to invest into dentistry that is going to last. This may or may not include the use of dental implants.

      3D Scan

      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

      Reply
      1. JohnA

        Thanks Dr. Amin!

        I will definitely take that into consideration. I see the logic in looking at it from above and in the long term. The only other complication is that the teeth are also not that straight and I have one sort of misplaced incisor on top and below. I don’t think I want braces at this stage, nor do I want to take the piecemeal approach, as you mention. Cost, of course, is always a factor.

        All the best,
        John

        Reply
  3. tanya moran

    please tell me how to find charity help for a poor mom that has to stay home with a little girl with sever cp and other disabilities , I am so much in pain and money limited ,cant get to Mexico where its cheap with a wheelchair and not enough money to imagine , here in NYstate is no help . I am disquested with this world , no compassion , they want you to pull your teeth out and then suffer with dentures to save money , I am trying to hold on to the few I got to support some implants one day ,I feel sick from many yrs of an infection , cant chew with partials either or loose teeth , I appreciate any knowledge on how to find help , thanx

    Reply
    1. Ramsey Amin DDS

      Hi Tanya,

      Sorry to hear about your situation. Have you seen a dental school yet? They maybe able to help. Keep in mind that if you do get implants, you need to have the financial resources to maintain your dental implants for the long haul so you don’t have problems.

      Respectfully,

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

      Reply
  4. jake

    Hello Dr. Amin,

    After watching your video on dental implants I was so impressed with all the info and how you communicated it. I have just a couple questions I would be so so grateful if you would answer for me.
    I had an implant done on my upper front tooth just short of 8 months ago. I am worried because I am still having pain when pressure is applied directly up on that temp tooth that my dentist put on. ( He is aware of this, that is why he has not placed the new tooth yet )
    I have just been worried alot because my dentist seems to not be to sure why I am still having pain. He thought it should have been healed up by now. Is it possible that it is taking longer to heal than most peoples?? Could it take 10 months or even closer to a year to heal?

    My dentist says as long as nothing is getting “worse” than he thinks it might still be ok! Just healing slow. Please let me know if I should be getting a second opinion from another doctor/dentist in my area. Or if I am just over reacting to what could be a normal situation.

    THANK YOU SO MUCH. For taking the time to reply to me.

    Thank You, Jake in Colorado

    P.S. Everything appears normal in his x-rays, of the implant.
    & there was a bone graph done as well.

    Reply
    1. Ramsey Amin DDS

      Hi Jake,

      No need to panic just yet. Have you had a 3D x-ray done AFTER the dental implant was placed?

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

      Reply