How Many Dental Implants Do I Need Under My Denture?

In this post I am specifically talking about overdentures, not fixed implant bridges.

Most commonly, a lower denture is supported with two to four implants underneath it.  The more implants you have the more stable the denture is.

If I gave you a stool with two legs, could your sit on it?  Yes you could!  It would take some balance on your part, but you could sit on it.  An overdenture with two implants, works like that.  The denture is held in very strongly, but it can still move in the back.

In a two-implant overdenture, the implants are purposely placed in the front part of the jaw.

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If you added a third leg to the stool, would that make it more stable?

3 implants ramsey amin

Of course! Especially if the three legs were equally spaced away form each other.

The average denture has fourteen teeth on it.  So the more implants, the better.  Four implants are the best option for stability.  It is a four-legged stool.  The implants make the overdenture even more stable when a bar connects all the implants.  This “splints” them together and creates strength in numbers.

Implant attachment mechanisms IMG_8216

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Even two or three implants and be splinted together with a bar for added stability.

Image16 IMG_1505

Five or more implants in the lower jaw is usually strong enough to replace the denture all together!  Meaning the teeth would no longer come out.  They can be fixed in place.

The upper jaw generally requires six implants to have a non-removable fixed bridge.

The basic theme is: the more stability you want, then the more implants are needed.  Also, the more bone you have missing, requires more implants to be stable over time and avoid bone loss on the new implants.

This concept is sometimes confusing.  Please comment below if you have a question!

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


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111 thoughts on “How Many Dental Implants Do I Need Under My Denture?

  1. Ryan Rayner

    i’ve had a full upper denture since i was 23 years old and i am now 32. i originally had two metal implants where the teeth to the left and right of my front four teeth once lived. after about 5 years, one of the implants came loose, and i started to wear the denture 24/7 as it was the only thing keeping my implant in place. eventually, i grew tired of having to constantly worry about it, so i just pulled it out and put it in a sealed container. its now been several years since then and the implant hole never closed in on itself and i still wear my denture almost always, only removing it to clean it/my mouth. just recently i noticed my natural gums on that side of my mouth now have a splotchy dark color to them. I’m very worried and i don’t know what to do, as i have no effective means to pay for treatment. is it possible that this might be cancer? thank you very much for your time if you decide to respond to this.

    Reply
    1. RamseyAminDDS Post author

      Hey Ryan…you need to see someone. This does not sound good. Especially if bone is exposed. If there is gum over it then you are likely ok.

      You didn’t have enough implants to hold the denture.

      Reply
  2. lena morris

    I was wearing a upper partial for years but i suddenly lost all my upper teeth. I cannot wear a full upper denture i feel like i am going to vomit. i do not afford a full upper inplant. I would like a few inplant to hold up my upper partial

    Reply
    1. RamseyAminDDS Post author

      Because the upper jaw tends to be so soft you will need several implants in order to hold the denture more stable. Without enough implants they will fail after just a few years. Sometimes a well-made full upper denture will hold just as well. This is not the case for lower dentures.

      Reply
  3. sandy

    What is the procedure called when a dentist wants to draw your blood and add some jell to your blood to aid in healing for extractions for your teeth? The dentist im seeing is not very good explaining things. All I know is, its 550.00 and he is going to draw my blood and add some kind of jell to my blood before extracting all my teeth for full dentures. I can’t find nothing on line to explain it.

    Reply
  4. donna wekwert

    i have upper dentures and 8 teeth on the bottom in the front. is it possible to get a full bottom dentire over the existing teeth instead of a partial?

    Reply
  5. Patricis Gordon

    Two months ago I had the last of my top teeth removed. As soon as they were removed I was given my upper dentures. I gag every time I put them in. If I try to get through it, I restart throwing up, and have to take them out. I love my dentist, and he has filed them down, and I still gag. He told me in the beginning it may take a while, because I gag easy. What can I do. I go back in a few days. What on average will it cost to have the post in on the top. Then I guess he can use my same denture I just got?

    Reply
    1. RamseyAminDDS Post author

      Based on your description, I doubt an overdenture would work for your strong gag reflex. Some people never adapt to an upper full denture. You should consider a fixed dental implants on your upper jaw rather than a snap in overdenture. They are much smaller and last much longer.

      Reply
  6. CA langlois

    I’m on mass health and 76 yrs old and cannot eat normally
    I tend to vomit two or three times a weeks by not being able o chew
    Can anyone help
    I do not have money just want dignity

    Reply
    1. RamseyAminDDS Post author

      Have you tried seeking treatment in a dental school? They may be able to help if all your looking for is basic treatment.

      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
  7. Frankie Yaleco

    Dear Doctor Amin,
    More than a year ago, I had implants for a lower denture completed at Edward Hines Jr. Veterans Hospital near Chicago. Since then I have been back multiple times for the prime reason that when the dentist puts the denture in, it stays in for an hour or so. Then it comes out. I have given up wearing the denture(s) because when it would come loose while I was eating, I would end up chewing on my lower denture, usually when dining out. The VA put only two implanted posts. Attempting to find a dentist or oral surgeon to get at least a second opinion here in Chicago is almost nil. Can you recommend someone in my part of the country? Thanks.

    Reply
    1. RamseyAminDDS Post author

      The retention of an overdenture can be very complex and I would suggest you see a highly skilled dentist who specializes in implant dentistry to correct your situation.

      There are dentists that specifically focus in this area and of course there are many dentists that just dabble in it.

      Most over dentures are very bulletproof with regards to staying in.

      I hope everything works out for you. the attached link will help you find a dentist

      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
  8. Mary Cochran

    I have false teeth but can’t wear the bottom plate paid 7 thousand dollars for them dentist wants 19 thousand dollars for metal implants to hold the lower denture in place I just think that price is not in my budget

    Reply
  9. Linda Lu

    I think your suggestions are out of reach for most patients. If 2 implants are placed in theion incisor position, more patients in need of a stable lower overdenture would be served.

    Reply
    1. RamseyAminDDS Post author

      Thank you for your comments. There are many many patients who have only two implants and they are very unhappy with the results. two is bare minimum for those that have Minimal bone loss. For the average person that has more moderate bone loss, two implants does not provide a lot of support.

      Three implants is a great compromise.

      😉

      Reply
  10. Ella Pyontyk

    hi, my name is Ella and I have question regarding implant dentures on my low jaw, and my question is if the dentures not gong to bother me like I mean like they bothers me now, pls answer me, if its a good idea to do dentures implant, thanks, Ella and I live in Sarasota fl , pls let me know if in our city is a good implant dentist if you know

    Reply
    1. RamseyAminDDS Post author

      There is no way for me to be able to tell you if the dentures will bother you. You need to be examined.
      Consider a fixed bridge like a prettau rather than an overdenture.

      Reply
  11. Ed

    Just wanted to thank you for all you do. I have never seen a dentist take time like this to talk to people are educate. I have learned more from you than any dentist I have ever seen. When they speak to me in the dentalese I understand it from reading here, to a degree.

    Thank you again for all the help you give to others.

    Reply
  12. Susan

    I have been told that I need my lower teeth removed. I asked about an over denture with 2 implants. One dentist stated that I need a bone graph and would not be able to have more than 2 implants due to lack of bone. I consulted with another dentist that stated that no bone graph was required. The first dentist stated that they would remove the lower teeth and do the bone graph giving me a temporary denture. Then when everything healed they would go on with the implants etc. (I think that’s what she said). The second dentist stated that when he removes the lower teeth that he would do the implants, however, the denture would not have the posts put on them until everything healed (approx. 3 months). The second dentist stated that there was enough bone where he wanted to put the implants and that is why the bone graph was unnecessary. I guess the reason why the first dentist stated that a bone graph was necessary is because of some abscesses (Don’t know if I spelled that correctly.) So, now I am very concerned and do not know what the best thing is to do. I want to do the right thing for sure. I am 64 years old and healthy as far as I know, although, I have been told by other dentist that I have bone loss in the past. What should I do?

    Reply
    1. RamseyAminDDS Post author

      Hi Susan,
      Before I answer your question, I would strongly suggest you have four implants rather than 2. You will be much happier this way. 2 implants are the absolute minimum and only help to keep your denture from falling out.

      They don’t prevent the denture from rocking. If the 2 dental implants aren’t precisely placed, you won’t be able to add a third or fourth implant later on. A highly experienced implant dentist will plan your case so that you can receive future implants in the most ideal locations.

      It is uncommon for me to have to bone graft in this area. Occasionally, and under special circumstances it is necessary but most (95% ) of the time it can be avoided by leveling the bone down a bit. This is called a bone leveling alveoloplasty and I have another post that you can read and get all the details about it.

      This will help you tremendously. I have many patients even into their 90s that have dental implants in the lower jaw with a simultaneous bone leveling and extraction procedure. That means everything is done in a single surgical visit. I do this extremely routinely with very high success.

      Let me know how it all works out and please reference your original post in detail.

      Respectfully,

      Ramsey Amin DDS

      Reply
      1. Susan

        In my previous post, I stated that 2 dentists recommended 2 implants with a lower over denture. They stated that due to loss of bone, I supposedly am unable to support more than that. You recommended 4 implants as 2 doesn’t prevent movement. (That makes a lot of sense to me) What about a bar between 2 implants would that work any better? I was also the one that was told that a bone graph was necessary because of the abscesses I have I guess. So are you saying that although there are abscesses that I guess causes bone loss a bone graph is still not necessary to support more than 2 implants? You stated that a bone leveling procedure may be done. How do I find a dentist that does that alveoloplasty procedure. What are they called? (I think I am probably limited also due to my insurance.) I live in Florida.

        Reply
        1. RamseyAminDDS Post author

          Two dental implants with a bar may be the same cost as four dental implants with locator abutments. without seeing you, there is no way that I can be sure that the bone graft could be avoided. Those with extensive dental implant surgical experience will bypass or eliminate the existing bad socket and use the better bone below your lower front teeth area to place implants.
          The dental implants will gain support in better bone that aware the abscess was.

          Choosing for dental implant provider should never be an insurance question. These are body parts that you are replacing and dental insurance really doesn’t do much of anything for this procedure.

          Reply
          1. Susan

            I asked how to find a dentist that would be the best at implants and familiar with the bone leveling procedure in case that is what decided. You said the decision should NOT be based on insurance. Ok, I understand that but how did I find someone that specializes in implants and bone leveling? I live in Florida.

  13. Ira J White Sr

    My wife is a diabetic and lost all four of her posts that held her dentures in is there anything you can do???

    Reply
    1. RamseyAminDDS Post author

      I am guessing these are all on her upper jaw?
      Please copy and paste your original question when you reply so that I can follow the question and answer you better.
      Ramsey Amin DDS

      Reply
    2. RamseyAminDDS Post author

      also, when did they fail? Did they fail 1 month after they were placed? Or did they fail after the denture already being connected and if so for how long?

      Reply
  14. Jolleen Davis

    My husband has periodontal disease in his upper jaw. He’s had his 4 front teeth removed
    and was going to get a bridge. Now the dentist thinks he should just get an upper denture, because he says the other top teeth are loose. He told my husband that he needed to get 2 implant posts on each side of his top jaw to hold it in place. I’m concerned, we’ve had a terrible time with this dentist. Other than switching dentist, how many posts, and where should they be for the upper denture?

    Reply
    1. RamseyAminDDS Post author

      If you don’t want a failure, I would suggest that you have 6-8 implants placed on the upper jaw spread out as far as possible from each other. I also need to be connected with a fixed bridge or a bar in order for them to be stable. The upper jaw has such soft bone that trying to use individual implants or less implants to replace all the upper teeth almost always result in bone loss and short and long term failure.

      If he lost all of his natural teeth, he can most certainly lose all the implant even easier. Implants are not better or stronger than the natural teeth.

      Consider something more substantial like a fixed implant bridge such as the Prettau dental implant bridge.

      I hope this helps you

      Respectfully,

      Ramsey Amin DDS

      Reply
  15. GUY DANIEL INFIELD

    SIR,

    I HAD DENTURES MADE AND THEY ARE NICE BUT I PAID 30,000.00 PLUS DOLLARS FOR THEM AND THEY PUT (2) TITANIUM POSTS IN THE BOTTOM AND NONE OF THEM IN THE TOP.

    HOW MUCH DO YOU CHARGE TO ADD (2) TO THE BOTTOM OF MY MOUTH AND DENTURE AND (6) IN MY UPPER AS THEY PUT NONE THERE.

    THAT LASED (2) DAYS AS YOU STATE IN YOUR ARTICLE THEY (LOWERS) SEEMED TIGHT AT FIRST UNTIL I ATE AND OUT THEY CAME – THE UPPERS CAME OUT WITH DENTURE CREAM AND THEY PUT THE IN WITH NOTHING – ALL I FELT WAS A BOWLING BAWL IN MY MOUTH I COULD NOT EVEN TALK – WITH THE BULK AND LARGE SIZE OF THE UPPER THEY FILLED MY MOUTH – THE BOTTOMS LOOKED AND FELT GOOD BUT NEED THOSE EXTRA (2) TO MAKE (4).

    I SPENT 275,000.00 SO WITH THE 30K TO 40 KEY FOR THE SO CALLED IMPLANTED I AM ABOUT OB FUNDS WISE.

    COULD YOU EMAIIL ME AN ESTIMATE CLOSE TO PLUS OR MINUS A THOUSAND.

    THANK YOU – I TAKE A WHOL LOT OF COLONZAPAM AND ZANAX FOR AGORAPHOBIA AND HAVE SINCE I WAS (14) YEARS OLD – THAT IS WHY THE WORK NEVER HELD AND THEY ALL KEEP SAYING YOU WANT YOUR TEETH – THEY ONLY WANTED THE MONEY.

    GUY DANIEL INFIELD
    IBCINUDANNY@YAHOO.COM

    – See more at: http://www.burbankdentalimplants.com/how-many-dental-implants-do-i-need-under-my-denture/#comment-44492

    – See more at: http://www.burbankdentalimplants.com/how-many-dental-implants-do-i-need-under-my-denture/#comment-44493

    Reply
  16. GUY DANIEL INFIELD

    SIR,

    I HAD DENTURES MADE AND THEY ARE NICE BUT I PAID 30,000.00 PLUS DOLLARS FOR THEM AND THEY PUT (2) TITANIUM POSTS IN THE BOTTOM AND NONE OF THEM IN THE TOP.

    HOW MUCH DO YOU CHARGE TO ADD (2) TO THE BOTTOM OF MY MOUTH AND DENTURE AND (6) IN MY UPPER AS THEY PUT NONE THERE.

    THAT LASED (2) DAYS AS YOU STATE IN YOUR ARTICLE THEY (LOWERS) SEEMED TIGHT AT FIRST UNTIL I ATE AND OUT THEY CAME – THE UPPERS CAME OUT WITH DENTURE CREAM AND THEY PUT THE IN WITH NOTHING – ALL I FELT WAS A BOWLING BAWL IN MY MOUTH I COULD NOT EVEN TALK – WITH THE BULK AND LARGE SIZE OF THE UPPER THEY FILLED MY MOUTH – THE BOTTOMS LOOKED AND FELT GOOD BUT NEED THOSE EXTRA (2) TO MAKE (4).

    I SPENT 275,000.00 SO WITH THE 30K TO 40 KEY FOR THE SO CALLED IMPLANTED I AM ABOUT OB FUNDS WISE.

    COULD YOU EMAIIL ME AN ESTIMATE CLOSE TO PLUS OR MINUS A THOUSAND.

    THANK YOU – I TAKE A WHOL LOT OF COLONZAPAM AND ZANAX FOR AGORAPHOBIA AND HAVE SINCE I WAS (14) YEARS OLD – THAT IS WHY THE WORK NEVER HELD AND THEY ALL KEEP SAYING YOU WANT YOUR TEETH – THEY ONLY WANTED THE MONEY.

    GUY DANIEL INFIELD
    IBCINUDANNY@YAHOO.COM

    – See more at: http://www.burbankdentalimplants.com/how-many-dental-implants-do-i-need-under-my-denture/#comment-44492

    Reply
    1. RamseyAminDDS Post author

      $30,000 for dentures??? WHAT?? That is crazy!!

      Please call my office after we return from the holiday vacation on January 4, 2016. If you’re local my office or able to travel regularly your entire mouth can be easily rehabilitated with dental implants. Most of my patients are intravenously sedated for implants and bone graft procedure so you’ll be very comfortable.

      Respectfully,

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

      818-846-3203

      Reply
    1. RamseyAminDDS Post author

      Full mouth reconstruction determined is utilized to restore a debilitated mouth back to as close to original as possible. It may involve all types of dental procedures such as extractions, bone grafting, many crowns, temporaries, fillings, gum treatment, root canals, etc.

      To properly diagnose and treatment plan a full mouth reconstruction, I would suggest a 3-D scan, 3-D models or molds of your teeth, full series of regular x-rays and a full set of photographs. Typically I sit down with a patient for about an hour to review what is involved in the entire process that may take anywhere from 2 weeks to 2 years to finish. I hope this helps answer your question.

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

      Reply
    1. RamseyAminDDS Post author

      Full mouth reconstruction determined is utilized to restore a debilitated mouth back to as close to original as possible. It may involve all types of dental procedures such as extractions, bone grafting, many crowns, temporaries, fillings, gum treatment, root canals, etc.

      To properly diagnose and treatment plan a full mouth reconstruction, I would suggest a 3-D scan, 3-D models or molds of your teeth, full series of regular x-rays and a full set of photographs. Typically I sit down with a patient for about an hour to review what is involved in the entire process that may take anywhere from 2 weeks to 2 years to finish. I hope this helps answer your question.

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

      Reply
  17. Stephanie

    I have periodontal disease have scheduled a deep cleaning, but the disease has loosened and misaligned my teeth so dentist suggested implants. My four front and 4bottom teeth need to be replaced to give me a better smile. My question is I know it’ll be 8crowns but how many implants..Read it only takes 3 rods for 4 teeth. Trying to figure out the pricing. Thx

    Reply
    1. RamseyAminDDS Post author

      The number of dental implants you will need will depend on a tremendous number of factors. The post that you are reading on has got to do with dentures but some of the concepts that I mention pertained to you also. The upper jaw always needs more implants in the lower jaw just based on bone density. Cosmetics are going to play a big factor in the choices of how many implants also. Sometimes in the front of the mouth less implants you have the better.

      Ultimately I would suggest that you’re treated by a single provider who can make the teeth and do the implants so that cosmetics can be addressed all the way from the surgical phase. Sometimes if you have to dentist that her in charge of your procedure, they do not communicate well and the less than desirable result can happen.

      I would also suggest you go through several temporaries in order to shape and mold the teeth or pontic sites. Sometimes I use an ovate shape and definitely use temporaries to make the gumline look natural which is by far the most challenging part of making her teeth look really natural. Front teeth are always complicated so make sure you do your due diligence.

      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
  18. Dimitrios

    Dear sir
    I have to admit that your article is very detailed but I would like to place to you a patient’s case in which the patient’s upper overdenture placed in four implants two of them in canines and the other two in first molars, at this point I have to mention that a connection with metal bar to all abutments were avoided..! so every single implant operated by itself.
    The result of this construction’s choise were very bad at all.After a year of use two of the implants broke and the other two loose their joint with bone.
    The question is what in your opinion causes this fail, the non connection with metal bar to all abutments or an assumed bruxizm it might were exist.
    I would really appreciate to answer me.
    Best regards
    Dimitrios Kontogiannis
    Dental technician
    Ioannina Greece

    Reply
    1. RamseyAminDDS Post author

      It sounds like you are describing a case that is not pictured in this blog post.

      Your description describes an upper denture retained by for individual implants that are not connected by a bar.

      In the upper jaw, implants should be connected by a bar because the bone is so soft. When they are not connected by a bar, they tend to prematurely fail and get ripped right out of the bone or have substantial bone loss that occurs quickly.

      The rules that apply to lower jaw do not apply to the upper jaw. The bone is very dense in the lower jaw so individual, lone standing implants are just fine most of the time. This is not the case on the upper jaw bone which is very soft

      Reply
    1. RamseyAminDDS Post author

      I don’t have enough information such as a clinical exam and detailed x-rays to answer your unique situation. Every person and situation is different. These are permanent decisions.

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

      Reply
  19. Bert Appell

    I am 87 years old, have Parkinsons, and have a new heart valve, so time is limited. this is about upper dentures which I have had about one year. There are two dentist where I live one does standard implants only the cost for two implants is $4500.00. The other dentist will do 6 mini implants for about $2800.00. I am tending to use the mini do to cost and my age. A comment would appreciated.

    Thank You,
    Bert

    Reply
    1. RamseyAminDDS Post author

      Hello Bert,

      I have done many implants on patients in their 90s. 😉

      It is my opinion that both of these are bad options.

      Two standard implants would help if this was your lower jaw. The upper jaw is very soft and 2 implants would cause a severe rock in your denture.

      6 mini implants have limited surface area and often bend and fail because they are so skinny and they are being put into very soft bone. Remember that the upper jaw is very different on the lower jaw.

      You would be better off with 4 standard implants connected with a bar on the upper jaw although 6 is much better. I guess you could consider doing 8-10 mini dental implants instead. This way when one or 2 fails you have several backups.

      Again both of these are very bad options which I would not suggest to my own family regardless of their age or socioeconomic status. If you don’t want complications and to be re-doing all of this in 1-3 years, consider doing it right the first time….. I say this with all due respect…. I’m really trying to help you make a good decision.

      Good luck,

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

      Reply
    2. Bert Appell

      I forgot to mention that the mini implants would be stainless steel, would that make any difference in the possibility of the implants bending or breaking?

      Again thank you for your help.

      Bert

      Reply
      1. RamseyAminDDS Post author

        They have to be titanium or titanium alloy in order for them to be compatible with your body. Stainless steel would not be a good option and I am hoping there is not a dentist and United States that would put stainless steel implants into the bone. I’m guessing there was some sort of miscommunication. Stainless steel would set up an immune system reaction.

        The implants are manufactured from Ti 6Al-4V ELI titanium alloy

        if you decide on mini –make sure they are the widest diameter they make

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

        Reply
  20. Gail Abbassi

    Just found this avenue for message! Left message and question on your Face Book page.
    Thank you if you have time to read and answer it Dr. Ramsey. Your videos have been most informative and educational! I have read most of them in two days as I have to make some big decisions very soon re my upper jaw! Over denture vs. hit and miss repairs on 40 year crowns with root canals going bad! Nervous and a bit of a coward in Virginia! Thank you Dr. Ramsey!

    I did not want to bore Face book friends with my situation,but I have a big problem! First and foremost your videos have been so educational and informative! I have read most of them on Google and because of the good info you have shared I believe I have the courage to do the over dentures on my upper jaw! Now the questions for you!
    1. 2 molars on upper left and 1 inciser and 3 molars on upper right are all crowned about 40 years ago and lasted(amazing I Know) Several have have root canals done probably due to the trauma from earlier orthodontics and the filing of the teeth to prepare for crowns!

    The crowns are connected to give stability to loose teeth after braces! The front 6 teeth are a removable denture with claps. 2 weeks ago the front right crowned incisor with root canal became very sensitive and it hurt to bite on it. The other teeth on the right also hurt some what. My dentist found an “infection” above that root canal and says it must come out! Also he says it looks like there is infection above the other right molars on the right crowned teeth. This tooth is connected to the other 3 molars which if left attached after removing root will be unsupported only by back 3 crowns and sort of left hanging on. It is in right front so if removed space will look awful! I am a 73 year old female and basically healthy and still enjoy looking attractive!
    My dentist has proposed an over denture and 4 implants that will attach to the over denture after removing the 6 remaining crowned teeth in my upper maxilla jaw. I certainly have bone loss after years of having crowns and the removable bridge in front so bone graft will have to be done also. Your videos indicate I have lost vertical space from my bite changing and I am noticing a lot of clicking in my right jaw and even the bone seems to feel like it pops out a bit but always goes back with some wiggling! They gave me an anti-biotic for a week and all the sensitivity and discomfort is gone,but the jaw still clicks. This proposal was daunting and overwhelming for me to hear at first,but thanks for your very informative videos I now can accept this is the best route to take rather than patch work and lots of money wasted!

    The BIG BIG fly in the ointment as they say is the cost quoted for the whole procedure which is a down payment on a house! The cost is $34,000.00 which seems extremely high! I live in northern Virginia across the Potomac from DC in a pricey area and the dentist office is here as well so I know all costs are higher. As this is your field of expertise can you advice me if this fee for this work is within line with charges in metropolitan areas? If I were in Burbank I would be consulting you for the dental restoration. Family obligations prevent my traveling to Burbank! Your video interviews are so informative and clear for a novice and I am very grateful for the education. Thank you!

    Reply
    1. RamseyAminDDS Post author

      Thank you for your very kind words. I’m happy to help.

      It sounds like you be better off removing all the teeth on the upper jaw. $34,000 should be able to get you a fixed Prettau upper reconstruction which is tremendously better than an implant overdenture which has to snap in and out. Over dentures require much more maintenance and need to be replaced, relined and attachments changed on a frequent basis.

      Most people don’t realize that they’re pricing out of body parts. Make sure you have the best work you can possibly afford so that you have no problems in the long run.

      These types of procedures are extremity complex and often include realigning your jaw joint to make sure that clicking does not turn into a severe TMJ problem.

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

      Reply
  21. Eloi Duguay

    I just had a sub dental implant removed from my lower jaw after 17 years and many years of infection. I still have 7 front teeth left, only my back ones are missing. Most dentists consulted or now suggesting that I have all my teeth removed in the front and have four to five impants for a permanent or removable bridge. I feel that this may not be the best solution as I have six of these teeth caped with veneer and lots of money invested.
    Is there a better solution where I could keep my natural front teeth?
    Thanks

    Reply
    1. RamseyAminDDS Post author

      A subperiosteal dental implant that lasted that long is great. Many subperiosteal did not go beyond 10 years. It sounds like you have deep saddle areas in the back part of your lower jaw. My guess is that your nerve is very high and regular implant will not work there.

      In order to have dental implants where your subperiosteal used to be, a nerve repositioning procedure may be required. This is where the nerve is taken out of the bone and moved to the side so that implants of regular length and diameter can be placed without the nerves being in the way. It is a procedure that is more rare but there are some of us that perform this procedure fairly routinely.

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

      Reply
  22. Eloi Duguay

    I just had a sub dental implant removed from my lower jaw after 17 years and my years of infection. I still have 7 front teeths left, only my back one are missing. Most dentists consulted or now suggesting that I have all my teeth removed in the front and have four to five impant for a permanent or removable bridge. I feel that this may not be the best solution as I have six of these teeth cap with veneer caps and lots of money invested.
    Is there a better solution where I could keep my natural front teeth?
    Thanks

    Reply
    1. RamseyAminDDS Post author

      A subperiosteal dental implant that lasted that long is great. Many subperiosteal did not go beyond 10 years. It sounds like you have deep saddle areas in the back part of your lower jaw. My guess is that your nerve is very high and regular implant will not work there.

      In order to have dental implants where your subperiosteal used to be, a nerve repositioning procedure may be required. This is where the nerve is taken out of the bone and moved to the side so that implants of regular length and diameter can be placed without the nerves being in the way. It is a procedure that is more rare but there are some of us that perform this procedure fairly routinely.

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

      Reply
    2. Eloi Duguay

      I am interested in more info on nerve repositioning procedure, what is the risk of a side effect with lose of facial sensivity. I was told by my prosthodontist that this procedure is very risky and should not be considered, any comments?

      Reply
      1. RamseyAminDDS Post author

        Nerve repositioning of course carries risk. But some people have no other option. There are few dentists in the country that perform this procedure. I do this procedure a few times a year. It should be carried out with a piezo electric surgical unit in order to reduce the risk. The nerve needs to be handled carefully and high doses of steroids are used in addition to PRF

        Expect to have some numbness for 2-3 months which should go away. I have never had a patient not regain 100% sensation.

        I have some information for you on the topic.
        article 1
        Article 2

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

        Reply
  23. Mr James groves

    Dear Dr Ramsey can 3 implants in lower jaw be enough to support ,12-14 teeth on a fixed denture .

    Reply
    1. Ramsey Amin DDS

      Hi James,

      Three implants is not enough. You have to engineer implants in a similar fashion to how God designed your natural teeth. We have may more than three roots per arch.

      If you don’t design strength, you will not have longevity. This is not an area to skimp on, unless you are looking for problems.

      If you are talking about a snap on over denture that you remove then that is a different story.
      Snap In Dentures on Dental Implants – Burbank Dental Implant Specialist

      Dr. Amin

      Reply
  24. terri

    My mom is 90. Has had upper dentures for a long time no problems. 3 years ago she had to get bottom dentures. They have never been comfortable even after several trips back to the dentist for adjustments. Now the dentist says to make it work she would need new top dentures also because they can’t align the upper and lower ones and that is probably the problem. Does that sound right?

    Thx

    Reply
  25. Ahmed Al-Noaman

    Dear Dr Ramsy,
    I would like to replace conventional full upper denture with implant supported overdenture. My question is, how many implants do i need to wear upper overdenture with and without full palatal coverage? do 4-implants enough to fabricate full overdenture without palatal extension? does the implant number depend on bone density ?

    regards,

    Reply
    1. Ramsey Amin DDS

      Hi Ahmed,

      If your denture currently holds well, a dental implant over denture will not benefit you that much. This is only true on the upper jaw because and upper denture already has a lot of support from the palate. If your main goal is to remove the palate, then a fixed dental implant bridge on 6-8 implants would be far better and achieve your goals.

      Over dentures work far better on the lower jaw then on the upper jaw. On the upper jaw, the bone is softer than the lower jaw. Because of this more implants are needed to support teeth. Generally speaking 6 is the magic number for the upper jaw to have long-term stability.

      I would suggest you have a Prettau dental implant bridge using a minimum of 6 implants. Over dentures are a lot more maintenance and they upper over dentures break a lot too.

      Dental Implant Maintenance…OVER-DENTURE VS FIXED BRIDGE
      The Process of “Permanent” Fixed Dental Implant Teeth -5 Steps to Replacing All Your Teeth

      Good Luck,

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

      Reply
  26. Alice

    Hi dr Ramsey,
    My dad’s dentist told him he need to get 6 implant on top and 4 Implant in his mandibular in order to get full upper and Lowe denture!
    Do you thing all the 10 implants are necessary for a better and more stable denture , or this dentist just wants to charge us more money with putting more implant?!

    Reply
    1. Ramsey Amin DDS

      10 dental implants is normal. In fact 11 or 12 would be better. Remember that on each jaw you are replacing 14 teeth. These 14 teeth have more than 14 roots. A dental implant only counts as one root. If you under engineered the system, failure will occur. It won’t happen overnight, but will start to occur after the first year. I do not suggest “ALL ON FOUR.”

      If your father’s bone is really dense than you can use less number of implants on the lower jaw. The upper jaw typically always has soft bone so requires more dental implants.

      The dentist is not trying to take your money. He or she is trying to restore everything back to nature.

      The most important thing you want to know is what type of teeth will be used at the end. Will this be a fixed bridge on the upper and lower? Will the teeth be made of porcelain or plastic? Will this be a removable overdenture? This is far more important than the number of implants. Once you know the type of teeth…then determine how many and where the implants should be placed.

      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
  27. Ahmed

    Hi Dr Ramsy,
    I would like to replace conventional full upper denture with implant supported overdenture. My question is, how many implants do i need to wear upper overdenture with and without full palatal coverage? do 4-implants enough to fabricate full overdenture without palatal extension? does the implant number depend on bone density ?

    regards,

    Reply
    1. Ramsey Amin DDS

      Hello Ahmed,

      You ask a really great question. The upper jaw is very soft for almost all human beings. Because the bone is soft, more dental implants are required. I would suggest a minimum of 6 implants on your upper jaw. Four is very under engineered and will not likely last 10-20 years.

      Unless you are greater than 80 years of age, you may want to consider replacement with a fixed Prettau dental implant bridge rather than a removable snap-on overdenture. Fixed Bridges are so much better than removable implant over dentures especially in the upper jaw. An overdenture in your upper jaw will only help with stability and retention of the denture.

      Related links for you:
      Prettau Dental Implant Full Mouth Bridge
      Lifting, Moving Over-Denture…Leading Burbank Dental Implant Dentist Reviews Reasons Why. (3 min Video)

      Good luck,

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

      Reply
  28. Blanche pemberton

    I have had my top denture for a couple years now, I am miserable, they fall out all the time make me gag, sometime vomit. F I wear glue they stay in for a couple hours then glue melts. I had them relined didn’t help. Talked to my dentist he won’t work with me at wits end. Help

    Reply
    1. Ramsey Amin DDS

      Hello Blanche,

      It sounds like you don’t have a lot of bone to retain a conventional full upper denture. You likely have some bone atrophy within your sinuses also. Over the years your bone will continue to shrink unfortunately.

      If your budget permits I would suggest replacement of your full upper arch with a Prettau dental implant bridge. This is a fixed dental implant bridge that you never have to remove. It is typically anchored by 6-8 dental implants. It looks fantastic and is super strong. You can eat and chew whatever you want without the worry of it ever coming out.

      Prettau Dental Implant Full Mouth Bridge

      The Process of “Permanent” Fixed Dental Implant Teeth -5 Steps to Replacing All Your Teeth

      Very Respectfully,

      Ramsey Amin, DDS
      Diplomate of the American Board of Oral Implantology/Implant Dentistry
      Fellow of the American Academy of Implant Dentistry
      Burbank, California

      Reply
    1. Ramsey Amin DDS

      Hello Steve,

      Cost is variable depending on so many factors.

      How much bone you have
      Density of bone
      Need for grafting or not
      Type of material being used to make the teeth
      Type of sedation used
      Cone beam 3-D imaging and guided surgery
      Number of teeth to be extracted
      Skill and experience of the implant specialist
      Is the procedure being performed by 1 dental implant specialist or are there two different offices involved
      Method of temporization during the process.
      Removable over denture versus fixed bridge
      …… And many many many other factors

      As of 2014 a full arch replacement can range from $10,000-$50,000 per arch. On the low end would be removable types of teeth and on the high end it would be an upper arch that required extensive bone grafting including sinus bone grafting.

      Computer Guided Dental Implant Surgery, Things You Need To Know

      Prettau Dental Implant Full Mouth Bridge


      Picture Series -Sinus Lift Bone Graft 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
      Burbank, CA

      Reply
    1. Ramsey Amin DDS

      Hi Danny,

      I would need to see you in person in order to evaluate you. There is no way to properly review cost, risks, benefits and alternatives without a proper 3-D scan, intraoral photographs, clinical examination including skeletal profile.

      Replacing your entire mouth with dental implants is extremely complex and care must be taken to precisely diagnose and treatment plan.

      It sounds like you’re considering something like a Prettau dental implant bridge which is an excellent choice. It generally requires about 5-8 implants in each of the lower and upper jaw. The upper jaw is always more complex and costly. Full mouth treatment can range from as little was $5,000 to as much as $120,000.

      Prettau Dental Implant Full Mouth Bridge

      The Process of “Permanent” Fixed Dental Implant Teeth -5 Steps to Replacing All Your Teeth

      If you’re local please call my office to schedule an appointment.

      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
  29. Greg Gregory

    In your proffessional opinion is The Baylor School of Dentistry in Dallas, Texas a good place for a patient to go to and have a full set of dentures made. (Posts Included). Are 3M MDI better than Sendax MDI, in your opinion.

    Reply
    1. Ramsey Amin DDS

      Hello Greg,

      The two companies you mention I believe are now fused as one. The manufacturing giant, 3M, purchased IMTEC/Sendax.
      What you are speaking of arm mini dental implants. Mini dental implants are not real traditional implants. They are small, bend and break very easily. I would consider them temporary dental implants. Many inexperienced dentists use exclusively mini dental implants as a way to avoid opening your gums to place normal dental implants.

      I would suggest you have traditional diameter dental implants which will last you so many years. I just removed four more many dental implants just last week!

      Mini Dental Implants – Myths Dispelled

      Typically a dental school University can be a good place to have procedures if you have more time than money. Often what would take 1 hour and a traditional dental office may take 5-7 hours in a dental school. Total cost reduction is approximately 25% so it is really not that much cheaper. You can definitely have excellent work in a dental school with proper oversight by the instructor dentist. I speak from first-hand experience because I taught in a dental school for many years. Some students are definitely way better than others. Good luck, I’m sure it’ll all work out for you just do your due diligence.

      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
  30. Mona Edwards

    Hello Dr,
    I have a perm. Fixed denture on lower. It’s great! My problem is the top.
    I only had enough bone to put 4 implants in , two on each back side .
    After a couple months they had to change the connector ring? It only works for about 6 weeks and then my over denture falls out again.
    Is there a way to have a fixed upper? I want it like the lower. It feels real.
    I’m very disappointed with my upper. I’m in Dallas.

    Reply
    1. Ramsey Amin DDS

      Hi Mona,

      Four dental implants to support and upper overdenture or fixed bridge is unfortunately under engineered. 4 dental implants on the lower jaw can work very well…. The difference is in the bone. The upper jaw is very soft, while the lower jaw is very hard. This allows me to use less implants in the lower jaw than in the upper.

      From what it sounds like, I am guessing you have locator custom abutments. If these abutments were placed in a divergent manner, your dentist needs to correct the attachment by using the divergent attachments rather than the ones that are intended for straight (axial) implants. If you only have 4 implants on your upper jaw, I would suggest connecting them together with a bar to stabilize the bone so that you don’t lose your implants within 3-7 years.

      Keep in mind that bone can be rebuilt anywhere in your mouth. It is most common to do lateral window sinus bone graft in the upper jaw in order to build bone to have 6 or 8 implants. With proper implant position and location, your teeth will never fall out. Ideally, you can convert your current situation to a fixed monolithic zirconia, Prettau bridge or a porcelain fused to metal fixed restoration that never comes out. You will need some bone grafting in order to do this to add more implants.

      attached are some links that I would like you to review:
      Mini Dental Implants – Myths Dispelled

      Dental Implant Overdenture Locator Attachments…Patient Information

      Snap In Dentures on Dental Implants – Burbank Dental Implant Specialist

      Prettau Dental Implant Full Mouth Bridge

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

      The Process of “Permanent” Fixed Dental Implant Teeth -5 Steps to Replacing All Your Teeth

      I hope this helps

      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
  31. Barb

    I am getting ready to have 2 implants my dentist said it takes 4 to 6 months to heal then I have to go back so they can be laser what us the purpose for this and I’m wondering if I should do more I don’t want them coming up while out in a restraunt eating

    Reply
    1. Ramsey Amin DDS

      Hello Barb,

      I am guessing that you are missing all the teeth on your lower jaw. A two implant over denture will definitely give your lower denture a more secure hold. Yes, the more dental implants you have, the more stable your overdenture on dental implants will be.

      You can also consider replacing all of your teeth to a fixed bridge if you desire. Prettau Dental Implant Full Mouth Bridge

      It sounds like your dentist is using a traditional, two-stage surgical approach. This means that here she is going to put the implants under the gums for 4-6 months. At the 4-6 month mark, the dentist will expose the implants and connect the abutments. Sometimes it is better to bury the implants under the gum line for healing and sometimes it is okay to leave them exposed in the mouth during the healing process. They can be exposed by traditional surgery, laser and/or other dental instrumentation.

      If the implants are in your lower jaw, typically I would let them heal for 2-3 months and then provide you with the lower over denture. 4-6 months is utilized more in the upper jaw than in the lower jaw.

      Good luck with everything. Let me know if you need any more help.

      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
  32. Tina

    Hi Dr. Ramsey,

    Quick question. I have had the o-ring and abutment changed on my implant after only two days of use on the right side of lower denture. Now again, two days later I need them changed on the left side. I have only two implants retaining it. Is this common? It just wont snap securely into place and I can pop it out with my tongue. Once the right side was changed it’s been fine…..so far.

    Thanks for your help!
    Tina

    Reply
    1. Ramsey Amin DDS

      Hello Tina,

      The Dental implant abutment attachments should last 1-2 years on average. Have you found a solution to the problem yet?

      Ramsey Amin DDS

      Reply
  33. Eduardo Prieto

    I need a full lower denture, and I want to get two implants, because my doctor say I have very little bone, but he say I haved to doing right away, because if I way long time don’t going to have any bone for the implant, is this true?, if I way long time don’t going to be any bone. Thank you

    Reply
    1. Ramsey Amin DDS

      Hi Eduardo,

      The sooner the better in general. The longer you wait, the more bone you will lose. Keep in mind that only having to lower implants will only help to retain your lower denture from falling out but doesn’t provide a whole lot of stability.

      3 or 4 dental implants are going to be more stable if you are considering having a denture on top of implants.

      Even if you wait, it will still likely be okay. Just yesterday I treated an 87-year-old woman who has been missing teeth for 50 years. I placed for implants in her lower jaw.

      Dr. Amin

      Reply
  34. Don

    My Dentists wants me to get six implants on the top. I don’t see why 4 wouldn’t work just as good. I don’t have a lot of money to throw around and that would save me some money. Why wouldn’t 4 be plenty?

    Reply
    1. Ramsey Amin DDS

      Hi Don,

      Four implants on the upper is really under-engineered **IF** it is fixed bridge. If you have a problem with just one of them, you will lose the all of the teeth. Is this for an overdenture? If it is, four can work, but you will still need to keep most of the palate.

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

      Reply
  35. Jenny Cousteau

    Hi, I have had four implants inserted in my lower jaw and an overdenture fitted. I had this done quite some time ago and they have never held firm appart from a couple of days of when the dentist replaced the o-ring with the strongest hold. I went to a dental technician the other day and he told the reason that the overdenture is not holding firm is because the implants have not been implanted straight up and down, they are facing slightly inwards (on a lean). Is it possible that the implants can move slightly in the bone or that once the implants have been implanted they would never move over time? The implants are still holding very firmly into the bone. I really look forward to your comments as I spent heaps of $$$’s on having this done, and had no real success. Thank you

    Reply
    1. Ramsey Amin DDS

      Hi Jenny,

      The implants had to be placed at the trajectory of your bone if it is really small. O-rings are a really old design. Try changing to “locator abutments” or change to a fixed porcelain bridge.

      http://www.burbankdentalimplants.com/lifting-moving-over-dentureleading-burbank-dental-implant-dentist-reviews-reasons-why-3-min-video/

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

      Reply
  36. Dawn

    Hi Dr. Amin
    I have a question about whether it is possible to wear a full upper denture(traditional removable) with an implant retained denture on the lower mouth. The prothodontist that is working with my periodontist right now is telling us that the constant pressure of an upper traditional denture against a fixed lower implant denture will more then likely cause the implants to fail within 5, 10 or 15 years. He so far has been very resistant to wanting to do anything apart from a removable overdenture with a four implant base . Right now I only have four remaining teeth, three in the front and one in the back and I’d like to keep them if possible, My periodontist has suggested that if I had the remaining teeth pulled that it might be easier to do a full fixed bridge. In your opinion, is there a significant risk of damaging the implants that retain a fixed denture with an upper denture? I don’t want to invest a lot of money in implants and a fixed denture if it will fail in a short period of time. I also don’t want to have to lose viable teeth unless it is absolutely necessary.

    Thanks
    Dawn

    Reply
    1. Ramsey Amin DDS

      Hi Dawn,

      This sounds strange. The opposite can be true. The stronger jaw, in your case the lower, could damage the bone in the upper that has no implants…not the reverse. A fixed bridge is a much better option for both your upper and lower. See this link:

      http://www.burbankdentalimplants.com/prettau-dental-implant-full-mouth-bridge/

      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. dawn

        This was very helpful…thank you for the link and for the explanation. The whole process of trying to understand implants and overdentures at first was pretty overwhelming so your answer helped me to know what questions to ask when I spoke with my new prothodontist.

        Thanks
        dawn

        Reply
  37. gail

    Dr. I got a full set of dentures about a year and a 2 years ago and my tops are wonderful! My bottoms have been a constant source of sadness for me! I have a very small mouth (my bottom only have 12 teeth) I just cant seem to get comfortable with them no matter what I do! I have been thinking of getting the implants for my bottoms but I am so scared to spend the amount of money it will cost and It NIOT work either! I live on disability because I have crippling arthritis (RA) which is another concern about the implants. I just want someone to tell me that if I get them that I wont have to wear paste anymore and I WONT be getting things stuck under my dentures? Is this possible?? Should I have 4 post put in? 2 in front and 2 in back? I’m so confused I just want to be me again!

    Reply
    1. Ramsey Amin DDS

      Hi Gail,

      Four implants will be far more stable than two. A stool with four legs is more stable than a stool with 2-3 legs. It is definitely worth the money. Keep in mind that if you have the denture over implants you will always get food underneath them. You won’t need paste, but unless you get a fixed implant bridge, you will get food under them. You are ok with the RA too, just see someone very skilled in this procedure that understands your medical condition too.

      Good Luck!

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

      Reply
        1. Ramsey Amin DDS

          Hi Gail,

          I don’t know anyone personally in that area.

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

          Reply
  38. Norma

    Hi. In processes of getting an over denture w/implants. I have had bone grafts and 4 implants. In the process of having the removable over denture made. What is the parts called that are inserted into the over denture that clicks on to the locator/implant.

    Reply
    1. RamseyAminDDS

      Hi Norma,

      The piece that connects the dental implant abutment to the denture is called an attachment. They are made of plastic and will need to replaced about every one to two years on average.

      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
  39. bill dowden

    I simply couldn’t leave your web site prior to suggesting that I really enjoyed the expertise. Is going to be back often to read new posts?

    Reply
    1. Ramsey Amin DDS

      Hi Bill,
      Yes, I post on a very regular basis and try to help people around the world by providing solid answers for dental implant questions.

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

      Reply
  40. Dr. Ramsey Amin

    Hi Diane,
    Usually extensive bone grafting is not required for the lower jaw to have a non-removable option. The upper jaw usually does.
    Err on the side of more than less implants, especially if you choose to “upgrade” your implants to fixed at a later date.
    Are you local enough to come in for me to look at you?
    Dr. Amin

    Reply
  41. Diane Romano

    Dear Doctor Amin, I am soeaking to a periodontist about a ‘permanent denture’- my dentist who is a Prothodontist will do my teeth. My problem is my two sides of my mouth are thin. I want a non-removable denture on the bottom as I am in the beauty business. My Periodontish says he can do 5 or 6 implants around my front to my first molar. This is not a cheap procedure at all. Will this secure this denture?? I have read above what you said. Bone grafts would be a hardship for me. Thank You so much!

    Reply
  42. Dr. Ramsey Amin

    Hi Bob,
    I think you should follow up with your dentist. Have them carefully adjust the bite. That is often the source of pain.
    An overdenture with only two implants will generally still rock. The denture is held in, but it can still move in the back. Consider adding 1 -2 more implants.
    A prosthodontist may or may not be the answer. Just be sure to see any dentist highly experienced to troubleshoot this if you have to go elsewhere.

    Reply
  43. Bob L.

    Hello Doctor, my question pertains to two implants that I have in my lower jaw. I have had the denture for about three months now and have had use of the denture for the last two weeks and it doesn’t fit right yet. I have been back to the dentist that made the denture and put in the posts and caps more than seven times. The denture still rocks back to front. The last visit was Tues. the 15th.Also, my lower gums are jammed up into the cap holes and leaves me with aching gums at the end of the day. Is there something wrong here?
    Should I go to another dentist? I don’t find any prosthodontists in the area I live. How do I go about finding a dentist that can examine the implants and denture and recommend a proper procedure. The work has already been paid for. Bob L

    Reply
  44. Dr. Ramsey Amin

    Hi Maria,
    It depends on what your goals are. Do you have a problem with your dentures staying in? If so, the full overdenture may be a better option.
    The front implants with a fixed bridge will always allow you to have your front teeth in place even when you sleep. You could transition to implants in the back and have a separate bridge in the back left and back right to supplement the front fixed bridge at a later date. The bone preservation of fixed dental implants is ideal.
    Can you send your x-rays and photographs to me?
    Dr. Ramsey Amin

    Reply
  45. Dr. Ramsey Amin

    Hi Bryant,
    Magnets were used many years ago as attachments for implants and dentures. They do not hold as well as the current line of attachments.
    Also, If you needed to take an MRI, the magnets can cause a problem. MRI stands for Magnetic Resonance Imaging.
    My preference is the locator or a bar attachment. I have been doing this procedure for the last 11 years with great success.
    Does this help?
    Dr. Ramsey Amin

    Reply
  46. Bryant

    What about using very powerful magnets to hold the dentures in place? Either located in the abutments or in the denture material or both if polarity is in proper alignment?

    Reply
  47. Maria Carpenter

    Dear Sir, which option do you consider the best to fix to four implants on the top jaw.
    A full denture
    or a front bridge with dentures afixed to the back?
    Please can you let me know of any pro’s and con’s to each option.
    Thank you

    Reply