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Osteoporosis and Dental Implants

Is it possible to have dental implants if you have osteoporosis? What if you took Fosamax, Boniva, Zometa, Prolia or one of the medications intended to slow down the process of osteoporosis. What if your T score is 4.2? The short answer is yes… Having dental implants is possible with osteoporosis but everything must be done a bit differently then if you did not have osteoporosis. You are losing more bone cells that you are gaining. Watch the video and ask questions below.

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

6 thoughts on “Osteoporosis and Dental Implants

  1. Dear Dr. Amin,

    I recently watched your video on implants and osteoporosis. I am a 63-year-old female and I’m wondering if a dental school would be the place to be, especially with faculty dentists overlooking the implant process. I’d like to have my upper arch replaced, but I haven’t found a surgeon in Northern California (Sacramento County) who has the requisite skills to manage patients with osteoporosis.

    There are two dental schools in San Francisco, which will hopefully reopen after the CDC Coronavirus guidelines allow it. What is your impression of a school being able to handle this problem?

    I’m very grateful for your insights, as are many others who comment on your blogs. Thank you.

    1. Thank you for your kind words. Replacing the upper arch is by far the most difficult surgical and prosthetic procedure in all of dentistry. You are right to do a lot of due diligence considering her osteoporosis. In a dental school you can certainly have excellent dental care. Be warned that it will take a very long time to complete and they typically do not offer advanced procedures such as immediate teeth. I know this because I taught in a dental school for many years.

      In my practice, almost 100% of patients have an immediate fixed Bridge put on to their implants on the same day of the surgery. That means that you do not wear a denture at all which can benefit the patient with osteoporosis because you are at risk for what we call “crestal bone loss.” Some upper jaws are very challenging because they are typically hollow due to large sinuses and nasal cavities requiring alternative procedures such as zygomatic and/or pterygoid implants.

      In a dental school you will be treated by many different providers and different departments. If you have a lot of time and this may be a good solution for you. Just keep in mind the process is very slow. The cost savings is not significant in implants because of the very high overhead. You are welcome to come see me for an opinion. I see many many patients who travel from all over the United States. I am in Southern California. Regardless, good luck and stay safe during COVID 19!

  2. Hello Dr Ramsey Amin, , i just saw an article on cone beam scan vs conebeam and c t scan done together, (CBCT)and it was presented as the combination of CBCT
    showed a more comprehensive combination of views re the whole state of mouth jaw joints sinus areas along with the bone density,/ would you agree agree with that test as being the best test to have …kindest regards ……Julie🙋‍♀️

  3. I am scheduled to have 6 implants in my upper jaw placed. My dentist did a sinus lift and ridge augmentation. I have been researching the best option for full upper arch bridge and it appears Prettau is the best. Once the titanium implants are placed can I then see a dentist that does the Prettau bridge or do I have to coordinate with the two dentists prior to the implant placement.

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About Ramsey Amin, DDS

Dr. Ramsey Amin has extensive experience in surgical and restorative implant dentistry. As one of only less than 400 Diplomates of the American Board of Oral Implantology/ Implant Dentistry (ABOI/ID) he is considered an expert, and board-certified in dental implants. He is a former instructor at the UCLA School of Dentistry.