Disadvantages of Dental Implants: The Cons

As an authority in the field of dental implant dentistry I can tell you there ARE disadvantages to dental implants.  Like anything else, there are pros and cons.  Many dentists and patients speak about the pros of implants and bone grafting but there is not a lot of good information on the cons.

The Cost of Dental Implants

The cost of the procedure(s) is probably the most common disadvantage cited by patients.  How much do dental implants cost?  How much is a sinus lift bone graft?  How much is an implant crown? These are questions I hear all the time.  Dental implants and grafting in my office are reasonable and affordable. 

Keep in mind that implants are body parts that you really want to make sure you have a very experienced surgeon as opposed to a novice that may do few implants per year.  The cost varies depending on the difficulty or ease of your unique mouth.

Dental Insurance Normally Will Not Cover the Implants Procedure

Dental Insurance is another disadvantage.  Most dental insurance plans don’t cover dental implants, bone grafts, sinus lifts, etc.  Sometimes they will cover part of your procedure.  They may only cover the crown, abutment OR the implant itself. 

Keep in mind that dental insurance does not go very far at all.  Unlike medical insurance, it has a very low yearly limit that has not changed in 40 years!  So what ends up happening is the whole implant process costs more than the average $1000 or $1500 yearly limit set 40 years ago! 

Don’t get me wrong, dental insurance helps, but it only helps with part of ONE implant if they even cover any of it.  Many plans just exclude them altogether.

Dental Implants Require Surgery

Another disadvantage of dental implants is that it requires a surgery.  The implant has to be placed into your bone.  Surgery is not without risks.  In my own hands, the dental implant complication rate is about 1%, but the average is somewhere between 5-10%. 

Risks include, infection, prolonged bleeding, damage to other teeth, nerve damage, delayed bone healing, jaw fracture and many others.  Knowing how to recognize and quickly treat complications is the key

Restoration replacement

Another con of dental implants are that the teeth or tooth will probably have to be replaced some day. 

If you have an overdenture or a All on 4 full arch fixed implant bridge with plastic teeth, those teeth WILL wear out and need to be replaced.  A porcelain crown or bridge on an implant can chip or break, too.  The teeth that go on top of implants are no different than the teeth without implants.  It is normal to replace crowns, fillings, bridges and dentures…they don’t last forever.  Good design, a great lab and the diagnosis is the key to minimizing having to replace your dental work.  Making implant teeth is often more complex and costly than the surgery and bone grafting…experience counts.

Over time you can lose bone around your dental implants

Some slight bone loss over many years is normal.  If you lose too much bone, you may have to replace the whole implant.  The original surgery and original fabrication design of the teeth are a huge factor in the long-term health of your dental implants.  Choose a very skilled implant dentist.

Implants Take Time For Bone Integration

A common disadvantage for dental implants is that they take time.  Although I replace many teeth, with same day implants and bone grafting, the majority take three to six months to complete.  This is because bone just heals slowly.  If you need bone grafting, treatment time can extend from 3 months to 18 months or more depending on your unique situation.  A regular bridge can be made in days or weeks.

The bottom line is that there are disadvantages to the dental implant process.  The reality is the pros outweigh the cons.  Overall, the process is a long-term benefit for a short term sacrifice. Dental implants are by far the best option in the majority of situations when teeth are lost.

228 thoughts on “Disadvantages of Dental Implants: The Cons”

  1. Hey Dr Amin,

    I have been monitoring your blog for some years now.

    I have been going to see a periodontist (at one stage, rotating amongst a team of them) since 2014, 2 to 3 times a year due to advancing gum recession out of nowhere. I started off with no spacing between teeth and am now at a point that I have gaps between all of my teeth except for the bottom molars, with receding bone so that I am exposing a decent amount of longer teeth on both the bottom front and top front.

    I have checked my routine with my dentists over and over (I use a waterpik, floss, use a sonic tooth brush etc.) but nothing I do seems to halt the recession, which is far more than the average 1-2mm of recession most people see in a decade.

    I am not at the dental implant stage yet but I am probably getting there and will have to consider options in the next year or two (I am having some trouble biting down on my front teeth). I have watched videos for many different full bridge implants (top and bottom) but to my mind a lot of them look fake, have poor lip support, and leave the patients with a flatter face and more saggy/thin lips.

    I presume there is no way for someone to look with implants like they did with all the lost bone in place and with their original teeth. I know there has to be some acceptance of changing features.

    Will it always be the case that the patient, due to either years of bad teeth or dentures, will accept ‘good enough’ restorations (that give them some sort of function and looks) and that’s why this practise goes on? Or is this just part and parcel of the expectations one should have after?

    I’m not meaning to insult you or anyone else in the dental implant industry with this question. It just makes me very sad that there was nothing I could do (I suspect some sort of collagen disorder due to other issues) to stop this from happening and am trying to manage my expectations.

    Kind regards,
    Rob

    Reply
    • Great question 🙋🏻‍♂️

      To me this is unacceptable. In my office we use a FACE SCANNER to record and preserve what you look like now if that is what you like.

      It is not common place to use a face scanner but this is part of every case I do. Using the face scan along with an expert team and lab technician everything should be able to be preserved in the 90 % range.

      Look at these few links and let me know if this helps. 😊

      https://burbankdentalimplants.com/?s=Lip+support

      Reply
  2. Hello Dr Amin, I am 28 years old and at 16 had two bridges placed in my bottom jaw, the dentist root cannaled all four anchor teeth and now I the bridges are failing and one of the root canals is infected. After a decade plus of having no tooth my dentist wants to place six implants… and I’m just not sure that’s the best idea. One bridge goes from my canine back (three crown bridge) and the other is in the same location but starts one tooth behind the canine on the other side. Current dentist things remaking for anchors should be extracted and 6 implants done or more bridges with four implants. Is it even worth it to keep getting implants that will have to be replaced? How bad would a partial denture be? I’m not even 30, but this has plagued me most of my life at this point and I just don’t know what to do.

    Reply
  3. Hi Doctor,

    My father is interested in having both top and bottom dental implants all in the same day. He is 77 years old and overweight.He has both blood pressure and cholesterol which are both under control by medicine. His heart doctor approved his surgery, but I just do not feel entirely comfortable with it. What are your thoughts? Thank you so much

    Reply
    • First and foremost see her father is not too old to have dental implants. I have treated 100s of patients your dad age for full mouth dental implants. My oldest patient was 93 who underwent 12 implants.

      Safety comes first. Everything else comes second. His procedure will be most safely done under intravenous moderate sedation. A long discussion about his hemoglobin A1c and diabetes control needs to be discussed prior to undertaking this because diabetes can cause poor healing and implant failure. Just because his heart doctor approve the surgery at still means that the dentist has to assess risk. I would personally do this procedure under IV moderate sedation which would also allow cardiac monitoring. I would seek out an expert who does upper and lower surgery at the same time routinely and also provides immediate teeth so that your dad can leave with fixed same day teeth on the upper and lower. This is how most of my patients have this done in my office in Burbank, California.

      Also since his cholesterol is high he may have low vitamin D which can cause implant failure as well. All that should be checked out.

      Reply
  4. Hi Dr. Ramsey,

    Can dental implants cause bone loss, periodontal disease or any other adverse effects in the adjacent teeth? Also you mentioned in one of your posts that dental implants don’t last forever. What usually causes the eventual late failure of the implants, fracture, loosening, infection?
    Thanks

    Reply
  5. Hi, please can you tell me if it would be safe for a celiac who also has a slightly low white blood cell count (usually 3.2-3.8 when normal range is 4.0-11.0) to get dental implants? I am worried about infection risk. Also (for a friend) would a Lyme infection rule out implants? Thank you for your thoughts!

    Reply
  6. Hi Dr. I am a hygienist who is looking for an opinion. My roommate needs number 10 extracted and an implant place. The dilemma is periodontist or oral surgeon. The oral surgeon can extract and place an implant the same day without my friend wearing a flipper. That being said it seems more appealing because she is a singer. But I have always heard in the past that extracting am placing an implant the same day has a higher failure rate. What are your thoughts about this The oral surgeon can extract and place an implant the same day without my friend wearing a flipper. That being said it seems more appealing because she is a singer. But I have always heard in the past that extracting am placing an implant the same day has a higher failure rate. What are your thoughts about this?? Thank you in advance

    Reply
    • Immediate implant for the front teeth is actually preferred and does not have a higher failure rate in the right hands! The preservation of the gingival architecture is the key. It easier to preserve that it is to rebuild. The contour of the abutment and crown are critical for long term success and during the temporization phase. In my opinion a flipper is a much higher risk… Much higher risk of Cosmetic failure, papilla loss and lengthening of the free gingival margin

      Reply
  7. I am 18 years old and I got a dental implant in December it is now April and I smoked twice. What are the chances that I completely screwed up my entire implant.

    Reply
  8. Dr Amin, I have gotten more useful info from your blogs than any of the dentists I am dealing with.
    I am 64 year old. I had to have #24 extracted because of fracture, and had a bone graft from a perio specialist I totally trust. 4 months later I went back and she said it had properly healed. She referred me to an implant specialist, who said I had significant bone loss in the adjacent teeth and should have them extracted with additional bone graft and have 2 implants installed with a 3 tooth bridge. The cost was outrageous, just for the implants – not sure he was planning on doing the crowns. So I went to see a dentist that offers less expensive implants – but still very expensive. I have also looked into Costa Rica and Mexico dental tourism. I fear I will need more dental work in the future as my teeth are not in the best shape and I may run out of $$$. I am now looking at getting partial dentures, either cast metal dentures or flexible nylon ones. The flexible nylon option seems appealing as well as affordable. They seem to be more comfortable and durable but do not provide as strong of a bite. If I go that route and do have to have further extractions in the future, this option seems the best cost-wise. Please give me your opinion on my situation. Thank you.

    Reply
    • Case metal partials would be best as they are more stable.

      Beware of work out of the US. I am currently redoing FIVE cases. Two are a nightmare with bone infections lasting for months. Another had 11 implants all placed wrong.

      Many times it becomes hard to find a DDS in the US that will take over those cases.

      Good luck and thanks for the kind words.

      Reply
      • Hello please help I had an an implant done and I feel like the bone graft wasn’t done right or not enough used as I have an indent below my tooth. The dentist put some more graft in and it still did not look better. He said he doesn’t want to do more because it. Could compromise the health of the implant. I’d there anything else I can do

        Reply
        • if you really need more contour in the area I would suggest doing a gum graft using tissue from your tuberosity. This is the area where upper wisdom teeth used to be. The gum is very durable in that area.

          Reply
  9. You really pointed out some good cons like loss of bone.I didn’t know implants had so much cons but then everything has cons.

    Reply
  10. i am 21 years old. by birth i am cleft, my lip surgery done when i am 6 months baby. now 3 months back i under gone bone grafting my gums only . my palate is normal. so please can you suggest me which is the best one for me for teeth crown , bridge or implant.

    Reply
  11. I am interested in learning more about cleaning the implanted teeth. How does one go about cleaning the bottom of the tooth that touches the gum? With natural teeth, you would use dental floss. Are the implanted teeth installed flush against the gum? Can plaque grow on the implanted teeth?

    I live in Apache Junction, AZ. Would you kindly recommend a dentist in my area?

    Reply
  12. Thank you so much Dr. Amin for taking the time to answer so many questions and address so many concerns. Last month I had full extractions done due to multiple failed bridges and crowns. We were unable to place lower implants on the day of my surgery because my bone was too thin. My dentist wants to wait for several months of healing and bone growth before proceeding. My concerns are multiple (and growing) and I am hoping you can address a few of them.

    I have just learned that my dentist has only been in practice for 5 years and as such cannot be highly experienced, though he may very well be talented. So far I have not been impressed with my dentures to say the least. I never expected to be thrilled as I know that this process is long and takes many adjustments and a great deal of getting used to. My concern is regarding the upcoming implants. I am still unsure as to whether to even have them done, especially now realizing my dentist’s lack of experience. I am concerned about them being done improperly and/or failing soon. I haven’t been impressed with my care so far, ie: shards left from extractions, not initially acknowledging the improper denture fit that’s causing issues with my TMJ, etc. My question is whether you think it would be better to have poorly done implants, if that happens to be the case, or none at all. I know the implants will prevent bone loss and that’s good. But what are the negative effects should they not be done well? With an ordinary dental office, I would not be able to afford the implants at all, but my dentist is a direct care provider where I pay an annual fee for all care and then only pay cost for the implants and dentures themselves. I have already paid for the implants and cannot afford to this with a different, more experienced dentist. Should I take the chance and hope my fears are unfounded or just forego them altogether? Originally my concerns hinged around the constant care and upkeep the implants require, but now after reading so many of your posts, it’s the inexperience that has me worried.

    I would appreciate your insight as I am truly confused. Thank you so much!

    Reply
  13. I had full bottom implants last year.now one has split .my dentist is away.is this fracture a common occurrence.the cost a lot of money.what should be done

    Reply
  14. Regarding the risk of bone loss in the jaw after the loss of teeth: this may be a stupid question, but — as a functional and aesthetic matter — is this less of a concern when only one tooth is lost? Will the shape of the face still change, and will problems still arise with the remaining teeth? I know a few people who have had a back molar extracted and the dentist did not urge them to replace it because it was not visible. (These are well-off professional individuals, going to reputable dental practices.) Are their dentists doing them a disservice by not urging replacement? Will they inevitably develop problems down the road? I will probably face this issue soon. Although I don’t want my jaw bone to shrink (because I am afraid of the appearance of my face changing), I am starting to be afraid of the long term risks of implants. I have seen so many accounts of things going wrong, years after an implant first seems to be successful.

    Also, do you have people to travel to see you from out-of-state to have their implant procedure done? Or does the length of the procedure and the need for ongoing follow-up make this impractical? Thank you.

    Reply
    • Violet….You are very observant. Keep in mind that my blog tends to manage people that have problems or are looking to know more about the procedure. So you are kind of seeing a different slices of the pie.

      90% of the time most patients have no implant problems short-term or long-term. I would highly suggest you see an expert to be treated so that you can reduce the chance of having problems.

      I have people travel from out of state in from out of the country to see me. It becomes a little bit difficult but for some they are able to make it work. The procedure does require multiple visits

      Reply
  15. Hi. I’m 52 and type 2 diabetic. Just saw dentist today and my tooth 19 which has crown needs to be removed – hoping just root canal and new crown but they said might need extraction and implant if roots too far gone. My question is my teeth are VERY tight and crooked in some areas. I was told as teen I needed some pulled and braces but parents didn’t do. So if tooth 19 has to be pulled would it be more beneficial to maybe have one more pulled and then get braces to straighten and space teeth better?

    Reply
  16. Hey there Dr. Amin,

    I see you’re still replying to posts and need your advice on my dental situation. I’ll try to keep it short.

    I was born with only 18 of my 20 primary teeth. I am 23 years old now and I have only changed two of them to adult teeth. There are no other adult teeth in my jaw and my baby teeth are beginning to resorb.

    I currently wear an over denture on the maxilla which covers my baby teeth and leaves my front two adult incisors out. I also have an 8 tooth bridge on the mandible since my baby teeth had worn so much it became harder to bite food (also it was quite visible and I work in the communications and entertainment industry so it was necessary to get and keep a job.)

    I’ve seen many surgeons, specialists, you name it. The first option they gave me is to remove all of my baby teeth and replace them with implants, (yes, thats over 20 implants.) I would also need a sinus lift in this case.

    The second option is to remove all my teeth and do an All-On-Four procedure.

    Both of these treatments are expensive however one is less invasive than the other. My biggest priority in dealing with this dilemma is the longevity of the finished product and the risks/downtime associated with them.

    Which of these options would be best for me in the long run? I’m tired of taking out my teeth every night like I’m 80 years old and am desperate to take a bite into an apple, carrot, or steak without fearing a tooth from my denture will pop out.

    Thanks,

    Reply
  17. I want to have my few existing teeth removed, because I am basically chewing on the right side and only have about 20 teeth remaining. I want to have a full mouth restoration, with upper and lower dentures and 4 implants securing the upper and 4 implants securing the lower dentures. Is this a good idea? Money is also a issue and my dental coverage is no help,maybe on the dentures themselves. Can you recommend a experienced Dentist? I live in Kansas City Missouri 64138 area code.

    Reply
  18. It has always been a dream of mine to have beautiful teeth. As a child growing up it was cheaper to pull it than to fix it. Now I am 50 as of yesterday. I had plan to start working on getting that beautiful smile. Then real life steps in. My mother died 1 year ago and six months later my sister my sister would join her. I now have her 2 girls 6 and 10 and I am trying to save their teeth. Thanks for the information that you provide. Maybe on day

    Reply
  19. Hello Doctor, I am writing this assuming that you still reply to questions on this post. I hope you find my post worthwhile to read and answer my two questions. From the last three months I am very concerned about my oral health.

    I am a 27 year old girl from India. My primary teeth were very nice and beautiful with no cavities ever and I loved them a lot. At the age of 4 or 5 I got hit by steel rod while traveling in my school bus which broke my front teeth. They turned dark. But after that my permanent teeth has always been a concern for me since the age of 7. Because they came out as “weak” teeth as with white spots and lines on them and less strong than normal teeth. My dentist says that the make of my teeth is weak and no matter how much I care for them , they will always be irritating for me for their continuous repair and maintenance. I have always followed a good oral hygiene routine from my childhood. My dentist is a very caring person who has helped me tremendously to adopt to healthy diet, good oral hygiene and food supplements to help my teeth last as long as they can! Most of my back teeth have fillings. But no matter what I do each year there is some minor cavity or enamle erosion that requires further drilling and repairing. I don’t have gum disease or health problems. I never thought my teeth will become a serious issue for me ever in life as none of the people around me have teeth problems like me and it makes me feel wrong and isolated. My teeth are not bad but they are not good either. I just replaced my couple of fillings which I am sure next time won’t be replaced but need a root canal. My dentist has helped me to accept those factors which are beyond my control and stop worrying about them and do my best for the things that I can change. I am doing my best to care for my natural teeth. I have read your many post in which u always say that keeping our natural teeth As long as we can is the best thing to do. And I agree with it. I know no one wants to have dentures or fake teeth in life. But sometimes we just cannot control everything what happens in life. I wouldn’t have felt bad for my teeth if my negligence was responsible for it. But to be in a situation where I am right now I feel like getting a fatal disease which has no cure making suffering inevitable. And it scares me a lot. You were right when you said teeth are just not teeth and they are emotions attached to them. Now I can say a,single tooth problem can also lead you to depression and mental health problems. Reaplcing nature is not easy but I have seen many lives changing for the better because of amazing advances in medical science. Dental Implants is one of them.
    At this stage in my life I am about to finish my education this June where after that my dream career awaits for me. I hope you don’t find it too dramtic but issues like teeth problems are capable of impacting my life in all the areas possible. I have dreams which includes getting my dream education , my dream job , falling in love, having a family and friends and living a happy life where I am not continuously worrying about every little thing in my life. In simple words I wish to live a normal life but in last few months I have become more depressed and it has affected me badly. I know many people can’t understand but teeth problems are capable of disturbing everything. I feel lonely when I look around my cousins with their perfect smiles and it just make me more sad as if life has abandoned me for a reason I form know. It may sound silly. I am not a pessimist and am well aware of millions of people who have dealt with many horrible disabilities but are living great lives. I know it is too long but I just wish to show the inner feelings when someone goes through it. Because patients are not just bodies they are humans who can feel. At this point I don’t wish my fears and insecurity about future regarding my teeth to hold me back from living the life that I love and dream! I hope you understand what I mean. My self confidence is badly shaken where I am questioning myself whether I will ever live a normal life. I don’t care about stigma attached to fake teeth or anything but my only concern is to be healthy and live a happy life till the last as it is such a brief life. So my questions to you are :

    1. I will do the best I can to care for my natural teeth but if ever in my life situation arises where the only option is prosthetic teeth then do you really believe that dental implants are the best option if done by the right dentist with the best care to help a person no matter young or old live a near to normal life? ( I am not asking for guarantee as I know life is all about insecurities and dealing with unknown)

    2. My last question is about dental implants and jaw bone loss. My father age 64 is an eligible candidate for full mouth restoration. Does dental implants preserve the jaw bone just around it where the rest of the jaw bone is continued to dissolve?

    Your posts and YouTube videos have been very much of help to me. So thank you for your efforts , it really helps many people no matter in which part of the world they are!

    Reply
    • Thank you for your story and your thoughtful words.

      I think there is something with your habits, diet or lifestyle that is contributing to you continuing to need dentistry. This could be something as simple as chewing on antacids, brushing and flossing in the wrong order, dry mouth, drinking drinks that people think are healthy such as Gatorade… Meet with a skillful in caring dentist to discuss lifestyle changes or I’m sure you can find all of these things on the Internet

      your questions… Yes I believe dental implants or the best option for replacing missing teeth. I have treated patients as young as 16 and is old as 93.

      As for your father… There are enough implants spaced out in the jaw muscle function will continue which will generally preserve the shape and size of the jawbone’s. It sounds like you’re talking about a Prettau/all on 4/6 type procedure. Generally the bone in between implants does not shrink too much unless the span is very long between implants.

      Reply
      • Thank you so much for replying!
        You exactly said the same things which my local dentist asked me when I went to her first time. I don’t suffer or follow any of the conditions you mentioned except brushing techniques which I improved long back.

        Thanks for answering my questions!

        Reply
    • My name is praveen from india I had some cavities problem in my teeth now i just 23 year old guys 2 months back my 2 upper moler was broken half of pieces i don’t know dental implants is good or bad no one understood my problems.
      If anyone have proper solution please conduct me
      [email protected]
      9710715532

      Reply
  20. My bottom dental snap in teeth are all finished. They were relined, polished and brand new metal snaps put in. These teeth now feel like they belong to me. There is no slipping, no food under them, no popping out of my mouth at a most inconvenient time. I love them.

    Reply
  21. very nice blog i m 43 years old i have crown and bridges upper and lower 8 teeth can i go for implant because in this blog u told many people that they are too young for implant and i have also lower bone loss so implant is suitable in this situation thank you

    Reply
    • Hi Ash,
      If you read the comments carefully I always suggest that if you have teeth that can be predictably re-restored that this would be a better option than dental implants. Dental implants are to be used when the teeth are not predictably savable. Because dental implants are not permanent, they must be engineered extremely well to last long as possible. He would not be uncommon for a dental implant to last 30-40 years but there are patients that have lost dental implants after just 1-3 years. Connect yourself with a very skilled and experienced dental implant provider before making any final decisions.

      In my practice, all patients even with extreme bone loss can be treated with dental implants.

      Reply
      • I have done a lot of research just on this website. I have just had 2 front teeth removed and have a partial metal denture with 2 fake teeth on it. I would be very interested in implants but not fully sure how much it will cost and how much I should save to get this procedure done. I’m only 23 but terrified of shrinking gums and bone loss. Also if this procedure is traumatic, I would hope the implants last longer than 1-3 years like another comment of yours I read. I would love a reply or email regarding. Thank-you

        Reply
        • this was written by another person, NOT by me but it really may help you.

          Upon reading and viewing your various publications regarding the many issues, complications and facts related to implant procedures, I recognize how important it is for patients looking into implant related restoration to educate themselves before accepting any plan of action without carefully inspection and weighing of its pros and cons. Over the course of 66 years, I’ts become evident to me that a poorly designed dental treatment plan, offered at a lower than average cost, normally result in further tooth damage or loss along with a doubling of the original restoration cost. To get the best bang for your buck, make sure your dental restoration treatment plan is designed and compleated by a Dentist whos reputation for excellence offers you the best possiable outcome. Each dollar you save today by seeking out short cuts in your dental restoration work, eventually will double or triple your dental bill in the long run

          Reply
    • NO! they have been in use since the late 1960s. We would’ve known by now if something crazy like that could occur. I have placed them in my own family members 😉

      Reply
    • re getting a fixed upper bridge on zgomatic implants what about lip support etc , im wanting to have this procedure done in NZ am told I could end up with bar type structure told very secure etc re teeth can be done without covering roof of mouth.your view thanks

      Reply
  22. I had a crown and root canal on #13. The crown came out with a sliver of tooth. This cannot be replaced so I have a choice of an implant or a permanent bridge for this tooth. My question is can I not replace this tooth? Since I’m an 80year old female…It doesn’t show and I seem to be able to eat with no problem . Thanks much

    Reply
    • Of course it is optional to replace a tooth at all. This is your choice. I placed 3 implants on a 89 year old today
      😉

      Reply
  23. Hi, I had Tooth #15 pulled 8 months ago, 2 weeks ago they tried to drill the implant in my bone. the bone was too soft and the Dr said I would have to wait another 3 months and they will try again. I asked how the bone will get harder in 3 months, he said they will use a smaller drill this time. but with no guarantees. My question is, the space does not hurt or bother me. you cannot see the missing tooth when I smile or talk. what are the cons by not replacing the tooth and just leaving it empty. I am 55 yrs old with good oral hygiene, I do not smoke or do drugs. I understand in time my teeth will start to space a little, but how quickly does that happened. I live in Chicago my cost after insurance pays is $1900. that is money I need to survive in this city. Thank you in advance on any advise you can offer me.

    Reply
    • if you have tooth #14 and a complete complement of teeth with a normal “class I bite” then replacing tooth #15 can be considered optional. It is the one tooth in the entire mouth that is not as needed as we think it is. Of course every case is different but your bite needs to be evaluated closely. If you are missing #14, then replacing #15 and 14 become very important and they should also be connected together for biomechanical strength and bone stability.

      For those of you reading this comment these numbers apply for the American numbering system and not the international dental numbering system. This is the upper second molar

      Reply
  24. I had tooth #14 (or #3?) – the first big tooth (molar) on the upper right hand jaw extracted a couple of years ago after it had cracked, then had a filling and then abscessed. I didn’t get a bone graft at the time because didn’t think I’d ever do an implant because of my concerns with the sinus being right there and not wanting to fool around with that area after an abscess. It was a bit traumatic losing that tooth but that lone tooth at the back is bothersome and I worry about losing that one day and what will happen to my ability to eat with all my molars gone. I would not risk a dental bridge because of possibly damaging that lone tooth. I’m now I’m scheduled to have a bone graft done two years after the extraction with the intention of a subsequent implant. I probably would have the screw put in a year later as I’ll be travelling in for the procedure. My dentist said waiting longer for the screw was even better. What are your thoughts about the risks versus benefits of an implant on the upper jaw where the sinus is? And doing a bone graft after 2 years? Also if I chicken out about the implant – is there any benefit to having the bone graft anyway?

    Reply
    • it sounds like you are talking about tooth #3. There is no benefit to having the bone graft if your not having a dental implant. When you are talking about a bone graft your likely talking about having either an internal sinus lift or a lateral window sinus lift. The upper molar is unique in this respect and that the sinus drapes over it. This is a very routine procedure when done by a skilled provider. Read the links in this post to learn a little bit more and search around in the sinus lift category on your right.

      Good luck! You will do fine

      Reply
  25. Dr. Amin,
    My dentist in a clinic wants to do a SCREW-RETAINED IMPLANT CROWN ON TOOTH #29. I would prefer to do a TWO-PIECE PROCEDURE (implant placed after bone graft, then 3 or 4 months later screw the abutment into implant and cement the crown to the abutment). I am of the belief that the SCREW-RETAINED IMPLANT CROWN works best in the upper molar teeth and that you can get better orientation/angulation with the TWO-PIECE PROCEDURE and would be less likely to have screw loosening problems later. I already have had #17, #22, #27, #32 extracted many years ago as well as have had orthodontic work. I also of the belief that perio-implantitis is a rare problem under a competent surgeon.

    I would appreciate your expertise in this matter.

    Reply
    • I just put together a nice video explanation on this!! Use the search bar in the blog and search “screw retained.”
      Thay should help! My phone won’t allow me to post a link.

      Reply
  26. I have dental implants and I agree with everything you had to say in part one as well as part two of you publication. It took me 18 months to get finished, and then visits here and there for adjustments.

    Reply
  27. I need an implant on a front tooth. Upper right hand quandrant. There was an abscess above the crowned tooth and now the tooth is being held just by the gums. Part of the one is missing so the implantologist would have graft bone. I’m worried that the implant might hit a nerve right under my right nostril. Should I get a bridge instead or am I worrying for nothing?

    Reply
  28. Is it possible that after how many years with having the implants on, the bone where the implant is could have infection??

    Reply
  29. Since I was 10, I’ve been searching for help and answers. I was born with cleft lip and i don’t believe my parents went through the process of having the surgeries done that I should’ve had when I was younger. My upper teeth have grown in disfigured in shape, size, and placement. I’ve never seen anything like what’s going on in my mouth. I had some help before I turned 18 and had a few teeth pulled but I wanted more to be pulled because I knew they weren’t going to get fixed. I haven’t been able to do anything about my situation due to not having the money or sources. I’m 25 years old. All I want is to have a pretty smile. I currently have a partial denture that’s just hiding the mess in my mouth. I feel self continuous with this denture because I can’t smile big or laugh big or you can see the sides of my teeth where the metal anchor is and how it differs from my actual tooth on the side. I’ve really been wanting dental implants. I would need to have 3 clusters of teeth pulled that are protruding through the right side of the middle of my gum where they should not be seen at all. I feel like they’re coming through a split in my gum. I would need a bone graft, and maybe something else? And then implants. While going through the process of having teeth pulled, getting a bone graft, and then implants do you at all times have something to wear to hide that your teeth are missing during all this time. It’s a long long process and it’s very hard to talk with out teeth and eat and also just be out in public or doing your job. That’s one question I have, another is there a way to find a dentist that would do any of this work pro bono in Texas?? I live in the austin area. I know I could never afford the cost of all of this. I just want to be able to smile, and laugh big, I want eating food to be better, I want to not have to worry about having constant bad breath due to these weird clustered teeth and partial denture, I want brushing my teeth to be normal and simple and just tooth paste and brushing and not having to pull my denture and trying to get all the food and adhesive out of this cluster of teeth and in my mouth everyday. I literally don’t feel like my mouth is clean if I try to do all this at the sink. I have to shower to brush my teeth so the water can constantly clean my mouth as I scrub all the stuff out and adhesive. I want to be able to camp with out worrying how or where am I going to brush my teeth in secret or worrying about having to take a shower in order to feel like my mouth is as clean as I can get it.

    Reply
    • I recall seeing your pictures. You could consider removing the rest of the teeth in placing an offer dental implant bridge. To avoid the cleft palate you may have to place the zygomatic implants which anchor into the cheekbone. Search my site in the upper right corner for zygomatic implants to learn more.

      I’m going under the assumption that your upper jaw has very little bone so this option works great for patients with your same situation. Don’t give up hope. It is very doable to treat patients even with severe bone loss.

      Reply
      • I have little hope because I’m to old to receive any help with dental insurance or funding and I don’t have the money to do anything about it. I was told I need about 4500 just to pull the rest of my upper teeth (9) and then make an immediate denture and then they would fit that denture again after the swelling went down.

        Reply
        • You could try a “Go Fund Me” account. Maybe if enough people provided just a little help, it would be enough to complete the process for you.

          Reply
    • Erica,

      My son was born with a cleft palate / cleft lip –he is now 40 years old.

      UTSA (University of Texas, San Antonio) has a dental school which provides lower cost services —and may adjust the amount you pay based on need. I suggest you speak to someone in the Prosthodontics Department – Resident Practice 210-450-3260; http://www.uthscsa.edu/patient-care/dental/clinics/prosthodontist-dental-residents

      I suggest you also make contact with a plastic surgeon who specializes in cleft palates. I would suggest you contact the Craniofacial Team of Texas for guidance —they may be able to direct you specialists that can help you. 11412 Bee Cave Road, Suite 300
      Austin, TX 78738
      Phone: 512-377-1142

      Reply
  30. My 19 year old son is missing both lateral insisors. The o orthodontist pulled his two front teeth together leaving a space for implants in those areas. Right now he’s wearing a retainer that has teeth attached​ filling in the spaces. The retainer looks like real teeth. No one can tell. Is it ok for him to continue to wear the retainer for life, or does he have to get implants? What’s the downside of not getting implants if he has the retainer.

    Reply
    • Dental implants are considered elective treatment for most. He can continue this way for the rest of his life. He needs to be certain he knows there are risks with wearing a removable appliance which include decaying the other teeth that it touches. Make sure it is taken out every single night. Another option would be to consider cantilever or Maryland fixed Bridges

      Best of luck!

      Reply
      • TOOTH 23 24 25 26 PULL TEETH, IMPLANTS, TEMPORARY BRIDGE, THEN FIXED BRIDGE LATER LIKE 3 MONTHS..I WISH I KNEW IF I CHOSE THE RIGHT DENTIST.CORAL DENTAL FT MYERS, FL JUAN CASTELLANOS, DDS I READ THE REVIEWS BUT THEY ARE PRETTY GENERAL ANDNO DETAILS OF THIS KIND OF PROCEDURE//
        ANY ADVICE AS TO WEATHER THIS IS THE DENTIST TO USE..

        WOULD LIKE RIGHT RIGHT THE FIRST TIME..
        I DO NOT HAVE A DENTIST AT THIS TIME..SHOULD I USE A IMPLANT SPECIALIST, THEN A DIFFERENT DENTIST TODO ALL ON FOUR

        ANY SUGGESTION WOULD BE HELPFUL..I AM 80 YEARS OLD ANDHAVE AN APPT. ON FEB. 20

        THANK YOU,
        rON

        Reply
  31. Hi,

    I had a dental implant to replace tooth #23. I had one bone graft that failed. At this time my gumline started to recede. I informed the oral surgeon that I was concerned with how the implant would look after the crown was placed. He stated that he would make sure to thicken my gums during the second bone graft. Afterwards, I saw no difference and was told not worry as it would look “beautiful and natural.” I had the implant placed four months later with no issues. I had the crown placed 2 weeks ago. To say I’m disappointed is an understatement. The tooth does not look natural and has no gums surrounding the bottom of the crown. I was shocked and told my dentist that I was not happy. She referred me to a peridontist. I went to the appointment yesterday and was told a gum graft would not remedy the aesthetics of my implant and that the gum issue is “permanent.” He also stated that redoing the implant is not a good option. I am extremely hurt and mad as I’m only 26 and it’s very noticeable when I talk. I feel like I threw away $5,000. My natural tooth was far more aesthetic than my implant. Is there anything I can do?

    Reply
  32. I am 76 years old and am having tooth number 18 removed. This tooth has a root canal and a crown. Since it is the last tooth do I really need an implant at my age? The next tooth number 19 also has a very old root canal No problems with that one yet.
    Thank You,
    Vicki Youngelman

    Reply
    • It is up to you. At your young age, you will still apply more forced to tooth #19 and may eventually lose that one because 18 is missing ………or cause #15 which is the upper opposing tooth to move out of its socket.

      Reply
  33. Thank you for your information!
    I am looking at both procedures (bridge vs. implant) and with ‘new’ information I received (tooth on either side of ‘root canal’ tooth have small cavities) was looking for benefits of these two (bridge to implant on a ‘front’ tooth) choices…especially longevity and quality of life. Because of it being the front tooth I’m still in question of the best choice for me!
    The original root canal was cause by trauma, a bicycle accident and NOW the tooth cells are attacking my bone w/in the mouth (loss of 70% of bone). I am 64 years old.
    kind regards, k

    Reply
    • If the teeth on either side already have root canals you’re asking a lot of them. They are structurally weaker than natural teeth that have no root canals. I do not mind bridges as long as they’re anchors are not root canal treated or as long as one of them does not have a root canal. If an implant can be done, it would be a better option even at your young age!! Front bridge is tend to last much longer than back Bridges on natural teeth. There is less force in the front of the mouth.

      Reply
  34. I know you can’t give me an exact answer without seeing my teeth but I would like your best advice….I’m 25 yrs old and have had teeth pain/problems since I was 10 my childhood dentist said since my mother did multiple drugs when pregnant I would always have bad teeth and they would all end up needing to be be replaced. I have had 7 root canals and i don’t know how many filings since some of them ended up being removed and having root canals done. all root canals had proper crowns placed which all but 2 have fallen out multiple times which resulted to one just being pulled and the rest to break down to the gum line. So currently have 4 teeth broken to gum line and rotted (NEED EXTRACTED I know lol) and one missing tooth from being extracted. and the 2 root canals that are still in tact HURT OFTEN! The rest of my teeth hurt/sensitive all the time can’t breath in cold air, have to brush teeth with lukewarm water, flossing is the most painful thing I have ever experienced (I have researched and talked with my dentist about flossing properly) have to drink out of a straw if I’m drinking something cold, can’t eat warm food and when eating have to struggle around broken teeth, wake up in so much pain due to I clinch my teeth at night then which puts pressure on the teeth, I have sinus infections all the time then which makes my teeth hurt ears and head. Also when I was pregnant with my son my teeth got 10 times worse and had the worse pregnancy due to suffering from in tolerable pain and only able to take Tylenol. And I’m so anxious to have another child but my fear is I won’t be able to enjoy this pregnancy due to tooth pain again. And it suck cause my front teeth don’t look bad I was blessed with very straight teeth and love my smile besides in the back you can see the missing teeth… So my dream come true would be to have them all removed and get full set of dental implants (I feel weird for thinking this lol but I can almost feel relief when thinking about getting my teeth pulled) I understand I will most like have to pay for replacement down the road and understand the procedure and implants can cost me 20,000 and I am willing to sell my car and use those payments on my teeth to never experience another tooth ache again! THANK YOU FOR ANY ADVICE YOU HAVE TO OFFER SO DESPERATE TO NOT HAVE ANOTHER TO ACHE AND TO HAVE ANOTHER BABY!

    Reply
    • You are very young to have a complete replacement (prettau style likely) but it is possible. If your teeth are truly nonrestorable and not predictably savable, then it may be her best option. Keep in mind that at your young age statistically you will live to be 85 years old. You are going to need an expert dentist to build your teeth in such a way that they will last as long as possible. Dental implants are not permanent and keep in mind you may need to replace them in the next 10-30 years. It will likely cost more than $20,000 to do this properly.

      Reply
  35. I’m 55 don’t know what to do. Dentist wants me to get all the top teeth pulled get dentures. Bottom want me to leave in 2 k- nines to hold partials .second visit they said leave in the five bottoms there strong should keep them as long as you can.read partials can weekend the other teeth is it a waste of money. Other option implants but need bone grafting and have to quite smoking. I’m so confused what’s the best option help

    Reply
    • although quitting smoking and bone grafting may have been recommended, a full missing lower jaw can be handled differently. You likely we will only need implants for the lower jaw if cost is a factor and you can tolerate your upper denture. Read this article about bone leveling to help prevent the need for bone graft and reduce the risk since you are smoker

      Reply
  36. Good Evening, Dr. Amin,
    Thank you for this site. I am female, age 71, have major dental problems in Phoenix, AZ. After a series of disappointing dentistry (and dentists), I had a lower left bridge that fell out after 10-ish years. I stopped seeing the dentist who originally did that work years ago for another issue; the current office (since 2014) replaced it roughly 12-18 months ago & now it supposedly needs to be replaced again, the last molar in back is beyond saving and both teeth supposedly have decay under the bridge, so the front molar of the bridge will also need another crown, at minimum. I have a very high gag reflex and dentistry is a nightmare! My big decision is whether to get a “removable partial” (recommended by current dentist) since another bridge is out of the question because the back tooth is unsavable. After reading ALL your questions & answers here, I wish to hear your take on getting an or a couple of implants. The 2 middle (back) molars on each side are missing — they were extracted years ago (a few years apart) – the first causing me to get the initial bridge. You say in one of your posts not to go to the implant centers, so I have no idea who to have do an implant here. Obviously the current dentist (like many) say they can do it, but I have lost confidence in this office and will have to, once again, seek another dentist. This is getting very tiring. And frightening! Do you have any knowledge of any office or dentist here in Phoenix? Thank you so much for all your online help to those of us out here with so many problems.
    Very truly yours,
    Distressed in Phoenix

    Reply
    • Without seeing you it is hard to guide you in your exact scenario.
      If you are a gagger I don’t think you will tolerate the lower partial and end up getting the implants.
      Why not come to Southern California and see me 🙂
      I don’t have a personal referral in your area ….sorry.
      Ultimately do research and go with your gut.

      Reply
  37. Dentist told me my 26 yr old son’s front teeth are in poor condition. 6 teeth (in one row) affected. Its either dental implants or extraction and replaced by dentures. For dental implants she mentioned about implanting on 4 teeth linked by a ‘bridge’. I’m not sure if this is the so-called ‘All on 4’ bridge thing. Of course the cost is pretty steep – about roughly 16-17K US dollars. She preferred this method quoting his age as a reason. What i hope Dr Amin is whether you can give advise on what would be the next best course of action should we be unable to afford this implant method thing? Partial dentures? Full dentures? Removable or fixed? Any advice would be greatly appreciated.
    Thank you very much.

    Reply
    • It sounds like just the four front teeth will be replaced with implants which is a far better option for someone his age than a full arch replacement with an “all on four”

      The cost sounds within range. This is a highly complex procedure to have done the right way the first time. This area of the mouth is particularly prone to long-term bone loss.

      I suggest you seek out an expert to treat upper front teeth in a young man like your son. Of course there are other options that are less costly but this is often the best. Should he decide to have implants later in life it will only become more costly and more complicated because of likely substantial bone grafting that will be needed.

      Reply
  38. I need to have my remaining teeth removed and infection cleaned out, and then the plan has been for mini implants for snap on dentures. Now I feel uneasy about this. They have waited until my diabetes was under control, which it now is, but he said he still wouldn’t do an all on four with my health. I was led to believe that with a few extra implants they would be stable and I would love them. But now he is telling me the bottom teeth will rock a little (it’s a whole other story but I have sensitivity issues and this would not be OK for me) and that I can basically eat anything I can cut with a fork. Again I thought he had been talking about the regular dentures I would be wearing while healing. He said lettuce and other greens could cause difficulty and no, I won’t be able to bite into an apple. Granted I could ear better than I can now, but I want to be able to eat things I haven’t eaten in years, like a Subway sandwich. Plus the more types of veggies etc that I can eat the better my diabetes will do. I want to see if he will do fixed bridges. My diabetes specialist has offered to call him or write a letter stating I’m good to go. I feel uncomfortable starting with any other new dentist at this point but if he refuses to do the fixed bridges I don’t know what to do. I need to do something, and soon, but I can’t justify spending everything I had for retirement for a procedure that I feel fairly sure I won’t be happy with. Any thoughts or advice? Thanks for listening.

    Reply
    • I’m only 39 years old and I just finished 16 months of procedures to get 4 implants and a snap on overdenture. This has cost me close to $15,000 and I cannot express enough how absolutely disappointed I am. It basically feels like a regular denture except without the pressure on the palate making you gag. But the whole apparatus is extremely bulky and that in general makes me gag a little bit. Although I am in the first stages of wearing the overdenture, it has been overwhelmingly disappointing and I can’t even speak to your point about having diabetes because I don’t. But that being said, I really don’t have too much good to say and that is disheartening because my dentist and oral surgeon are both phenomenal

      Reply
      • I am so sorry about your trouble. It is for all the reasons above that you explained that I do not even offer maxillary overdentures. You’re really have to know what you are getting. You can always convert this to a fixed dental implant bridge. I have a lot of information on this site about how to do this properly. This is all about technique.

        Reply
  39. I had two teeth, they were set to extract, yet i had no money for implants. One dentist told me that there is nothing safer or more secure than your own implant that You can buildup a post on. So they instead prepared the tooth for a post, but said it might last one year, maybe more. I’ve had them for three years now and they support a bridge. To me it’s can you change your diet and your Bite pressure to accommodate your Post buildup on your own implant. Your Tooth.

    Reply
  40. So Im trying to decide which brand zirconia implant to use. Surgeon says he wants to use Zsystem. Is there an advantage to that over say ceraroot? Any particular brands to avoid? recommend?

    Reply
  41. Hi. Great article. I’ve an upper molar no6 removed 9 months back on one side of my mouth and a rooted upper 6 on the other side that needs to be removed due to infection.

    Do I get implants when I’ve always sinus issues that lead to blocks ears and hearing loss at times? I’m a musician and music teacher and my ears are everything. I use an ear popper daily to keep my ears clear. I don’t want upper implants if they’ll make my sinuse cavities worse. Thoughts? Or a type of denture?

    Reply
  42. I have had 4 upper dentures over the last 18 months-made by dentist/denturist and specialist and none of them are comfortable to wear even after many adjustments. My specialist wants me to have “All on 4” implants and fixed teeth but this option is very expensive and I fear that one of the implants may fail then I will have wasted so much money. Would like to have your advice on snap on dentures without palate option which is cheaper-desperate for advice as soon as possible

    Reply
  43. I am a 20 year old female with two baby teeth where my adult canines were supposed to be. Since they are becoming slightly loose, I wanted to find a permanent solution to replace them. To make things more interesting lol, I found out the roots of my two teeth next to one of my baby teeth have crossed, making it difficult, well, nearly impossible for a full size implant to be placed there. Thus, regarding my situation, what do you think would be the best long-term solution for replacing these baby teeth? Mini implants? Bridges? Something else? Thank you, I truly appreciate your time.

    Reply
    • Braces to straighten out the roots on the other teeth BEFORE you do implants. This will create room for the proper size and alignment of the implants.
      This will be complicated.

      Reply
  44. I am 67 years old with hare lip and cleft palate,after years of having a bridge fitted to my upper teeth my dentist advises a sinus bone graft with implants and abridge fitted.do you think this is a good idea

    Reply
    • The cleft lip and palate won’t be an issue as long as the implants are placed in the club. 3-D virtual computer surgery is indicated. Search my blog for Computer surgery and you will learn more about this.

      Reply
  45. I am 26, male. I follow a healthy lifestyle; no smoking, no drinking and workout regularly. I had my second molar (lower) extracted in Feb 2016. The adjacent teeth are in perfect shape. My dentist said I could go for bridging or implants. I was convinced about implants (as bridging involved fiddling with the adjacent teeth) until I read some of the drawbacks that you’ve mentioned. Now I’m confused. I plan on taking any decision only after consulting my dentist though I’m looking for some valuable inputs regarding what procedure should I take given the above details. Or would it be wise to not replace the missing tooth?
    Very informative article!
    Many thanks

    Reply
  46. I am struggling trying to decide on whether to have an implant or get a “flipper.” My right 1st bicuspid #5 cracked and must be pulled in a couple days.

    Of course the high cost is a big consideration but also, I am leaving on a once in a lifetime family trip out of the country. Our departure will be exactly 2 weeks after my tooth is pulled and getting the implant if that is the route I choose. The Dr. says I should encounter any problems if I have the implant 2 weeks before I leave. I just can’t chew on the right side.

    My surgeon is very experienced and performs implants routinely. He would like to place the implant immediately at the time of extraction because of ideal conditions and for best results vs pulling the tooth, letting it heal, and doing the implant either when I get back or several years down the road. If that is what I decide, he said he would at least add bone after the extraction.

    Do you think with #5 being a chewing tooth, that a flipper would be cumbersome and affect my gum with the pressure? Or if I try the flipper and it doesn’t work out, will it be detrimental to wait to have the implant in several years?

    Of course I would rather go the less expensive route and I don’t want to risk anything going wrong on my trip but I’m thinking if the flipper causes problems and I end up having the implant anyway in the long run the implant would be more economical.

    Can you please offer some advice that will help me make a quick decision?

    Thank you!

    Reply
    • Regarding my post above, a bridge would be close enough in cost to the implant, my regular dentist did not recommend it.

      Reply
    • It is safe to travel two weeks after an Ext and graft. Especially when you are treated by an experienced implant dentist.

      Keep in mind the flipper will cover a good portion of the roof of your mouth. There are many on the roof of your mouth. I’ll bring something inside of all of your other teeth healthy for them long term. Yes it is an option but it is the worst option is the least expensive.

      Just use the flipper as a temporary while you are waiting for the implant feel that way you can eat all the good stuff on the cruise!

      Reply
  47. I need to have tooth 30 extracted. I have the option of a bridge, implant or partial ( which I do not want). Both #29 & 31 have large fillings, and could need crowns in the future. Would I be better with bridge and therefore getting the crowns now? I am 76. I do plan on asking my Denist more questions, just looking for more information.

    Reply
    • As long as the adjacent teeth are strong enough, why not just have a bridge? Your young age, it may last a lifetime.

      Very respectfully,

      Ramsey Amin DDS

      Reply
  48. They last about 3 to 4 years and you Bone colapses your
    Jaw look horrible, this is
    What the dentista never tell you they just want your money.

    Reply
    • Unfortunately dental implants that are done poorly or are poorly planned can end up failing prematurely. There is no doubt about that. I see numerous complications from patients that had treatment with doctors that are not highly experienced in implant dentistry.

      I’m so sorry about your situation if this is what happened to you. Most dentists are very honorable and have no ill intention to hurt you.

      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
  49. I’m 60 and have had upper Dentures for over 30 years. I lost all my jaw teeth and have done without them for over 24 years with only 8 lower teeth left in the front that need extracted. My lower gums are receding and the teeth are dark. They are really an embarrassment. I would love to have a nice smile. I just had VSG surgery in October and have lost 70 pound with 50 to go. Should I wait until I reach my goal weight before getting Dentures or Implants?

    Reply
    • congratulations on the weight loss. Being healthier overall will allow you to have better chances of healing. You can likely start the process since your much closer to your goal weight then you were before.
      😉

      Reply
  50. my husband just had all his teeth removed and 4 implants were placed on the top and another 4 on the bottom. He now has temporary dentures. Its been less than a week. He has stopped smoking, but today i found out that he has been smoking marijuana (he says he only does about 10 puffs a day) to take off the edge. He said it was not harmful to the healing process. I feel differently and pulled up articles on the web to prove my case. He refuses to tell his doctors. He is very upset because he can’t sleep. I again pointed out that his body is going through nicotine withdrawal since he was smoking about 30 cigarettes per day. It doesn’t bother me that he take marijuana. What bothers me is that he could end up not healing properly. I thought that if he didn’t smoke it and just ate it (maybe in pudding) it would be ok. But now I am reading that marijuana interferes with the absorption of calcium. I am assuming this is the case wether its smoked or digested. Can you please give us your medical opinion? Is marijuana use (smoked in ingested) detrimental to the healing process of implants?

    Reply
  51. I posted a month ago about dental implant bridge. Have had to lower gums twice to prevent infection on the exterior of the implant. The inner side is what is not healing it’s always raw and I’m not even chewing on this side. I’ve tried peridex gluconate hydrox… And glyoxide anything else I can do?

    Reply
    • Take a 3-D scan and have the dentist evaluate if there is bone on that side. If not this is going to be a chronic problem and you may want to consider removing and replacing the take a 3-D scan and have the dentist evaluate if there is bone on that side. If not this is going to be a chronic problem and you may want to consider removing and replacing the implant

      Search my site for bone loss around implants and you will learn more. There is a search feature

      Reply
  52. My adult son is needing all teeth removed and dentures. He is considering “snap in ” dentures with implants to hold the dentures. He is smoker, has several teeth that are broken or missing. He s dental hygiene is poor. Are the implants/denturesa feasible option. He had been prepared for extraction and same day dentures but is unsure now.

    Reply
  53. I’m unsure which would be more beneficial to me. I have a front upper tooth & that needs a implant or a bridge. Please note I am 56 yrs. & have had no gum disease. My gums & teeth are otherwise healthy. Need advice’please.

    Reply
    • You are a very young person! Age does not make much of a difference unless you were in your 90s.
      The health and longevity of a front tooth bridge is going to be determined primarily by the health and strength of the teeth they are anchored to. If one of them fails, you may end up with two dental implants by the time you’re 66 years of age. Many people as they become older developed a dry mouth condition called xerostomia which leads to cavities on the roots and especially around the edges of crowns and bridges. I would strongly suggest you have an implant rather than a bridge if cosmetically they will look the same. Front teeth implants should be handled by a very experienced implant dentist. They can be very challenging.

      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
      • My friend missing one upper latral incisor ….she is very confused should she implant teeth there on close space with braces..how long implant work ..

        Reply
        • this is a complex question. I will write a post about it. Nothing last forever including dental implants so she really should see an expert in this procedure

          Reply
    • No, your breathing will not be blocked. One thing to consider though… To dental implants placed side-by-side in the upper front area are considered to be one of the most challenging dental implant reconstructions around. Find a really well experienced dentist for this treatment.

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

      Reply
  54. I had an implant done a year and a half ago. One on lower left with bone graft which is doing well and two on Lowe right. Not much bone there so he did two teeth that are actually one with a hole in between. This is the second time my gum has gotten infected and am on yet more antibiotics. They need to tell candidates what could happen the worst scenarios instead of how wonderful it is. I’m scared to death I’m going to have non stop infections. He lowered the gum line once already and will probably have to do it again. What can I do is there another specialist I can see besides my periodontist?

    Reply
    • Hi Linda,

      Unfortunately complications can and do happen. There is a very small percentage of patients that we will begin to lose bone around dental implants very early. Sometimes a better option is just to remove them and start over. Just like any other medical surgical procedure, 100% success is impossible. Most people that have a knee or hip replacement have it re-replaced within 10-15 years. Dental implants are more successful than some of these orthopedic replacements. The best way to prevent this from happening is to have an excellent foundation made for the implant and use a highly experienced dental implant surgeon. Occasionally despite excellent patient and an excellent dentist, this occurs for no good reason at all.

      This post covering peri-implantitis may help you understand the process that you likely have. Consider removing the implant and replacing it to prevent long-standing problems if bone grafting around the existing implant does not work

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

      Reply
  55. I am so disappointed in my full arch upper dental implants. Highbridge dental lab really screwed up my permanents, dropping entire arch by about 8 mm. Was sent back and now entire right side is lower than left side, causing teeth to hit my bottom teeth and a noticeable slant of teeth when I smile. Two front teeth have been shallowed out too thin at bottom of teeth causing a definite gray area. I go back to my dentist this Thursday after wearing “permanents” for two weeks as he suggested. $20,000 is entirely too much money to dish out for inferior product. I would not refer Highbridge to anyone after my unhappy experience and would probably think twice before making this decision again.

    Reply
  56. Hi Dr Amin.
    I have been looking into implants for a while now. I’m not sure yet if it’s the right way to go or not. I have always hated my teeth and have (very stupidly I know) neglected them over the years. It has got to the point where smile as little as possible and am very careful while chewing. I haven’t actually lost any teeth but was wondering if with implants it is possible to replace all my front teeth (canines and incisions). If this isn’t the best option any advice would be much appriciated.

    Thanks
    Jason

    Reply
    • Hello Jason,
      You deserve to have a healthy, attractive smile. I don’t have enough information to tell you what to do. If your teeth can be saved predictably, than that is the best thing to do.
      Every single tooth and every single combination of teeth can be replaced with a dental implant…. But that is not as much of the issue as it is to have a proper diagnosis and treatment plan.
      Ramsey Amin DDS

      Reply
  57. Dr Amin,

    My question pertains to the Canine/ Cuspid. My baby Canine never fell out & as a result is stuck in my mouth, the new Canine remains in my gum. A Dentist told me I need Braces and then the canine would be surgically pulled down, or vice versa (cannot recall). Does this sound about right or would you suggest a cap?

    I’d like to avoid Braces but the Dentist told me it’s the only way & if I get a consultation from the Orthopedic he’d tell me the same thing. I’d like to be prepared/ get second opinion prior to the consultation.

    Thanks in advance for your advice.

    Reply
    • Hi Jenny,

      It sounds like you have an impacted maxillary canine which is unfortunately quite common. Depending on your age and position of the tooth, it may or may not be able to be surgically exposed and pulled into the arch and used as a normal tooth. It is much easier to do this in a 12-15-year-old patient than it is in the adult patient.

      Oftentimes there is a combination of orthodontics with braces, removal of the impacted maxillary canine tooth with simultaneous bone grafting. Once the space is idealized, the dental implant is usually placed 3-6 months before removal of braces. It will take a wonderful team of a total solution provider implant dentist and orthodontist to coordinate care to make sure you end up with an excellent result.

      Some people like to go ahead and try to expose and pulled down the canine knowing that the chances may only be 50% that it will work. I would suggest you have a 3-D CBCT scan done and have it carefully evaluated by the orthodontist prior to even beginning treatment.

      These link should help you:
      baby teeth and dental implants

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

      Reply
  58. Oh, and lastly, What is the disadvantages on body after getting a tooth implant and crown? is there particular disadvantage on body than the financial issues?

    Reply
    • see other answer at that I just wrote to you regarding getting a root canal instead of a dental implant

      Ramsey Amin DDS

      Reply
  59. Hello. I have a question regarding with the dental pulp and implanting a tooth in general.
    I have received root canal last year June and had recognized that I got dental pulp (infection) on last year August. Personally, I haven’t dealt until even now but had consultation with the dentist and told me the infection pulp became exposure so I must extract my tooth and implant the tooth and get crowned.
    Personally, I have never gotten implant tooth before and a young adult (I will be turning 30 this year), and I was wondering is there other way to resolve instead of extracting and implanting the tooth?
    I am bit nervous regarding with getting extract tooth and clean infection (tooth pulp) and have a crown. Is there any other approach where I can receive a treatment that cleans up the infected area while not extracting tooth ?

    Reply
    • Hello Andrew,

      Why not just have a root canal instead of a dental implant? If you’re tooth is healthy enough, there is no reason to extract it. Simply have an excellent root canal, buildup and crown done. A dental implant is a close second place to natural tooth that is predictably savable.

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

      Reply
  60. I just had an implant removed on the 10 of February 2015. I am in great pain the denstist says just take tylenol and whait you may have an nerve problem here .
    How long will the pain last
    These Implant was removed 2 times because it was infected.
    May I see the Dentist for more reinsurance ?

    Reply
    • Hmmm….describe what tooth this was exactly please. This way I may be able to help….where do you live?

      Dr.Amin

      Reply
  61. Thank you for providing such detailed and great information on your site. I am a
    60 year old woman with many missing teeth. I have a great fear of dentists and have had substandard and very painful experiences in the past with dentists. I am
    very depressed and rarely smile. I need a full upper and lower implant and have
    been doing research. I am on a fixed income so it may take years to save for something like the all on 4 procedure which is what I would like.

    Reply
    • All on Four is UNDER-ENGINEERED in most cases….especially for the upper jaw. I would not suggest it. I would suggest you have at least 6 implants in the upper jaw and the minimum 5 in the lower jaw. If you’re credit is very good, why not apply for financing and spread it out over 3-5 years? I do not find dental schools to be that much lower in cost for procedures of this magnitude.

      Fear and pain both during the procedure and afterwards can be greatly reduced by using intravenous sedation. A 2-3 hour procedure should feel like 5 minutes! All patients that I treat for full mouth dental implant restoration are sedated for the long surgical visit.

      All On Four Dental Implant Procedure Review: Is It The Best? –Ramsey Amin DDS
      Prettau dental implant bridge— not the all on 4
      Details of Sedation

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

      Reply
  62. Thank you for providing such detailed and great information on your site. I am a
    60 year old woman with many missing teeth. I have a great fear of dentists and have had substandard and very painful experiences in the past with dentists. I am
    very depressed and rarely smile. I need a full upper and lower implant and have
    been doing research. I am on a fixed income so it may take years to save for something like the all on 4 procedure which is what I would like. I have not been to
    any specialist to be evaluated yet. Do you offer any assistance or do you know of
    any places that offer financial assistance to seniors for this type of procedure? Do you take patients who have high anxiety issues regarding dental procedures in your practice? Thank you

    Reply
    • All on Four is UNDER-ENGINEERED in most cases….especially for the upper jaw. I would not suggest it. I would suggest you have at least 6 implants in the upper jaw and the minimum 5 in the lower jaw. If you’re credit is very good, why not apply for financing and spread it out over 3-5 years? I do not find dental schools to be that much lower in cost for procedures of this magnitude.

      Fear and pain both during the procedure and afterwards can be greatly reduced by using intravenous sedation. A 2-3 hour procedure should feel like 5 minutes! All patients that I treat for full mouth dental implant restoration are sedated for the long surgical visit.

      All On Four Dental Implant Procedure Review: Is It The Best? –Ramsey Amin DDS
      Prettau dental implant bridge— not the all on 4
      Details of Sedation

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

      Reply
  63. very nice post!
    there are many disadvantages:
    Mechanical fracture of fixtures, bridges, bridge attaching screws or abutment screws and loosening of screws can occur. Reported occurrences are less than 5% of patients. Trauma to the mouth or jaws or stress concentration from the bridge could result in mechanical failure and complications.

    Reply
  64. Would be grateful for some advice. I have three dental implants made from what my dentist calls noble metals. This supports a four unit bridge. Only the front surface of which is finished with porcelain.
    I after the restoration I found myself continually rubbing my tongue on the metal and have now developed Burning Mouth Syndrome.
    I have asked my dentist for a costing to replace the Bridge with a ceramic restoration. I will willing pay for the work but my dentist does not think it will solve my burning mouth problem.
    Would be so grateful for your advice as this condition is so hard to live with.

    Thank You

    Marie Wootton

    Reply
    • Hello Marie,

      That burning mouth syndrome is not likely caused by the metal in your dental implant bridge. I would suggest you have a comprehensive medical workup. Burning mouth syndrome can often be a sign or symptom of an underlying disease that may be unbeknownst to you. Oftentimes people with diabetes develop this. I do not tell you this to alert you, but rather to inform you. Please keep me posted

      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
  65. I love all the amazing info here and appreciate offering so much wisdom here! I have a big problem: for two years I had terrible pain in #26 but all the dentists I went to couldn’t find anything wrong. In September I was told to just have a root canal which I did. A month later the pain in that tooth returned and then the endodontist performed an apicoectomy. Which still didn’t stop the pain. I returned to my normal dentist who took one last x-ray and found that the tooth was experiencing resorbtion. I was so happy to finally have a proper diagnoses 26 was pulled and a bone graft was done due to the damage done. He said the tooth was shaped and eroded like a butter knife and it was not a normal resorption that he’d seen. Probably because it had gone on for so long. It just took two years to finally show up on xrays. No its three months later and 25 is having the same feelings and pain. Not as severe yet, but definitely painful, and not much seems to ease the pain. Now they want to do another costly root canal ( I don’t have insurance). I’m so worried that I will go through all this again only to have to tooth pulled again. In the early stages of going through hell with ##26 I was diagnosed with what they thought was trigeminal neuralgia because they couldn’t figure out why it hurt. I was put on many types of meds that did nothing but make me depressed . So now I’m very paranoid about having an implant drilled into my jaw bone if I do lose #25. Should I just remove the tooth and only get one implant or is it worth it to get both teeth done. It has been three months since #26 was pulled and bone grafted. Living with pain like this is really ruining my life. What would you suggest? Try the root canal and trust that resorption won’t happen to two teeth that were side by side?

    Reply
    • Hello Al,

      Wow, what a story. I feel so badly for you.

      I would not do anything unless there is near 100% certainty with the diagnosis. I assume you have had several 3-D scans over time to look for resorption, etc. You may have had trauma at an early age this area and it is possible that multiple teeth have problems that are showing up today… years later.

      Trigeminal neuralgia is difficult to diagnose. There is something else called atypical odontalgia which is kind of a sub-category of trigeminal neuralgia. I would suggest you see a pain clinic within a local dental school before doing anything else.

      I really hope you get better….Wait on doing any 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

      Reply
  66. Hello
    i wanted to know in my situation the dentist gave me two opitions to go for dental implant and bridge thats attached back of my tooth.
    To get the dental implant, they will need to cut my nerve off where i lost my full teeth thats in the front and then they will need to put the implant in because i had a x ray done and they said you have a tunnel and we can’t drill it because you nerve is still there.
    I don’t know what to do because they said you can be in pain forever or it can affect your other teeth
    i really need your help to tell me what one shall i go for because the bridge is that i can’t hard food ?

    Reply
    • Hello Shan,

      I am not sure I fully understand your question. It sounds like the main nerve in your jaw is very high and needs to be moved. This is called inferior alveolar nerve repositioning. Attached is an article I wrote on this topic.

      This procedure is quite rare, but sometimes it is the only answer. I would seek an opinion from a highly skilled dental implant specialist as a second opinion.

      It is a very successful procedure in the right hands done with the right instrumentation.

      Nerve Repositioning – Lateralization

      Nerve-Repositioning for Lower 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

      Reply
      • I have a simple(?) question regarding implants. I have lost a lot of bone at tooth #15 (have already had root canal and a crown is already in place) and my periodondist has recommended an implant. I am in New Jersey so the entire procedure will cost approximately $6,000. (I know—hard to believe!!) What are the downsides to NOT having an implant done??? If the site were anywhere else I would not hesitate but because of the location and the enormous cost I am trying to consider all the pros and cons.

        Thanks for your reply.

        Reply
  67. Dear Ramsey,

    A very useful blog, thank you very much.

    I am 28 years old. I had an accident because of which the upper lateral incisor was broken near gum line (root was also fractured) and upper canine chipped exposing the tip of the root.

    My Dentist suggested extraction and implant for lateral incisor, and crown for the canine. Root canal treatment was first performed on the canine and a full ceramic (Zerconia) crown was placed in few days.

    After this, lateral incisor was extracted and I was given an immediate temporary removable denture. I do not have any oral\health problems, still my dentists suggest for delayed implant which is to wait for 4 months before placing the titanium implant (Dentists says they would will heal and bone will grow in 4 months) and then, to wait for 6 months for Osseo-integration, so a crown can be placed.

    My questions are,
    1. Do you feel my dentist has gone wrong anywhere?
    2. Will bone quality and quantity improve over the initial 4 months?
    3. Will there be any aesthetic difference because of the delayed implant?
    4. A temporary crown will be placed on the 4th month as soon as the titanium implant is placed thus removing the denture. Will the temporary crown impact Osseo-integration?

    I know this is a lot to ask a busy person like you, but I am very distressed and your help will be greatly appreciated.
    Thank you very much.
    Shiv

    Reply
    • Hi Shiv,

      It sounds like you are questioning whether you should’ve had an immediate dental implant as opposed to a delayed dental implant. Without seeing you and an x-ray evaluation there is no way to answer this question. Each scenario is unique and should be treated as such.

      The bone quality and quantity should hopefully be preserved over the initial 4 months especially if a socket bone preservation graft was done.

      As for an aesthetic difference with the delayed implant… It will take quite a bit of effort to redevelop the tissue shape back to its original scalloping nature. This is often done with a temporary on the implant with a temporary abutment. This will allow the gum to be contoured in such a way to match the other teeth. The gum is going to go flap over the next 4 months. The adjacent teeth played a role in the ability for the gum to come back to normal. The adjacent teeth must be healthy with perfect bone to avoid black triangle formation. The temporary will not impact osseointegration because it sounds like your temporary is being placed after the implant is integrated.

      Just because you did not have any immediate dental implant does not mean that he will not have a very nice aesthetic result. Both of them require complete control by the dentist and excellent healing by the patient.

      I have hyper linked some of the text with some web links that should help you.

      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
  68. i want to know that what r the disadvantage of cutting of teeth for making space during ortho treatment nd also tell me which is better option cutting or extraction of teeth or tooth….

    Reply
    • I do not completely understand your question. Can you please rephrase it? If this related to dental implants or 2 orthodontics?

      Ramsey Amin DDS

      Reply
  69. I am a senior citizen with a history of periodontal disease. Upper back tooth
    removed years ago, and due to decay I broke the adjoining tooth and then had to get the roots removed.. I am osteopenic also.
    Now I wonder how to choose an implant dentist. Does an oral surgeon or a periodontist have that kind of training,or should I look for a specialist? If so, what kind of specialist? How would I know their training looking at their biography?

    Reply
  70. Dear Dr . Amin,
    I am 54 yrs old and when I was about 28 I had veneers put in my top 5 front teeth and one crown, due to tetracycline staining which is also bad on my bottom teeth and at the time they didn’t have lumineers. At this point the veneers are all starting to crack and look bad. I would like to have them all redone and was wondering if lumineers could be put on the bottom with dark staining or if I should have veneers on the bottom. Or do you think that implants would be appropriate for top and bottom. The veneers lasted a lot longer than predicted at the time. (10-15 yrs) please help my one dream in life was to have beautiful white teeth. Thank you for your time.

    Reply
    • Hello Sue,

      Thank you for your personal inquiry. This blog is intended to cover primarily bone grafts, extractions and dental implant surgery and restoration.

      Oftentimes I do incorporate veneers into a cosmetic restoration of front teeth dental implants. Veneers can be read on very easily and have an average lifespan of 10-15 years. Tetracycline stain does make the process more complicated because you have to opaque the dark tooth underneath and create a light thin porcelain veneer on top. Technology has changed tremendously since the first time you had this done. I would highly suggest you have a consult with a very skilled dentist.

      Smile Gallery

      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
  71. Dear doctor Ramsey , I am having very specific question, hope you can help .
    For tragic personal reasons during healing period after inserting 3 implants I had to move very far away from the office of the dentist who implanted them .
    My concern is can another doctor without big problem open the gums and put screws and crones later ?
    Or, have to be original screws which come with implant and which I do not have .
    I also do not know what is the manufacture of implants , only know are titanium .
    How big problem and cost it is ? I am not able to contact original dentist .regards
    margot

    Reply
  72. I am deciding to get All In One dental implants for my top teeth or Locators Dental implants which I have in the bottom and are working great. My question is, as my dentist advised me, that All In One stay in. Is it easy for me to keep clean under it, if food gets in….I was told I could use a water pik to keep it clean, and of course will go back to dentist for schedule cleaning….in terms of it being more efficient and better then locators, I am not sure which way to go. I am leaning more towards the same way as the bottom, as I don’t removing them at night, or during the day if I feel I need to clean them. I know the costs difference and this isn’t a factor.

    Reply
  73. Dear Dr. Amin,

    Your blog is so useful, thank you so much for answering patients questions and being so helpful!!!!

    Last year in April 2013 i had a root canal done on tooth # 30. I waited a little over a year to get a crown. In august 2014 i did a crown and ever since have been having issues with that tooth. First it started with sensitivity to heat and then after the dentist performed a bite adjustment, i started having sensitivity to cold which still continues to date.
    I went back and saw Endodontist there who told me that x-ray shows a possible infection on the bottom of the root canal and the only 2 options that i have are apicoectomy or implant.

    I read a lot about both and don’t think apicoectomy will be good for me in a long run. I dont want to leave a dead tooth inside of my mouth that is prone to the infection. I am young (29) and don’t want to come to the same issue years later since i have read that root canals are prone to getting infected and apicoectomy can only be a short term solutions. So at this point i am considering an implant.

    I read a lot about implants and currently there are 2 that are on the market, titanium and zirconium.
    I have read so many pros and cons for both and don’t know what is the right decision for me. Zirconium implants seems like a more natural path (which i would usually prefer) but i discovered that they can have isotopes in them which in the long run can be dangerous for help. They are only been on the market for about 10 years or so, so there is not much proven research that i was able to find. However, titanium implants bear many risks too and i am nervous how it can affect my overall health especially since i am fairly young!

    What do you recommend?
    Also, Is that possible that infection developed AFTER the crown was placed since i have not felt anything at all until that moment? The x-rays taken before the crown was placed don’t show any issues. How can this be? i am so confused and dont know what to do and course of treatment to take that is best and least dangerous for my overall health.

    Please advise!
    Thank you so much!!!
    Diana

    Reply
    • Dear Diana,

      Thank you for your very kind words. It sounds like you had way too long of a time duration in between the root canal and the crown being completed. It is very possible that the root canal became reinfected during that time. Doing the crown kind of woke it up. It is possible the tooth fractured for you have and extra canal that was not filled.

      Titanium dental implants has been around since the mid 1960s and have tremendous worldwide scientific literature to support their use and safety. I would not at this time in October 2014 place a zirconia dental implant into my own family. There are too many unknowns. Zirconium is an excellent material to use for the teeth and abutments for dental implants but I do not advocate its use as of now to be used as the screw part that goes in the bone.

      I have placed titanium dental implants in my own family members. Zirconia implants have no ability to modify their angulation or abutment length since they’re all one piece. They are more prone to fracture in the smaller diameter especially of used in the back of the mouth. Zirconia crown placed on top of an implant is excellent, but the implant itself is not recommended at this time.

      Your body sees titanium dental implants as an inert substance. Your not likely to ever have any type of reaction from it. You are far more likely to have a reaction to the earrings you might wear that are not a pure metal. Many women sensitize their bodies to him pure, nonprecious metals with inexpensive jewelry. Titanium dental implants do not do this.

      Good luck, 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

      Reply
  74. Dear Dr. Amin,

    Your blog is so useful, thank you so much for answering patients questions and being so helpful!!!!

    Last year in April 2013 i had a root canal done on tooth # 30. I waited a little over a year to get a crown. In august 2014 i did a crown and ever since have been having issues with that tooth. First it started with sensitivity to heat and then after the dentist performed a bite adjustment, i started having sensitivity to cold which still continues to date.
    I went back and saw Endodontist there who told me that x-ray shows a possible infection on the bottom of the root canal and the only 2 options that i have are apicoectomy or implant.

    I read a lot about both and dont think apicoectomy will be good for me in a long run. I dont want to leave a dead tooth inside of my mouth that is prone to the infection. I am young (29) and dont want to come to the same issue years later since i have read that root canals are prone to getting infected and apicoectomy can only be a short term solutions. So at this point i am considering an implant.

    I read a lot about implants and currently there are 2 that are on the market, titanium and zirconium.
    I have read so many pros and cons for both and don’t know what is the right decision for me. Zirconium implants seems like a more natural path (which i would usually prefer) but i discovered that they can have isotopes in them which in the long run can be dangerous for help. They are only been on the market for about 10 years or so, so there is not much proven research that i was able to find. However, titanium implants bear many risks too and i am nervous how it can affect my overall health especially since i am fairly young!

    What do you recommend?
    Also, Is that possible that infection developed AFTER the crown was placed since i have not felt anything at all until that moment? The x-rays taken before the crown was placed don’t show any issues. How can this be? i am so confused and dont know what to do and course of treatment to take that is best and least dangerous for my overall health.

    Please advise!
    Thank you so much.
    Diana

    Reply
    • Dear Diana,

      Thank you for your very kind words. It sounds like you had way too long of a time duration in between the root canal and the crown being completed. It is very possible that the root canal became reinfected during that time. Doing the crown kind of woke it up. It is possible the tooth fractured for you have and extra canal that was not filled.

      Titanium dental implants has been around since the mid 1960s and have tremendous worldwide scientific literature to support their use and safety. I would not at this time in October 2014 place a zirconia dental implant into my own family. There are too many unknowns. Zirconium is an excellent material to use for the teeth and abutments for dental implants but I do not advocate its use as of now to be used as the screw part that goes in the bone.

      I have placed titanium dental implants in my own family members. Zirconia implants have no ability to modify their angulation or abutment length since they’re all one piece. They are more prone to fracture in the smaller diameter especially of used in the back of the mouth. Zirconia crown placed on top of an implant is excellent, but the implant itself is not recommended at this time.

      Your body sees titanium dental implants as an inert substance. Your not likely to ever have any type of reaction from it. You are far more likely to have a reaction to the earrings you might wear that are not a pure metal. Many women sensitize their bodies to him pure, nonprecious metals with inexpensive jewelry. Titanium dental implants do not do this.

      Good luck, I hope this helps

      Root Canal Apicoectomy Failure – Relation to Dental Implants (Ramsey Amin DDS – Burbank, California)

      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
  75. Hello Dr. Amin,
    I lost my first upper and lower right molars due to a bad experience with a hackjob of a dentist. They were supposed to be simple deep Fillings which turned into failed root canals and extractions. Currently i am undergoing orthodontic treatment to correct the splaying as a consequence of these extractions and im getting the rest of the teeth back in place via braces. Once that is done – since i dont have wisdoms the plan would be to replace upper and lower first molars by implants.
    But i am so scared of the titanium implants causing autoimmune diseases etc
    I am really stuck in a pickle. What is your experience? What do you suggest- i am 29 years old!
    If i leave the space empty after completing orthodontic work my teeth will shift again.
    Bridge is another option but my oral surgeon and orthodontist are against it since i am young.
    I do not know what to do- i have no allergies or immune system problems that i know of.
    Please let me know your expert opinion on this.
    Thank you in advance
    Sarah

    Reply
    • Hello Sarah,

      Dental implants have been around since 1965. There are extremely well documented in the issue of autoimmune disease and/or rejection has been studied extensively. There are literally thousands of peer reviewed Journal articles on this topic. If there were a problem, we would’ve known about this years ago.

      The titanium alloy is that are used for dental implants are safe and essentially bioinert. Your immune system cannot see them as not being yourself.

      I have placed dental implants in many of my own family members and I would definitely have one myself. A dental implant is the most cost effective and least invasive form of tooth replacement.

      Rationale and Costs –Immediate Same Day Extraction and Back Tooth Molar Implant vs.Waiting

      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
  76. Hi Dr. Amin,

    My daughter is 17 and she has 4 impacted wisdom teeth, and 2 badly impacted lower 2nd molars. Since she’ll need braces, the surgeon we consulted with suggested we first consult with an orthodontist before any removal.

    The orthodontist said they could upright one of the 2nd molars to save the natural tooth. The problem with this is the waiting to do the upright procedure because it’s causing my daughter a lot of pain and discomfort now, so she’s desperate for relief sooner than later. The oral surgeon we’ve retained to remove her teeth has suggested bone graphing in preparation for an implant (to be inserted after her braces come off) on one side, but now my daughter just wants him to extract both 2nd molars and do bone graphing for both areas rather then wait to upright.

    I have many concerns with all that needs to be done…6 teeth removed, 2 bone graphs, complications, and long term pro’s and con’s. We do have dental ins, but whats already concerning me with them is they’re only approving 45 mins of general anesthesia, which seems clear to even myself that it isn’t enough time to perform this procedure as explained by the surgeon.

    With all this being said, I’m really worried that we’re even making the right choices first and foremost for my daughter’s benefit at such a young age, and second because ins may not cover any of the implants. In her case, I feel there’s a strong arguement that these implants ARE necessary and not just cosmetic in regards to ins coverage. Can you please help guide me in this situation, and let me know if there’s something I haven’t considered, or if you feel we’re moving in the right direction. Also, have you ever filed for such a procedure with one’s medical ins and received approval? I’ve already paid $1400 on my care credit card just to make a date for her surgery, but have no idea how I’ll be able to pay the rest if ins doesn’t pay. I very much appreciate any professional advice you can give me.

    With Kind Regards,
    Cathalene

    Reply
    • Hi Cathalene,

      Because your daughter is so young, try to save all of her natural teeth. Even though she has some pain… This too shall pass.

      A 17-year-old has a tremendous healing potential within her bone. Bone in a 17-year-old is flexible and heal so well compared to us older people.. 😉

      Unfortunately dental insurance does not cover much of anything nowadays. It has not changed since the 1970s and usually has a ceiling of $1500. As of 2014 that same $1500 remains the dental insurance maximum for most plans. In order for your daughter to have excellent treatment, this is going to be a significant out-of-pocket expense. Medical insurance does not cover any of this unfortunately. You don’t want to be stuck in this situation where she has partial treatment and is unable to finish definitive treatment. She could end up worse off than she already is. Look for an alternative procedure that you can definitely afford.

      I would suggest moderate IV sedation instead of general anesthesia. 99% of my patients do fine with just this and it is more cost effective and definitely safer.

      I would seek out someone in your area that is a true total solutions provider and can guide you in all treatment decisions from orthodontics, the surgery and the final teeth. You may want to wait until you find the right quarterback. It sounds like you have 3 dentists when you probably only need 2.

      Does Insurance Cover Dental Implants? – Burbank Implant Dentist Advice

      Details of Sedation

      Sleep Dentistry for Dental Implants and Bone Grafting

      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
  77. Dear Doctor Amin,
    I was born with a Cleft Palate which was repared in early childhood.However,my teeth have always been weak and giving me trouble. Finally,the dentist removed them all from the upper jaw and gave me a denture.It has been there for about two years but now the bone has started shrinking and i feel that my upper front jaw is receding.The denture has become little loose.
    Sir, my querry is that will an Implant be successful in my case and if implant option is taken,can i get only a few in the front part of my jaw.Also, please tell me how long will this treatment last. I am 40 years old now
    Thanking you
    Om

    Reply
    • Hello Om,

      Due to your age in the previous cleft palate, your dental implant reconstruction must be designed to be very strong. Do not minimize the number of implants. I would suggest between 6 and 8 upper implants in a Prettau monolithic full contour zirconia bridge.

      Prettau Dental Implant Full Mouth Bridge

      It is very likely that you will need lateral window sinus bone graft on both sides of your upper jaw if you have and missing teeth for a while.

      Dental implant treatment can last many, many years. Just be sure not to skimp on quality or experience. I would avoid any of the commercialized type of dental implants centers. You need to be treated by a pro. Replacing your teeth with dental implants will help preserve your jawbone from shrinking as you are only 40 years old right now. It will only get worse with age.

      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
  78. Dr. Amin,
    I love your article on inplants and the risks. I just have a few questions. I have pretty bad upper teeth, had both my wisdom teeth out as well as one tooth in front on each side. Then on the left side the next tooth is pretty rotten and needs to be removed as well as the same tooth on the other side. The rest of my top teeth are decaying because I’m in constant 24/7 pain and can’t brush bc it causes too much pain. I was just wondering, is it possible to get say most of my un-fixable teeth removed and replaced with implants? I’m only 25 and I have peridontal disease and do not want dentures. Ive been afraid of dentists most of my life and thats another reason my teeth are in bad shape. Any advice you can give would be great!
    -Amanda

    Reply
    • Hello Amanda,

      Thank you for your very kind words. It sounds like you have a pretty bad dental situation.

      Sedation can be used for all of your dental visits. I prefer IV sedation since it is the safest and most effective form of dental anesthesia and the dental office. I have performed thousands of cases and treated patients who are extremely fearful of dentistry.

      Besides being sedated for treatment, understanding prevention is going to be critical. You are going to invest a lot of money and time into a dental implant reconstruction, so knowing how to prevent it from going bad is going to be of extreme importance. If you’re my patient, I would spend a lot of time teaching you about your mouth in how to perform impeccable oral hygiene so that we can ensure your dental implant reconstruction has the highest possibility of long term success. Soda, smoking, bad diets, marijuana and energy drinks are some of the enemies of dental reconstruction.

      After everything is all said and done, he will require routine maintenance and dental x-rays. These routine maintenance cleaning appointments and dental x-rays could even be performed while you are sedated if you are in fact truly that fearful or claustrophobic of dentistry. In 15 years of performing IV sedation dentistry I have treated some of the most fearful patient’s you could imagine. Some of them will not even walk in the door of the office or take any x-rays without being sedated for those procedures. Some of them had really horrific childhood experiences which really scarred them for life.

      You may want to consider a full arch dental implant reconstruction using something like the Prettau bridge. Please view the link below:

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

      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
  79. Hi Dr.,
    i have recently had 3 upper middle front teeth knocked out close to the route. i have gone to 2 dental specialists;
    no.1 told me to get root canals and corwns
    no.2 told me to get dental implants
    my query is; if there is a chance of saving the original teeth with root canals is this a better option than extracting / implants as these are my main upper teeth and im concerned that implants will not look as good as root canal with a crown.
    your advice is appreciated and your blog is very useful.
    declan.

    Reply
    • Hi Declan,

      Dental implants are a close second place to your own natural teeth.

      If your teeth can be predictably restored to ideal function and esthetics than this is the best option.

      If “hero-dontics” is being done to save teeth that are too bad to be saved, you are going to end up with implants shortly after doing the root canals.

      I suggest you seek a third opinion from a really good dentist.

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

      Reply
  80. Dear Madam/Sir,

    I have been doing a lot of research on topics of dental implants for a while now, and thats how I came across this forum.

    About 9-10 years back (I am 18 now), I had met with an accident, as a result of which I lost my permanant upper incisors (the middle two in the front upper). The 2 teeth that that come out were fixed back with a root canal done, which failed off late, about 2 years back.
    After that the two teeth were removed completely and I was recommended a removable denture temporarily, which I am using till date.

    The doctor recommended to go for a Dental Implant for the two teeth as that’s considered the best solution, but I am unsure about it and confused too!

    Hence, I request you, perhaps everyone who visits this page to please help me and advise, or share their views on the same. Also, request you all to let me know of the complications and risks of the treatment.

    Also, people say about bone loss in surrounding areas of the implant; would like you all to throw light on the same. I want to also know the lifetime of the implant? Is the crown to be replaced in a while, or is it permanent for life?

    Another query of mine is that, the doctor has told me to go for orthodontic treatment as the natural space for the two teeth lost has reduced because of the continuous placing and removing of denture. Please advise.

    My gums (upper and lower) are darker and have black/brown spot-likes due to the unusual excess melanin deposits on them. I would want to know if that is a matter of serious concern and if not what would be the remedy for the same..

    Lastly, in the orthodontic treatment, does the overgrown teeth (I mean the oversized/outgrown teeth) get pushed back inside; and does the gaps/spacing between teeth get filled completely or not…

    Thanks in Advance!

    Best Regards

    Reply
    • Hi Prakhar,

      Replacing your upper two front teeth with dental implants is by far your best option. Because of the natural symmetry of this area dental implants are very successful from a cosmetic standpoint as long as there is enough bone to support them.

      Having braces or orthodontic treatments will allow the spacing to be proper to the teeth look very natural.

      Many of your questions are really broad. I suggest you spend some time on my blog looking at approximately 160 articles plus my website where you can find a lot of the answers he may be looking for.

      You really need to be evaluated in person to assess your own unique risks, benefits, and alternatives.

      Melanin pigmentation in the gums is normal for many ethnic backgrounds and likely does not need to be removed. In a small percentage of patients a dark spot in the gum can be melanoma which is a type of cancer. This is extremely rare in the mouth.

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

      Reply
      • Dear Doctor,

        I am extremely thankful at your your kind and quick response.

        I request you to kindly share your website and blog links, where I could gain some significant knowledge from the 160+ articles of yours!

        For the matter of being evaluated personally, I guess I cannot make that as I am on the other side of the globe!

        Also, if you could share your mail/contact then I can send my O.P.G. for your perusal, to understand more about the case.

        Thanks and Regards

        Reply
        • Thank you for your kind words. You’re in the blog currently. Just search around in the categories on the right side.

          I would love to look at your x-rays, but I need to see you in person in order for any of it to make sense. I receive 10 to 15 requests per day to look at x-rays and it is just not possible to treat my patients, respond to blog comments and review cases online….I wish there was more time in a day! LOL

          I’m sure you can find somebody well-trained in your area. There are very good dentist out there. You just have to look closely!

          Dr. Ramsey Amin

          Reply
  81. I had a implant placed in 2001 . It replaced my tooth #7. I have noticed the tooth is shorter than my other teeth by about 2-3 mm. This has happened within the last 2 years. My dentist says that it is “fine”….no bone loss. When i put in my “Essix retainer” i can see the “air space” where my tooth use to be! Why would this happen and what can I do about it. I do not live in the area where i had the original work done. Thank You for your input.

    Reply
    • Hi Mary,
      Were you under 18 years of age when the implant was placed? Are you referencing the edges of the teeth or the gumline?

      I had a implant placed in 2001 . It replaced my tooth #7. I have noticed the tooth is shorter than my other teeth by about 2-3 mm. This has happened within the last 2 years. My dentist says that it is “fine”….no bone loss. When i put in my “Essix retainer” i can see the “air space” where my tooth use to be! Why would this happen and what can I do about it. I do not live in the area where i had the original work done. Thank You for your input.

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

      Reply
  82. Hi there, have been told I need a sinus lift for two implants, can the procedure cause problems with the actual sinus? Have always suffered with bad ear infections after a cold on that side of my face and don’t want to make it worse! Also heard that it can be very painful and just wondering about your opinion. Have already had two upper implants on the other side, very straight forward as didn’t need sinus lift. Many thanks

    Reply
  83. We all know that the American Dental Association recommends brushing your teeth, thoroughly, twice a day and many of us have been begged by our dental hygienists to actually floss.

    Reply
  84. Dear Doctor Amin,
    I’ve been doing a lot of reading on the subject of implants and I find your articles very informative and interesting.
    I was wondering if I might get some advice.
    I am a bit older (just turned 44) and was born with a hereditary skeletal anomaly that causes a severe Class III malocclusion—the way my son’s orthodontist explained it, our upper jaws stop growing prematurely. (I say “our” because most of my 8 brothers and sisters have the same problem I do!)
    My teeth were always very weak and he explained that was because the roots were so shallow they really had nowhere to grow. He said my upper jaw was the size of a three-year-old child’s, and that I do not have what is called a “ridge.” He went on to explain that that is the reason why none of the three sets of dentures I had made over the years would ever stay in my mouth even for a short amount of time.
    Thankfully, we caught and treated my son’s same problem early on, and he will never have to go through what I have went through. I have been without my upper teeth since I was 24 years old. During my pregnancy they grew very weak and broke off and/or fell out. Obviously, it has greatly affected my self esteem over the years.
    I am currently in the process of removing myself from a abusive 21-year marriage and I’m weighing my future options. I am just wondering if you think there is any possibility whatsoever of me having teeth again after going twenty years without? I don’t live anywhere near your office or I would come to see you for a consultation. Any advice you could give me would be greatly appreciated. I would really love to feel good about smiling again.
    Joy

    Reply
    • Hi Joy,

      A dental school might be the best avenue for you because you need multi disciplinary care. You probably need orthognathic jaw surgery to make your skeletal relationships more normal. This will help you achieve your goal. By the sounds of it, my guess is your son had this.

      Best of luck. 😉

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

      Reply
  85. Very informative page.
    My teeth are unevenly spaced and the upper ones esp the two front seem imbalanced bigger than the rest.
    With the above mentioned issues, I have been saving in the hope to have a dental Reconstructive surgery to enable me appreciate my smile and enhance my confidence n self esteem.
    I was wondering what are the effects in future if someone has to go under an MRI machine or head Scan. Will the Metal’s used affect.
    What’s your take on Experience n Speciality when considering the Surgery lets say perhaps in a country like India. Are there any highly Acclaimed International Dental Surgeon you may recommend.
    Thanks in advance
    Sincerely
    David

    Reply
    • Hi David,

      The MRI or ct scan of the head will be ok after dental implants. There is some distortion of the mouth with CT, but when people need a non dental scan they are usually looking at the brain anyway.

      As for foreign countries, you really need to be careful. I have seen some pretty bad stuff. I am a few hours to the border of Mexico and have seen and treated many problems in patients that tried this. Very few have been good. I would be very wary. There are no standards of dental practice and having a screw put in your jaw is a big deal.

      Within the last few months I treated 4 infections and removed a few implants done outside the US. In the long run you may end up paying more and have a compromised result.

      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
  86. My daughter, who is 10, is going to get braces on her 11th birthday. She is missing a tooth between the front tooth and the K9 tooth. (sorry I don’t know the correct term or #) She just doesn’t have it. She had a baby tooth, but no permanent tooth. Before we start the orthodontic treatment I am left with the decision on whether to move the K9 tooth over and make it the tooth next to the front one, or leave a space there and get an implant when she is 18-20 years old. We are doing the Damon Braces so her treatment will on be 18-20 months, and after that if we decide to go with an implant then she will have a retainer with a ‘tooth’ in it to keep the space open. Since you seem to be very knowledgeable with implants – what would be my best option at this point since I am basically making a decision now for something 10 years in the future?

    Thank you

    Reply
  87. Hi.
    What an interesting web site you have!
    I’m over the other side of the pond….. and wouldn’t be able to afford your rates anyway (lol), but I found your web site really informative, so I just thought I’d leave a comment. I enjoyed reading the detailed descriptions and I’ve gained a little bit of knowledge about a subject I previously knew nothing at all about. Thanks very much!

    Reply
  88. Dear Dr. Ramsey Amin,
    How are you doing?
    I’m a graduate student. I got some problems with my teeth. My front lower teeth (about 3 to 4 of them) looks longer, because of their surrounding horizontal bone loss and the gum recession. They look bad. I visited some local dentists to seek a cure to improve the gum line. But they said that there is no way to increase the gum line significantly, because there is no way to augment the bone level around these teeth.
    From Youtube, I found some video clips you posted and realized that you are an expert in dental treatment. I was wondering if you know that there are some ways like bone grafting which can treat my dental problems. If there are some and they are affordable, I can fly to LA and visit your office to have a treatment (surgery).

    Thank you very much.

    Reply
    • Hi Michael,

      Thank you for your very kind words. I am happy to help!

      It sounds like your lower front teeth have periodontitis which is bone loss. Usually those teeth do not have a great prognosis for bone grafting to “save the teeth.”

      Bone grafting for dental implants in that area can be very successful, but around those natural teeth it may not work.

      You are welcome to come see me, but I am sure youcan find someine in your area that can help.

      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
  89. I was wondering if you could suggest if putting two or three implants next to each other would compromise aesthetics.

    I lost one front tooth and one tooth next to it was displaced to the back and then pushed back but questionable whether or not it can be saved. The other one on the other side appears to have a crack, but is also not 100% conclusive.

    Specialist A advises to remove both questionable teeth, replace with implants and bridge the tooth that’s missing.

    Specialist B advises to wait one month to see how the other teeth are progressing first before deciding to extract and go ahead and place the implant in the missing tooth. Should the other teeth show signs of decay and need to be extracted, then implanting those can be done as well.

    I would prefer the advice of B however my concern is, if the adjacent teeth end up having to be removed I would have 2 or 3 implants next to each other and Specialist A has warned that that would mean compromised aesthetics and thus additional bone or gum grafting and surgery.

    Does Specialist A have a point there or can I safely follow the advice of Specialist B?

    Reply
    • Hi Talitha,

      I looses at your x-rays which are cut off so I cant see the whole tooth. Based on what I did see I would go specialist B for sure.
      Give it time to stabilze after the trauma rather than start extracting teeth.

      How old are you?

      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

      Reply
  90. How do same day implants differ from those that take a couple of months to do? I see it advertised so much about implants in one day but I am told they don’t work as well or last as long as the ones that take a couple of months to do. What is the real answer? I have a mouthfull of crowns and no back teeth. Im tired of going to a dentist every month to repair a tooth or replace a crown thats fallen out. Im ashamed of my smile so I don’t smile much and it has made me very reclusive. Not that my teeth are rotten, but one tooth in front yellows badly and I don’t know why and I have no back teeth, and several crowns.

    I just hate my smile and my teeth. So please tell me what is the best way to get implants. Over a few months or in one day? Which is truly the best for longevity?

    Thank you
    Lisa

    Reply
  91. Thank you for your very thorough and informative website! I, too, have gotten the sales pitch from two of those “implant specialists” that advertise on the radio and they seem to not want to directly answer my questions. I have MAJOR restoration work that needs to be done – that is, if ANYthing can be done at all. I am really petrified of needles and dentist work and it is now in a very painful and vicious cycle – afraid to go the the dentist, so I don’t go, so the damage is really bad and when it does get fixed it hurts, so I then put off going to the dentist again, which causes more pain, etc. Does your office actually sedate (as in using an IV) for major work? My mouth only opens a small amount, too, so it is really a challenge with my dental work!

    Reply
    • Hi Denise,
      I completely understand where you are coming from. It is important that you receive great dental care and prevent small problems from turning into huge ones. I know I can help you.
      Yes – I treat patients under real IV sedation on average of once or twice a day for the last 11 years. Even patients with tiny mouths that have TMJ and limited openings can be treated easily. I generally give you medication in the IV for inflammation that will last for days after the procedure. Inflammation is the real cause of pain. Most of my patients take no pain medication or advil/tylenol even after major dental work.
      And no, this is not a sales pitch 🙂

      Respectfully,

      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
      UCLA and Western U. Dental School Faculty

      Reply
  92. I have been trying to decide about getting an implant for a while now and I haven’t been able to find much information online about the negatives related to an implant. Thanks for taking the time to point out some of the bad things about implants.

    I have had the unfortunate experience of experiencing the sales pitch every time I see a new dentist to ask them more questions about the pros/cons of a dental implant.

    Thanks again.

    P.s. I am leaning towards having the implant done… just need to save up the money!

    Reply
  93. i wanted too know how long does the crown last because i understand the implant itself is different from the crown so i was wondering lets say if you performed the the implant procedure on me, how long do crowns for implants last? i know different factors weigh in but with good care and such how long can the crown expect to last?

    Reply
    • Which tooth is it? This way I can give you a better idea.
      Is the crown full ceramic, gold or porcelian fused to metal? The back teeth tend to get more wear than the front teeth. the range can vary from 7 to 30 years!

      Respectfully,

      Dr. Amin

      Reply
    • Yes I do use Zirconia quite a bit for many years. It is usually “lumped into” the porcelain category. It is an excellent material when used correctly.

      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
      • Hello I m 24 year old.my 46 tooth has infection I want to extract it and make implanthe. But my upper jaw 16 teeth covered with gold crown ..is it posibble to make implant after extraction and how many days I need to wait after extraction becouse root infecTed..

        Reply

Leave a Comment