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Should I Pull All of My Teeth and Get Dental Implants?

This is a question I hear often. Worse yet, some people say should I pull all of my teeth and get dentures?

Most of the time the answer is no! BUT…sometimes it IS better to pull your remaining teeth and have full mouth dental implants.

Many times people present with either all of their top decayed and/or infected with gum disease. Many times these teeth have already had root canals, crowns, and tooth bridges in addition to bone loss.

Sometimes fixing all of those bad teeth costs more than replacing all of the teeth with a fixed porcelain dental implant bridge with gum colored porcelain.

This woman is a good example. She had cancer, and her lower teeth were a constant problem for her during chemo. Other dentists she saw suggested she try to save the lower teeth with crowns. She wanted to keep her upper denture, though. In the final result picture you can see the difference between what a typical denture looks like and the fixed porcelain bridge I made for her on 5 dental implants. Unfortunately, most dentures look like this after about 2 years because they are made of plastic.

Even more convincing than having a lower total cost is the fact that the teeth that were “saved” are likely to go bad again in just a few years. What many people do not realize is that crowns get cavities too! Root canals often leak and become infected. Unfortunately, even the best dentistry will eventually fail.

It comes down to predictability and how long each option will last.

The cost difference can be quite substantial most of the time. I am often able to save the patient between $5,000 to $20,000.

Ramsey Amin DDS, Burbank dental implants
In this technique, some bone grafting will not be needed. I can avoid some bone grafting with a unique positioning (this is not the all on four method).Most of the time, I extract the remaining teeth, place the implants and make temporary teeth all on the same day. Of course, there are a few visits before this procedure so I can take molds of your teeth, take a 3-D x-ray scan and carefully plan the implant teeth. In fact, the final teeth plan is made before any teeth are even removed.

It’s not the scan, it’s the plan. A diagnosis and treatment plan is the most critical step of all.

Another factor for you may be your appearance. Rehabilitating the bad natural teeth may not look as good as the types of dental implant bridges that I make.

I’m sure you can see that the implants look much better than the upper denture!

Dental Implants Placed and Restored by Ramsey Amin DDS, Burbank, CA
Dental Implants Placed and Restored by Ramsey Amin DDS, Burbank, CA
Please comment below or ask questions.Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry


280 thoughts on “Should I Pull All of My Teeth and Get Dental Implants?

  1. I am 49. My teeth have never been great. This is mostly my own fault for not being diligent taking care of them, though my father also had bad teeth, so some of my issues may be genetic. I have spent my life avoiding the dentist and trying to ignore the problems but now have decided to deal with them sooner rather than later. I have lost one tooth and chunks of two or three more. My two lower front teeth have started turning sideways. I am starting to have trouble eating, and right now, my tongue hurts from a sharp edge created by a recent chip on a molar. My gums are perpetually red rather than pink, and I probably have some bone loss.

    Knowing my own flaws, I am very interested in implants. I know I will still need to brush and take care of them, but at least tooth decay would not be an issue. Without seeing me in person, do I sound like a good candidate for implants to you, and if so, should I replace all of my teeth or only the worst ones? Thank you.

  2. Dear Dr.Amin.
    I’m a 15 year old girl concerned of my not so decent looking smile. I’m at the point where I already have all my grownup and final set of teeth..but honestly I’m upset of how they look. Although they might not be the straightest, most of my teeth consists of different size and form/shape. I thought that I could maybe get all my teeth pulled out and get dental implants so that I could finally have not only straight but somewhat the same looking teeth. After I read this article, I’m very uncertain of what to do. Please help me out with some advice..

  3. Thank you for reading this Dr Amin. I am 36 years old and missing 8 teeth and almost all my other teeth have fillings on them. Some of my teeth also have shifted and overerupted.

    I am concerned about my root canal done on my 4 front teeth more than 10 years ago, 1 broke last year. My dentist said the tooth couldn’t be saved as there was very little tooth structure left to hold a crown. He suggested I could get it pulled or maybe I could preserve the bone and get partial on top of the root (I chose this). I am saving up to get implant to replace the crowns on my front teeth.

    Is it better to get individual implant for each tooth or get 2 implants for implant supported bridge? Should I keep my other natural teeth or go to all implant route? Is it better to fix the shifted teeth and get implant later or the other way around?

    Thank you for reading this Dr.

    1. It is so hard to answer this in detail without seeing you. At age 36 you need to have the best dentistry that money can buy because not even implants are forever !


      If the teeth are VERY predictable to save and long lasting that is the way to go. You don’t need one implant per tooth. Generally speaking 4-7 implants can replace a whole arch.

      Align yourself with a great DDS to guide you. 🤗

  4. Hi doctor .i m 18 years old girl .my teeth are not aligned properly so i dont have a beautiful smile because of my teeth structure i look like monkey .i have got braces many times but still the teeths dont go inside properly .i think that i should get dental implants for my six upper from teeths from tbe middle of my mouth.what is your advise sir?

  5. I inherited bad teeth from my father’s side. I have no idea what that means, but my grandfather had dentures by the time he was in his 20s and my dad has been in and out of the dentist for surgeries. I find myself going down the same route as I’ve had some kind of pain all my life in my teeth from some kind of issue. I get cavities very quickly, and a lot of the times the fillings end up cracking or something, opening them up again. I don’t think I’ve gone a moment without having some kind of tooth pain. In the past year I’ve gone in and out of dentists for treatments, and though I currently only have one completely missing tooth, I’ve got quite a few fillings on my bottom row as well as one other crown. Recently pain has started up again due to a filling cracking or a cavity opening up (I don’t know precisely what it is, but I do see a hole when I look in the mirror and will be seeing a dentist soon) and I’m really just tired of the pain and having to go to the dentist all the time. I’m barely even 21 years old. Can I just remove all of my teeth and replace them with implants? I noticed in your article, you said several times “if you’re missing most of your teeth…”. Would dentists be okay with doing this operation on someone who technically isn’t missing most of her teeth? I just know for a fact the amount of times I’ve been and will be at a dentist will simply be more expensive if I just get the implants.

    1. Would dentists be okay with doing this operation on someone who technically isn’t missing most of her teeth? GOOD QUESTION!!!

      “It depends.” If your appearance and chewing function are favorable then by all means keep the teeth. If appearance and chewing function are not favorable then sometimes you do have to pull “healthy teeth.” This is a decision not to be made lightly. IMPLANTS HAVE PROBLEMS TOO!

  6. My canine teeth are impacted so I still have two baby teeth, on the one side my adult tooth is still in my gums and on the other side my adult tooth has grown in behind me baby tooth. I have talked to a dentist and was told I need to have braces for some years and then have surgery and “hopefully” my adult teeth will grow into place, but im 21 and refuse to have braces and thinking if it would be a good idea to just remove all four teeth and get two implants, what do you think ?

    1. If you are able to keep your own natural teeth through orthodontics that is by far the absolute best option. Everything else is a distant second place. Nothing will be as long lasting as your own natural te if you are able to keep your own natural teeth through orthodontics that is by far the absolute best option. Everything else is a distant second place. Nothing will be as long lasting as your own natural teeth 🦷

  7. i just had the whole upper detnture made / all on 6 . today my second day after all with my new teeth . it feels funny, speech & looks ,the chowing seems to be done by the front teeth, the new set seams to be far forward to the front , to the point my lower teeth can not reach my upper lip , & the front teeth are so long making it hard TO CHEW .for now I do not recommend it to any one , hopfully time may change my openion .

  8. I have almost No teeth left..one on the top front and 5 on the bottom in front. All my back teeth are broke from the gum line. I have been to a dentist and it’s obvious just by looking they all need to go. I’m worried about the front top tooth…I waited so long that my gums are mis shapen and receded past the roof of my mouth. I am scared to death to get them pulled. I look so bad now I wont leave my house! My main question is…I will be coming into a very large sum of money in 2 to 3 years…I want the best implants I can get and from what I’ve read it’s best to do it all at the same time. I’m sure theres ALOT of bone loss and I cant even touch under my nose without alot of pain. Should I wait until I can afford implants or get dentures while I wait! Please help me do the RIGHT thing so I wont suffer even more down the road. My name is Nadine I’m 45 year old woman at the end of my wits. I almost feel like I’d be better off dead then looking like this!

      1. Sorry to ask but how long can you wait till to have implants? my bridge work broke and I got the pieces removed and have a denture that looks nothing like the other part of the bridge that remains

    1. hi.. i am in the same boat as you… but, i wont be getting money anytime soon… do u think they can replace all teeth fast and pain free? or, do u think it will be a long process of 1 tooth at a time?.. this boat we are in feels like the titanic.. we know are teeth are a lost cause, and it would be a extreme hellish pain to slide a tooth brush across the teeth… i kind of think a dentist can / would replace them for free, just to show people how drastic new teeth could make them feel… imagine, looking at someone as you talk.. most people have no clue how that can effect someone… anyways, i hope u let me know how its going… take it easy!

      1. I have found out that full implants would be $36,000 which I cannot afford. What I would have to get is full dentures, which is what my insurance would pay for. I feel that I am too young for dentures so I will not be taking that route, no matter what.

    2. Nadine, I am not sure you are still on line, nor what the update may be for your dental impasse. Yet, I totally relate and empathize with you on this matter. I have struggled to find the help that I need for my failing teeth. It has taken me many years and many trips to schools and professional dentist to find an affordable way to benefit myself. I too, stay in a lot! I have shut out a big part of life, of which I truly miss. I even lost my best friend through all of this, on my birthday in November of 2017, as he died right in front of me. His name is john and he truly wanted this for me. He took me to many dentist and appointments, while watching me get my hopes up and then dashed so many times. I was even abused and looked down upon by many professionals and students in the field. The selfishness of our society will not even seek help, let alone reveal programs and funding that is available to people like ourselves. Yet! I never give up, and though I may rest, I go on to fight in different ways and learn from my own self advocacy! I had been doing some temporary self-dentistry on my mouth, and seeking help on you tube. so with these temps of which I found a dentist from Russia to cement in at the front of my mouth, were a God send for a while. Yet, they stopped taking my medical insurance at the dental office where she worked. What I thought was the end of any real solution, became a blessing in disguise! I soon sunk into a bad depression, or should I say that my depression only got worse! This past July, after having contended with this problem for more than 15 years, that I know of! I decided to go back to one of the original places of which I sought help. I knew in my heart that there was something I was not being told about grants and funding for this problem in particular! I had done too much research and even went back to school in my 40’s for behavioral health and human services, of which I got my associates and bachelor’s degrees, making the honor roll in the end! not bad for a high school dropout with no skills at the time! who hated school and went back after nearly dying from depression, only to come back to life and deal with these challenges and more depression! It was my Mount Everest!! and recently I made it to the top! The appointment that I made in July for an appointment at the school in September lead to my final fight for the truth and that new smile that I have been seeking. It took a few visits, and although I was finally told about grants available to me that normally would get me excited, Yet! I knew from experience that they would eventually tell me things to dismay me from seeking further help through their services, and it is just what happened. on about the third appointment the students along with their director gathered around me not to tell me the good news of what was covered, but instead the bad news of what I had to pay for with outside labs and what was not covered. I heard this script before to many times and was not buying it! I quickly sat up in the dental chair and demanded to see the gentleman in charge of the grant program. As he spoke, almost inclining to agree with the director and dental staff, I began to cry out! “When will I hear the words I have so needed to hear? where is my angel? Why am I not that story of salvation, that I read so much about in stories and see so much of on these shows and specials “Help me” I said in an emotional plea. It was then after a long sigh of silence in a room full of people that finally had nothing to say, that Bryan offered to call the department responsible for the type of work that I needed. He told me that they would get a hold of me when an appointment was available, after the holidays. After that, I simply let go, and put my dilemma aside for the time being! I became numb, as I knew that I had said and done everything in my power to advocate for myself, and that it was not in my hands any longer.
      The holidays had passed and I was sleeping my days away in the dark room of which I would arise only for a cold drink or a little something to eat, as eating became such a challenge for me. One afternoon I had been lying in bed half-awake, with no energy or reason to get up. At the time for some reason, I started thinking about my mouth again, and wondering if my life was worth going on with! It was then my phone rang and I nearly didn’t answer because I was getting a lot of calls from solicitors, but something told me to answer. What I heard next would change my life in an instant! I heard a voice so distant as if on a loud speaker, as the voice came in to range, a young man said, “HI, may I speak to Mark” I said “Who is this?” and he said without mentioning his name, ” I am going to be your specialist” “My specialist” I said, “for what?” ” I will be doing your implant work” after a moment of silence and shock at what I just heard, he told me his name and we began a long conversation about the procedure and he told me to cancel any appointments with the regular dentists at the school, as he would be the only dentist working on me. After sometime and finally meeting him, in realizing that he was really going to help me! at every stage, not leave my side at all! I knew finally! that this was My angel! I was finally heard, and oh how for once I did not want to wake up! As I found it so hard to believe! Although, I still remained skeptical, my specialist totally understood, as he knew my case unlike anyone I dealt with in the past. He believed me about the abuse that I had suffered through other professionals. I found out later that he took my case because of the urgency and so wanted to work with me. He came across with such excitement! and excitement that I have never saw in anyone that I have sought help through over these years! When I spoke with him about this, he said “Mr. Mark, get ready! because we are going to have a long relationship, I so look forward to working with you! I love what I do! and I want to make you smile! So you let me know exactly how you want it.” This is your mouth and I need your criticism, we are going to be good friends and I can’t wait to see the results!!” I love to advocate for people! and help to change their lives! So don’t worry, I will make this work out for you financially! Just tell me what you can pay. I will fight for you!” Wow! it was my lottery! and I actually heard the words, and then some! that I have been so praying for, for so long! The fight payed off! and I feel not only vindicated, but rewarded for my college degrees! Now! maybe I can truly advocate for others, as I have finally been advocated for! My dental procedure will start soon and the work will be sensitive and somewhat uncomfortable, as I need so much of it. Yet! never have I looked so forward to pain in my life! I know he will do his finest to make me at ease through all of it! I am so glad he called me that day! as I was questioning my own reasons for living! and that day I was finally given my answer! All I did over these years! was not for nil!

      My friend who passed away, counseled me through much of this. I remember sitting at his table after eating supper with him, and we would have lengthy conversations into the night! He would tell me how much he believed in me, and always reminded me of how strong he thought I was. He knew how much my mouth bothered me, and empathized so sincerely with my impasse, even though he himself wore dentures. He was such a good man, so selfless, truly! my best friend! I feel like his spirit has been involved in all that has happened! Just by the way everything has unfolded.
      I will never forget something John told me, not long before he passed. He said “You know Mark, my mom, rest her soul, told me a long time ago. “Son, if somebody tells you that they can’t! it means that they won’t!” because anything is possible! and one day I vowed to prove that statement true. My specialist, helped me do that! He is a young man, wise beyond his years, that puts many to shame, and allows the memory of my friend John to have a sense of accomplishment of which he did not feel he had achieved in his own life, during his 60 years here. Johns words are what kept me going and because of all he put into me as his friend, I felt obligated to succeed! I am a better person having known him! And when I am working with my specialist on this matter, I feel his presence in the room. My friend is still supporting me! I think I will “keep going!”

  9. Hi Dr. Amin, do you have payment plans and if not do have suggestions on where I can go? I need a lot of help, I have severe decay if not worse from long time drug use. I am clean now but not comforable smiling anymore, it’s embarrassing. It makes me cry because I used to have beautiful teeth and I have a wonderful smile I don’t show anymore. I already have a few implants from some time ago and I think I still have some teeth in the back that can be saved. A few bottom teeth in the front shifted long before these issues because a dentist didn’t do something properly but I think those will have to be implants as well. I refuse to let someone pull my teeth and give me dentures, I’ll be 46 this month, single and in great health with a long and wonderful full life to live and there is no way I’m going to live with teeth I have to take out every night, that’s even worse than what I’m dealing with now. Please e-mail me if you can help or with advice/suggestions for I may forget to check this post. I can also send you pictures of my teeth. Thank You so much for your time.

    1. Thank you for including your story. This type of treatment can be very costly especially if you want fixed upper and lower porcelain zirconia dental implant Bridges. I always emphasize to do things the right way the first time. The way that many clinics reduce cost is a give you some conversion of plastic teeth as the final teeth. The problem there is you’ll just end up with a redo in a few years. These procedures are extremely high overhead procedures. The best advice I can give you is to do your due diligence so that you will truly be happy in the end….this is priceless

  10. I have 8 crowns to get… i have always had horrible teeth. Constantly having root canals it seems like. I really just want to get them pulled and get implants. I feel like it would cost the same. I am so tired of the ENDLESS dental procedures and costs i have already had and what is to come…

  11. Hey Dr Amin,

    I’m 38. Over the past 8 years (despite seeing a team of 5 perios at a local practise [I’ve been seen by all of them over time] and a specialist from a local university), my gums have gone from being at I would say regular levels for my age to being quite receded (small-to-medium black holes between upper 6 and lower 6 front teeth, have to use interdental brushes size 5 for gaps between my back two molars). I have been told my cleaning routine is stellar and that periodontically I am good (2-4s on the probe). But I still have all over gum recession combined with regular pain.

    I’ve also asked about whether I have thin or fragile gum tissues but have been told ‘no’. I am not at the point where I need extractions but my teeth are certainly unsightly and it’s becoming harder to bite with the front ones. I seem to have come up a loser in the genetic lottery, despite the rest of my family having most of their teeth at an older age.

    As a professional, what do you recommend I do? The pain’s a worry and it’s quite draining. I’m not really happy smiling anymore. In the short term I could perhaps purchase veneers and partially mask the issue but I fear that’s just going to be money poured down the drain in my particular case.

    Any advice would be highly welcome. Thanks.

    1. Feel so bad for you. It happens to the best people sometimes as an untreatable “refractory” case.

      I hope you don’t smoke.

      I have had to remove all teeth in many patients under 40 for a similar condition. I have 36 year old on my schedule in 2 weeks for full extractions and implants. His main issue was smoking

      Sounds like you’ve seen a lot of good professionals and have been checked for systemic body issues.

      Look up Rinsing with diluted hypochlorite or speak to your dentist about this.

      1. Hey again, Dr Amin,

        No, I do not smoke. I drink infrequently. I do not chew tobacco or do drugs. I have indeed been checked for a number of issues, both from medicals doctors and the professionals above.

        I’ll look up the diluted hypochlorite, thank you.

  12. My teeth are very prone to decay. I have good dental hygiene and have 6 monthly appointments with my dentist and hygienist but regularly have to have three or four fillings at a time. I also have extreme sensitivity to the extent that if my dentist scrapes against some of my teeth the pain makes me cry. It is difficult for me to eat certain things and one tooth I am unable to brush properly because it’s so sensitive.

    Most of my bottom teeth are heavily filled.

    I have crowns on my two front teeth as these teeth were broken in an accident.

    I am at the end of my tether with the discomfort and endless treatment. Would replacing some teeth with implants help do you think?

    1. Yes definitely moving towards dental implants may be her best option. You need to figure out why you keep getting decay. Dry mouth is a big factor on getting decay. Smoking marijuana on a regular basis causes decay as well. Frequent eating and drinking causes decay as well. It sounds like you need a great dentist to help you with these issues to help minimize the number of implants you will have

      1. Hi, I’m a 55 year old guy. Ever since I remember I had yellow teeth despite good hygiene. As a kid I had a lot of my molars filled because decayed. I grew up very self aware of my teeth and was very insecure and hardly smile. About 20 years + I was able to do something about it and went for porcelain veneers, had 10 veneers on the upper teeth and 10 on the lower area. Pretty much my whole mouth. This is back when veneers started to be a trend at least on my hometown in Puerto Rico. I was never completely satisfied as I could not achieved the shade of white I was going for, this is mainly because my dentist at the time advised again going to white so they didn’t look fake. Over the years I had to fix or replace some because chipped or other reasons. On particular dentist decided to fix most of my chipped veneers with I guess the same white substance used for filling. He said it was a lot more cheaper than veneers and the results in terms of color and shape was as good or better than veneers. Well again I went with his professional advice and was not satisfied with the results. Last year after my last major restoration I went to a new dentist in Florida where I currently reside and he has replaced some of the more affected veneers with crowns. Because all these different mouths jobs I know have a mixed of veneers, crown and patched veneer and worst of all the color on each tooth don’t necessarily matches. I won’t spend all that money on full veneers again so I was wondering if having full implants will be an option and perhaps can finally achieve the desired results on my teeth. Please advise
        David from Wimauma Florida

        1. I don’t think removing your teeth is going to solve your problems. I would suggest saving your teeth if they are predictably savable with new full mouth crowns. A common thing that I tell people on a regular basis is that implants are not “permanent.” Even though they are the best tooth replacement option, they are only to be used when the teeth cannot or should not be saved.

        2. I don’t think removing your teeth is going to solve your problems. I would suggest saving your teeth if they are predictably savable with new full mouth crowns. A common thing that I tell people on a regular basis is that implants are not “permanent.” Even though they are the best tooth replacement option, they are only to be used when the teeth cannot or should not be saved..

      2. Dr. Ramsey I LOVE your article and would love to schedule an appt with you however I am single, on a fixed income and live in Texas. My teeth are in bad shape due to a car accident several decades ago. I really need help. Do you know of an honest Dentist in the Dallas Texas area that could help me? One that is reasonable financially? I am afraid if I don’t do something I’m going to get really ill from infections, etc. Thank you.

        1. If finances are very very tight you may want to consider seeking treatment and a dental school. Although there implants do not cost much less they can take care of things that can cause infections and do basic primary care such as extractions and dentures.

        2. If finances are very very tight you may want to consider seeking treatment and a dental school. Although there implants do not cost much less they can take care of things that can cause infections and do basic primary care such as extractions and dentures..

  13. Please bare with this message as I’m crying just writing it I’m that embarrassed.. I’m 22 years old. I’ve had bad teeth forever, I’ve never even smiled with my teeth in a picture. I never went to the dentist as a kid and when I did start going in my late late teens I was told I have an overbite so bad it would only be able to be fixed with either braces and springs or surgery (although every dentist Ive see has said the overbite is the least of my problems) and that most of my teeth were already unsavable.. I’m already missing a total of 6 (all 4 bottom right molars and 2 upper left ones). I had two previous molar root canals where my teeth actually broke at the base (so the root is still stuck in my gums). I also had a front bottom tooth come out of place (the entire tooth) and when I went to an emergency dentist she shoved the tooth back in but it broke at the bottom root now its an off color and extremely sensitive.. and of the 21 other teeth in my mouth I have, 8 of them have bigger cavities that I can see. To add the cherry on top Ive spent the last year and a half violently nauseous and sick, for an unknown cause, and now all of my front teeth (especially the front two, which do stick out, have a little gap that keeps growing) are so sensitive I can hardly eat anything.. The last time I went to the dentist I could hear the assistants snickering in the back room about how disgusting my mouth were and I ran out bawling and I haven’t been back since.. I was just hoping to get a little guidance from you. I absolutely loved this article and everything else Ive read about you. Bless your heart for reading this an thank you in advance..

    -Fort Worth Texas Resident Megan A.

    1. oh gosh Megan..I wish you lived near me. it sounds like you have a problem with severe decay. Perhaps seek out a dentist that can treat you with silver diamine fluoride to bite for some time. I would not suggest you extract all of your teeth at your young age. Silver diamine can help stop the cavities and help you begin to repair everything. Do not give up. Find a dentist and in office that you trust that does not shame or blame. You need to do a 100% turnaround on your oral hygiene and diet along with likely some lifestyle modification to prevent this from continuing.

  14. Hi im just 22 … and have too many cavities with too much pain.i cannot eat from past 3 days . 5 years back my dentist use fillings to cure. but now problem is back with more pain almost every tooth has one cavity..
    what should i do???
    do you think it may be sensible to just get implants instead?

      1. You are so lovely and amazing with your kind dental advice love reading your replies you must make a huge difference to all the people suffering with dental health

      2. I really hope you read my comment and answer me back because I really don’t know what to do at this point almost all my back teeth are gone do to going to bad bad dentist who did root canals and teeth kept braking now the same thing is starting to happen in the front they are starting to crack because now I mostly eat in the front because it hurts when I chew my food in the back I’m 24 and so beautiful but the fact that I can’t smile and be proud of teeth really brings me down should I get the teeth implants ?? Because I really think I need them at this point

        1. Without support of back teeth, the front teeth will fail.

          Get yourself connected to a genuine, caring and competent dentist that will help you save the teeth that you have and educate you on how to prevent losing more. Most of the time they will find some type of habit that you may have done for years that is causing breakdown of all of your teeth. It is not normal to lose all teeth at your young age.

          Teeth should only be saved with root canals if they can be predictably restored. Saving a tooth that only lasts 1-5 years is unacceptable to me

          1. I’m 33, currently suffering for a severe tooth ache due to several abscess! Went to a dentist 2 days ago An she suggested that my 4 front teeth be removed an make a bridge or remove my upper teeth An go from there! I wasn’t forutne enough as a child to be given the means to care for my teeth An when I was able to do so in my teen years my teeth had already begun to decay! I’ve managed to keep most of my teeth up till point, but also never really being able to smile or enjoy eating without pain either! I have lost several jaw teeth already, An my front teeth on top have several big fillings that are cracked An turning a different color!! My lower teeth aren’t bad! Should I even consider pulling my top teeth or denture or implants? I was told they wasn’t saveable twice by two different dentist! I’m so deeply depressed an upset with how this is turning out an don’t want to lose my teeth but I do want to feel comfortable smiling or even talking without covering my mouth an being able to eat! Just not sure what to do! Ohh An the 3 upper right teeth in the back are coming outta socket, due to the lower teeth removed a years ago!! I need some honset advice!

  15. I’m 38, I have horrible teeth. I’ve had all my molars on the lower left pulled, the premolar on that side has a crack. On the lower right I have a broken wisdom tooth, one molar pulled, one broken. The rest of my lower teeth are in ok shape, but chipped and seem a little loose to me. On the top left I have a pulled premolar, my wisdom tooth came in after that was pulled, so it pushed my molars forward. The canine on the upper left is actually a baby tooth that’s now chipped and cracked. The adult canine that never came in is behind my upper front incisors, under the skin there. On the upper right I have chips in almost ever molar, a premolar is missing, but the root is there still. I can only eat on the left side at the premolar area because food gets caught in a hole on the right side. All the upper front teeth have erosion and chips. I brush 2-3 times a day, use a water pick to clean my teeth, and floss. My gums are receding too.

    I’m looking at partial dentures at the minimum for my mouth, but part of me wants full upper so my teeth are straight and the same color. I can smile without showing my lowers, but they too are not straight. My parents stopped talking me to the dentist when I was 15ish and I never got braces, though I wanted them. What are your thoughts on how I should proceed?

    1. Laura,
      thanks for being so vulnerable and telling the whole story. Often times in situations like yours it may be best to remove all teeth and replace with 5-6 implants per jaw and a Prettau dental implant bridge. There are so many benefits to this and of course it will give you a great smile again.

  16. Hi, I’m 23. I was on methamphetamine and other narcotics when I was 20-21, days/weeks without brushing (I’m clean now). Two of my teeth started eroding because of this, I’ve had a root canal on one and will be doing the other soon, a few more need fillings. I’m confident most my teeth will be gone/drilled out within 20 years time as the drugs have really bummed me in that respect. I only went to the dentist this year. All my teeth intermittently hurt at different times so I’m really not optimistic. I don’t like the dentist so ideally do not want to keep going back and forth for the next ten years waiting for them to need root canals. If, most my teeth will be needing root canal treament within the next 20 years, do you think it may be sensible to just get implants instead?

    I also was thinking about getting braces to straighten them up, but have doubts my teeth will be able to cope, I fear they will break and or cause a lot of discomfort. Would implants be appropriate in this situation? I’m also concerned that if I did have implants at this age that I’d set myself for a bigger fall in later life, i.e the foundations of the implant would not be able to cope for up to 80 years and I’ll just end up with a gummy mouth.

    Advice would be greatly appreciated

    1. You are way too young for full mouth implants. They would not necessarily be appropriate in your situation. You kind of answered your own questions about setting yourself up for future issues. Dental implants are not forever although they can last 15-40 years that is not enough or somebody at your young age.

      I’m thrilled to hear that you are clean now. This is way more important than any dental issues. Congratulations.

      Lifestyle, diet oral hygiene and great dental care is what will get you through all of this. Find the best dentist you can outside of any insurance network. Eliminate soda and of course good luck!

    2. Hello I have bottom teeth that all broke off at the gum line because of bad oral health and habits. I need to get an evaluation on getting them all pulled and my options for dentures and or implants.

      In general what are my options if I already have a full upper denture, I am 50 years old and have always had teeth problems.

  17. My in-laws are both in their 80’s. My father in law is a disabled vet with alzheimer’s. His dentist said his teeth are so bad that the only alternative is to have them removed and get top and bottom dentures. He has about 13 teeth left and not enough to attach a partial to. Cost is not a problem,. But l worry about him making it through the surgery of extracting the teeth, recovery time, and getting good fitted dentures. I know many people get dentures but don’t wear them because of the poor fit. He has to do something, because he can only eat soft foods right now and has lost weight. He is 5’9 and weighs 130 lbs. He had a heart valve replacement a couple of years ago and made a full recovery. He is in the early stages of alzheimer’s, but is otherwise in good health. Do you think he would be a good candidate for implants?

    1. If the Alzheimer’s is significant and moderate to advanced I would not do implant dentistry. Is he losing weight because his teeth are hurting? If not just leave everything alone. Going to full dentures is only going to decrease his quality of life. Often the best decision is to do nothing or very basic patchwork dentistry in this scenario. Your in-laws are very fortunate to have you as a daughter-in-law.

  18. I have a lot of teeth problems, growing up my mom got me braces in Mexico so the check ups wouldn’t be every month so by the time I did get looked at the wires were staving my inercheek let’s just say worse experience ever so I stopped going to the dentist all together I was so scared to go back so little by little my teeth began to go bad I have several missing and 3 severely damaged I just want to have a beautiful smile and get them all taken out and put implants in, but for the first time in a long time I went to a dentist this past week and they say it’s a bad idea that I want to keep my teeth but I really don’t they are ugly and I hate them. They are all stained,chipped, what should I do??

    1. As you have probably heard me say before, if it is possible and predictable to keep and restore your natural teeth that is obviously the best way to go. You need to see a very skilled and caring dentist. You also need to be educated in diet and lifestyle to help maintain the dental work that will be provided. There are some simple things that many people do that they did not realize its affect on the mouth. I’m not saying that you cannot have full mouth implants but that is obviously an irreversible decision. For many of my patients this is the best option but for others I tell them to save the teeth and recommend full mouth reconstruction using crowns and limited implants.

    2. As you have probably heard me say before, if it is possible and predictable to keep and restore your natural teeth that is obviously the best way to go. You need to see a very skilled and caring dentist. You also need to be educated in diet and lifestyle to help maintain the dental work that will be provided. There are some simple things that many people do that they did not realize its affect on the mouth. I’m not saying that you cannot have full mouth implants but that is obviously an irreversible decision. For many of my patients this is the best option but for others I tell them to save the teeth and recommend full mouth reconstruction using crowns and limited implants..

  19. I know this post is older, hope to still get a response. I’m 37, I currently have 6 missing teeth on my lower jaw, two that still need roots pulled. one that needs to be pulled because it was a base for a bridge, on my upper jaw I have 4 teeth that broke off on the gum line with the roots still in my jaw. two more that are badly decayed and are about to break. currently I only have one upper and one lower molar that touch so I can chew food. I want to have all my teeth removed and full implants done but every dentist says they want to save my existing teeth. the last dentist quoted me 15k to pull the broken teeth and to root canal crown the bad ones. but 15k later I am still missing 13 and it will then cost even more to then add implants. what would a ballpark cost estimate for replacing all teeth with implants be?

    1. Full replacement is COMPLEX and their are many different types of techniques and materials. Because of your young age everything needs to be engineered very well for the longest life possible. Dental implants are not permanent and can be prone to problems. If you lived to be 87 years old that means that your dentistry has to live 50 years. You need to be seen by an expert in be coached in long-term planning. Costs can easily ranged from 50 -$100,000 depending on what you need and what you choose. Keep in mind that your mouth is a body part so give it the best possible dentistry you can afford.

      I recently even place zygomatic implants on a couple of patients in their 40s due to extreme bone loss from genetic anatomy.

  20. Hello I’m Richard and have been on medication that causes dry mouth. Unfortunately I lost all they were breaking just below gum line. I went and had them extracted. Or so I was told. Its been 3 weeks now and I can not wear my dentures at all. I have been back to dentist several times and all they do is numb my gums and put my dentures in. It feels like he the dentist didnt extract all of teeth that were broken of. Any help or advice is appreciated. Once dentures are in my bottoms ones feel way to big . I’m 47

    1. That is a tough situation. It takes 6-8 weeks to heal from this. Without implants your lower denture is going to always hurt compared to an upper. Sorry…hang in there.

  21. Hi there! Great informative article. I’m thinking seriously about doing a full implant to replace my unhealthy teeth. I would definitely need IV sedation obviously, but could you tell me about the recovery process? I would imagine this is extremely painful. That is the part that scares me most as I have children that depend on me and I need to be able to manage my pain to keep up with our active lifestyle. I appreciate your response and I am thankful to have found your article.

    1. Full arch/full mouth implant dentistry needs to be handled by an expert. Each situation is different and everybody’s pain tolerance is unique. In my practice all of my patients that have full arch implants are IV sedated. In addition to being comfortable during the procedure anti-inflammatories can be given intravenously/intramuscular. This will help you have reduced pain. Being able to have immediate load full arch Prettau style Bridges will allow you to skip the dentures altogether and keep pressure off the gums which again will reduce pain because he will not have dentures rubbing on the new extraction areas. Most of my patients take a combination of ibuprofen and Tylenol after the procedure even after extraction of 20 or more teeth with zygomatic cheek bone implants. Do your due diligence when finding a dental implant specialist.

  22. I am 67 female and have been fighting dry mouth for quite some time. It has gotten worse the last two years and I presented at the dentist with a lot of small spots of decay. On the back teeth top and bottom, I have caps. There is some decay showing on the tooth you can see. My dentist suggested he remove all the caps and access the whole tooth to make sure there is no hidden decay, would I be better off doing implants for the worst of the teeth or replace with implants and no cap. He can’t guarantee he can stop the decay

    1. This is a difficult situation. Dry mouth can be devastating to your entire mouth . It can cause you to lose every single tooth.

      I recently treated a patient who already had about 20 crowns. He needed to have all 20 crowns replaced and several root canals. We decided to remove all teeth and place fixed implants in both jaws.

      And the prognosis for making new crowns on him was five years at best so it was an easier decision to make. He is super happy now and will never have another cavity.

  23. Hello my name is Tyler, I have very bad teeth, I still have brackets on some from a poor orthodontist that refused to take them off after an amount of visits. I was kid, and my teeth were pretty straight, now I am missing at least 5. well its more like the ones next to my front rotted out half way. I no doubt probably have a gum disease, but I need replacements. I brushed alot but no one would take my brackets off. I am 26, I got them when I was 10 or 11. My dental condition is horrific, and I need to get it fixed. But I have a really intense gag reflex, to the point where the dental x rays make me throw up. So I would need to be knocked out. I am afraid of dentistry

  24. Hello my name is Tyler, I have very bad teeth, I still have brackets on some from a poor orthodontist that refused to take them off after an amount of visits. I was kid, and my teeth were pretty straight, now I am missing at least 5. well its more like the ones next to my front rotted out half way. I no doubt probably have a gum disease, but I need replacements. I brushed alot but no one would take my brackets off. I am 26, I got them when I was 10 or 11. My dental condition is horrific, and I need to get it fixed. But I have a really intense gag reflex, to the point where the dental x rays make me throw up. So I would need to be knocked out. I am afraid of dentistry

    1. Hmm. Why not just sleep through your dental treatment? IV sedation will easily get you through tough procedures with ease! I do this every day. 👍🏻

      1. All of my teeth are rotted and I need them all pulled I’m scared to get judged because I’m 16 what should I do I’m going to need dentures and I know it

        1. DON’T remove all teeth at 16. Change your habits, lifestyle diet and oral hygiene. You need to be seen by an expert dentist to help educate you restore your mouth back to health. Removing all teeth at age 16 is a terrible thing to do.

          1. My dentist says the same thing that I’m too young to remove all my teeth. My problem is that I’ve always had problems with all my teeth. I’ve had countless cavities fixed and many root canals. I’ve already lost three teeth and two of them replaced with bridges because the teeth next to them needed crowns anyway. I’ve spent so much money on teeth that keeps giving me problems. Now I have pain in the teeth that were supposed to be fixed and food always get stuck when they used to not be. I am done getting cavtieis and root canals and bridges. I just want to have all on 4 or all on 6. I’ve researched it myself since my dentist refuses to discuss why this option won’t be better for me. I think it will make me feel better, make my smile nicer, and save me a lot of money in the long run. I’m 31. I think I can really benefit from all on 4, but what do you think, Doc?

          2. I have written about 40 articles on this topic. You can find them here.

            Please keep in mind that dental implants are not forever. At age 31 you may in fact be better off with removing all of your teeth but this will not be the end of dentistry for you. Please read the articles above to help make the best choice is possible. You need to be connected to an expert dentist. I have done full mouth replacements on people in their 30s.

          3. I have written about 40 articles on this topic. You can find them here.

            Please keep in mind that dental implants are not forever. At age 31 you may in fact be better off with removing all of your teeth but this will not be the end of dentistry for you. Please read the articles above to help make the best choice is possible. You need to be connected to an expert dentist. I have done full mouth replacements on people in their 30s..

  25. I have always been deathly afraid of dentists. I am 33 and have not been to a dentist since I was a teenager and I actually fainted several times during that visit. My teeth are very bad, several loose and broken rotted teeth, receding gums – if it’s a dental/gum/bone problem I probably have it. My dental habits (electric toothbrush, flossing etc) and diet (no sugary drinks) are better now, but so much damage has accumulated over the last 20 years that I know I will need A LOT of help. I think about my teeth ALL THE TIME and when I speak to people I am conscious of my teeth every moment I am speaking. I am so anxious and ashamed on top of my fear of dentists, but I need help. I live in the Chicago area and am willing to travel to surrounding suburbs if I can find a compassionate dentist. I would love to do implants, but I’m not sure that’s the best solution right now.

    I was looking at your article about how to find a dentist in the area, but do you have any recommendations for a compassionate dentist in the Chicago or even Milwaukee area?

    1. You need to find somebody who can do IV sedation for you. This way you can be super comfortable throughout all of your treatment. Have a comprehensive treatment plan from start to finish. Don’t try to do things in patches. There is no reason that you shouldn’t have a small you can be proud of because of fear of dentistry. Do your due diligence… You are in a good area with a ton of good people

  26. what would be the cost to-do this on upper and lower teeth and how natural does eating feel. i am assuming you lose the feeling of food rubbing agaisnt your gums.

    feel free to give me a call or contact me

    1. Some fixed dental implant Bridges need to be made bulkier than others. Sometimes it depends on your skill little structure in relationship of wearing upper and lower jaw are in space. Every case is very different and requires a complete physical examination, 3-D scan and detail photography to develop a treatment plan, diagnosis and cost

    2. Some fixed dental implant Bridges need to be made bulky her than others. Sometimes it depends on your skill little structure in relationship of wearing upper and lower jaw are in space. Every case is very different and requires a complete physical examination, 3-D scan and detail photography to develop a treatment plan, diagnosis and cost

  27. Hi I went to the dentist 5 years ago with periodontal disease and had a deep cleaning. Now my breath is unbearable even with my mouth closed and my tongue is mostly white. Teeth are more sensitive to cold and aches at times. I tried antibiotics and gurgling warm salt water for a month.
    Should I just extract my teeth and get implants? What should I do?

    1. hmm….This is unusual. I would go back and see the dentist for a follow-up ASAP. Sensitivity to cold is not uncommon and should resolve but worsening breath is not

  28. Hi.
    I just want to say I’m short words.
    Basically my back tooths( wisdom tooth) have cracked and gone black and also some is breaking off wen I eat.
    Please I want to know because now my front tooths are being affected.
    I want to fix all my tooths as I have too much pain.
    I want to fix them do final and good and I want to feel any pain and to be sleep while they fix it.
    Ii e in north finchley, London and I’m looking for good dentist to complete it as I can’t wait.

    1. It is very possible to have all of your teeth fixed while you are a sleep. With all due respect, It sounds like you need an expert dentists and perhaps some counseling on diet, frequency, oral hygiene and lifestyle to be able to maintain and prevent future problems. You need to find a dentist that truly cares about you can help you developed a treatment plan and options.

  29. Can you recommend anybody that does this in the UK? I’ve got such a bad anxiety surrounding my teeth as every year another one dies and leaves me in severe pain. It’s left me mostly unable to chew food, and the anxiety surrounding “what’s going to go wrong next” takes up most of my day.
    This would really be life changing to me.

    1. I’m sure there are many skilled providers in your area. I do not have a direct referral for you. Do your due diligence to find somebody you can connect with. Make sure they can sedate you for all procedures to reduce anxiety… Good luck

      1. Im 48 and have only 7 front and one linly one on the the right i have a partial for top but it dont fit anymore due to my back tooth hurting shiukd i get full dentures in top

        1. The decision to pull your remaining natural teeth should not be made with such a simple question on my website. You really need a dental examination, x-rays and figure out your needs and wants before doing this.

    1. No….But there are times where implants can be impossible especially in single tooth scenarios. Missing all teeth in one arch Is always treatable. It depends on her unique scenario.

  30. I only have 2 teeth&1 broken to very little left! I have about 11 to 12 teeth on bottom, mostly in good shape!!! Approximately, how much do you thing it would cost to have 1 tooth on top pulled, which would leave 2 left on, 1 on each side! The bottom would rewire 4 implants! Top would rewire, allimplants or partial with inplants!!!

    1. No way to answer this without seeing you. Questions about cost are the most difficult to answer via this forum. Make sure when you are shopping for body parts you are having the best treatment done that will last a long time. Dental implants are not permanent but can provide long-term success if done incorrectly with a proper diagnosis and treatment plan.

    2. No way to answer this without seeing you. Questions about cost are the most difficult to answer via this forum. Make sure when you are shopping for body parts you are having the best treatment done that will last a long time. Dental implants are not permanent but can provide long-term success if done correctly with a proper diagnosis and treatment plan..

  31. is people put to sleep when getting implants for a full set of dentures? also are they asleep when you pull the remaining teeth before the implants are placed

    1. yes…Usually. I would definitely advise IV sedation for full arch extractions or implants. It is a big, long procedure!

  32. Please Help Me!
    Hi, I’ve had Rheumatoid Arthritis since I was a year old and I am now 50. I’ve had major surgeries throughout those 50 years. Some worked and some didn’t. I had my ankles fused when I was in High School and I had both of my knees replaced when I was 19. I then had both hips replaced one after the other. Ive had a partial shoulder replacement and in my late 30’s I had to do my hips redone. My surgeon messed up and the screw came loose about 2 weeks after surgery when I was as at home. I had it redone right away by a fabulous surgeon who made a type of Cage around my joint to hold it in place because of the bone loss I have. Those have been painful surgeries, but very worth it. I’ve had horrible agonizing pain growing up and into adulthood, but I have to say that the problems with my teeth are beyond any pain I’ve felt before. I had 2 dental implants on the bottom left side because of Periodontal Disease. I have bone loss in my jaw. I had 1 implant for 7 years, but recently it got infected and had to be pulled. The other Implant came loose and actually fell out about 2 weeks after the procedure. The Dentist told me “this Never happens” but I have a challenging case I guess. Two more of my front bottom teeth had to be pulled and the others are going to fall out any time now and I’m Scared to Death trying to decide what to do. My chin and lip are numb due to that last implant that they had to pull out. I’m very depressed and feel awful about myself. I don’t have much that I find attractive and now it’s just so bad. My Dentist wants to pull the remaining teeth which includes a nice bridge I’ve had over 40 years. He wants to put 4-5 Implants on the bottom and put the teeth over them. Two have already failed and this last implant was the worst pain I’ve had in a long time. It was brutal which makes me uneasy about putting more in my mouth. What if they fail and create this type of pain again? The Dentist thinks that it will be physically hard on me to have to put Dentures in & out of my mouth every day not to say how embarrassing it is. I don’t know what to do! My Dentist wants to give me Valum for the procedure which is so scary to me. My jaw starts to hurt from holding it open so I wanted to be put out with anesthesia. I feel this is a serious surgery and needs to be taken seriously and that he should want me to be comfortable during the procedure. I absolutely hate having a cavity done, I’m always a nervous wreck. He doesn’t believe in Gas because he won’t be able to work on my on my mouth. Is that true? My parents who are supporting me are thinking I should get Dentures because the Implants May fail again. Implants are so expensive. As much as a car for Petes sake. By the way, I didn’t even have a tooth on my implant because it came off the peg so I went around for those 7 years with No Tooth attached. Not a good sign. I have a very small mouth due to the recession of my jaw. My Mom says that I’ve been through so much and now to go through this is heartbreaking. Is there any advice you could give me? I want to do the right thing with the least complications. I’d really appreciate your advice!
    Thank you,,

    1. Wow….I am so sorry if I have to go through this all of your life. Given your history and difficulty with dentistry perhaps you may want to consider keeping what you have and just having partial removable dentures rather than full dentures. Valium alone I don’t think would be good for this major of the procedure. IV sedation is definitely needed for big procedures. That is what I do in my own office a few times a day.

      I’m not saying that in all on 4, all on 6 types procedure won’t work in your mouth but I think you need to be seen by a real expert. You also should have blood testing done for certain bone turnover markers. Certain drugs used to treat rheumatoid arthritis often cause poor integration of dental implants. An example would be Remicade.

      I assume your not a smoker and you don’t drink heavily. These 2 things definitely slow down healing and lead to complications.

      If you do decide to have this type of procedure done, a bone leveling procedure should be performed to get you down to the base bone which is less likely to shrink, dissolve and fail over time.

      Best of luck ….. Ramsey Amin DDS

  33. This is really sad. I will live the rest of my life hiding from pictures and. It smiling because dental work is so expensive! I come from a family with horrible teeth. I have buck teeth that are horrible missing teeth decaying teeth. All of the above. I’ve been looking into dental implants for a while now and it cost more then buying a brand new car. It’s truly heart breaking. In some areas you could buy a home for the price they want for dental implants..i have insurance but even with insurance it only puts a tiny dent in the bill. 😣 I will forever hide when a camera come out.

  34. I’m the same Jessica that posted a few minutes ago. I’m really worried about what to do with my teeth. One feels like it’s going to fall out any minute. I didn’t go to the dentist for many, many years because I had a fear of the dentist. I’m regretting not taking good care of my teeth.

    1. In the meantime you have to have the very loose tooth removed because there is likely nothing that can be done about it. In the long-term you need to find a caring and compassionate Dr. in your area that you trust that has a long-term plan for you. These decisions you make today are going to impact to every single day for the rest of your life. A comprehensive exam and plan is going to be of paramount importance to you. Going one tooth at a time may leave you worse off. Have your dentistry done while you are a sleep…. This makes it very easy! Good luck and happy new year

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

      1. Hi i’m 17 and told i have enamel erosion on all my teeth. i have a few white spots on them all and they look rather yellow some places and transparent at the tips, i worry day in day out about them, what should i do?

    2. I’m a 36 year old single parent. All my life I’ve had overly crooked teeth. I started getting depressed when I was about 11 because the kids would pick at me so bad about them. My mom couldn’t afford braces for me and even now I can’t afford them for myself because I don’t have a job. I’m qualified for many jobs but I feel my teeth are the reason I can’t get a job. Now I stay in the house faulting my mom for my smile and my depression. I
      Started cutting myself at a early age due to my teeth. I hate my apperence so much until I don’t care if I live or die because people are so judgmental even at the age I am now and I can’t deal with it anymore.

      1. Oh gosh…please get help. NOTHING is worth taking your life. Consider having same day dentures made in the meantime. You can always upgrade at a later date dental implants but at least for now you can have a pleasing straight, white smile that you can be proud of. Find somebody who specializes in well made custom dentures or go to a dental school in your local area

        1. No one does that where I live. I can’t afford to travel back and forth for consults. I wish that you could see them, then you would see the pain that I am in emotionally, mentally, physically and spiritually.

  35. Hello!.I am still quite young and have had several teeth removed. On December 15, I had a tooth removed, and it loosened the one next to it to where I can hardly eat. I’m going in tomorrow for a deep tooth cleaning to fix my loose teeth. Just tonight while I was flossing one of the teeth next to the loose one, broke off. Luckily, it was only a very very small amount. I would like to have my bad teeth removed because insurance will cover it. My dentist suggested an implant but I can’t afford that because I am currently unemployed and short on money. What are my options? Will the deep tooth cleaning help teeth that are really bad? If I pull them, what effect will that have on bone loss? My Aunt said she may be able to help afford dentures possibly. Help!

  36. Dr. Ramsey,
    I am an implant dentist in the Washington DC area. I love all the content you have compiled and I wish to use some of it to educate my patients. I am asking permission to use some of your content? I will most certainly give you credit. I have not been good at taking pictures of my cases which I plan to do in the future. Thanks and please let me know if you have any problems sharing your content. Happy Holidays!

    1. I’m 57 years old I’ve been going to the dentist since I can ever remember my mom used to take me my teeth are just bad as generic I’ve had three pulled and I think I need to rest pulled but I don’t want to look homeless what can I do I have no money

  37. I am 34. I had ortho treatment for my teeth 11yr back. Also had a jaw surgery done to move my lower jaw a bit inside, this was immediately after ortho treatment 10 yr back. My doctor put permanent lower retaintion to lower 6 teeth. I also have cement filled in 2 gaps. This retainer and fillings were fine for 9yrs. Now I have to make this retainer every 3 months and my fillings also come out in same time. So I have to visit dentist and ortho dentist every 3 months. Without the retainer, I have too much of mobility in these lower teeth. I am fed up of my teeth now. Please help me with your guidance.

    1. Try to do rigid splinting of your lower front teeth to keep them. In addition to the rigid splinting, the bite must be relieved so that you do not cause movement on the teeth when you bite down. These 2 procedures go hand in hand… Bite adjustment and splinting. I hope this helps you!

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

    2. Try to do rigid splinting of your lower front teeth to keep them. In addition to the rigid splinting, the bite must be relieved so that you do not cause movement on the teeth when you bite down. These 2 procedures go hand in hand… Bite adjustment and splinting.. I hope this helps you!

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

  38. I just wanted to say that this comment thread was actually very comforting. I have a pretty extreme fear of dentists. I don’t even have one. I have an endodontist and an oral surgeon. I’m 33 and coming to terms with the fact that I am going to lose my teeth. It’s kept me up at night and I’m delaying the inevitable. I know that my fear of dentists has contributed to the situation I’m in because I don’t get any preventative care, and don’t treat my teeth until I’ve been up for a week straight unable to sleep due to pain. This is all the fault of my phobias, which is so silly, but I can’t control it. I’m literally too embarrassed to see a normal dentist. It’s upsetting to know that my pretty smile will eventually be a thing of the past, but reading this let me know that there are empathetic professionals and other young people that have found themselves in this position. Thanks everyone for sharing, I guess.

  39. Okay this is extremely hard for me , but here goes . I’m a 25 yrs old female and my teeth are horrible. I know I’m extremely young , but after 3 kids , my teeth have suffered. I’ve had my back teeth pulled , fillings , crowns , but my teeth keep getting worse . I’ve come to realize that I’m gonna have to get them all pulled . But it’s difficult with my income. And it’s not easy to admit that at 25 yrs old I’m going to have dentures. I’d like to get implants but I’m unsure if that’s the best option o r if I should try the least expensive plastic dentures , or if I should try and save some of my teeth and get a partial .I’m so confused about what would be best in the long run. Any advice would be greatly appreciated and taken in to extensive consideration when deciding what is the best solution to my issue.

    1. at your young age and nothing is going to last forever not even dental implants.
      You need to see an expert dentist . If you remove your teeth you’re going to lose a lot of bone over time. I would stick with partials and get on a very good maintenance program. Your diet, lifestyle and oral hygiene must be very good so that you can hang onto the teeth you have and then perhaps when you get a bit older he may have to remove them but at least you’ve maintained bone until that time. I have treated many patients who had their teeth removed at a young age and other bone loss is generally very severe that I have to use zygomatic implants that engage the cheek bone in order for them to have implants again.

    2. at your young age nothing is going to last forever not even dental implants.
      You need to see an expert dentist . If you remove your teeth you’re going to lose a lot of bone over time. I would stick with partials and get on a very good maintenance program. Your diet, lifestyle and oral hygiene must be very good so that you can hang onto the teeth you have and then perhaps when you get a bit older he may have to remove them but at least you’ve maintained bone until that time. I have treated many patients who had their teeth removed at a young age and other bone loss is generally very severe that I have to use zygomatic implants that engage the cheek bone in order for them to have implants again.

  40. Hello. I am a 48 year old female. Went to the dentist today to see about getting a loose wisdom tooth pulled (yes I still have them, never had a problem). They took an x-ray and I have periodontal disease. Long story short, they said I have major bone loss and basically the only thing holding my teeth in is plaque. They could go in and clean it all out but my teeth would be loose and eventually fall out. They recommended pulling them all out at once, leaving me toothless for about 3 months for healing, then fitting full dentures. More cost effective in the long run, they said. We are going to get a 2nd and 3rd opinion of course, BUT, is that the best course of action? What other options do I have, if any? If I do nothing, what are the health risks? Any advise would be much appreciated!

    1. WOW….all this time you were unaware? If there is one loose tooth, there are usually many. You can have same day dentures or same day implants. You don’t have to wait three months! In 20 years of practice, I have NEVER had to do leave someone without teeth for 3 months!

  41. I am very depressed from my teeth. I am 59 years old and have lost all my back teeth. All my bottom teeth are in need of restoration. Several implants are not finished. Much infection. I have no money to pay for the all on 4 . I have been told it to pull all my teeth by several of the consults yet they know I have no financial means to pay. What am I to do? I am a speech pathologist but obviously cannot work with no teeth. I do not have decent credit . What do you suggest? I am desperate. Must if the dentists are very rude and arrogant. Sometimes tragedies happen to people.

    1. Ugh… With your line of work, your ability to produce proper phonetics is critical. You really need to see somebody who is an expert and can help guide you through the process of replacing the teeth. Make sure your dentist knows your line of work!

      You will also need a prototype to test phonetics before you move to the final restoration. This is not an inexpensive procedure and insurance never covers it. I don’t have a lot of good answers here. Even the dental schools do not charge much less because of the very high overhead.

      The only option would be to have the implants done and stay in the long-term temporary PMMA prototype for longer than usual until you can pay for the final want to be made. I have done this several times.

      1. I would love nothing more than to meet with you and get my smile back. Unfortunately, I live in Minneapolis and because of my brain illness, I have a very low income. Thank You for even taking the time to get back to me. It really gave me a glimpse of hope. Sincerely Yours, Jennifer Carla Smith. 612-207-6383… 🐾🐨🌷📱👓📖🗼💐💙

  42. Please help me. My teeth have all failed but have not fallen out at the root. My smile used to be beautiful and now I don’t smile at all. I am disabled due to a Brain Illness and my teeth have suffered. Can you help me? Jennifer Carla Smith. jennifercarlasmith@gmail.com– 612 207 6383

  43. Would it be silly of me to replace all teeth with implants, upper & lower? Ever since I was a teen I’ve dealt with issues from a trauma. Technically it’s just my 2 upper front teeth. I’ve had soooo many crown replacements, failed root canals. I’ve had 4 (2 on each) apicoectomies on each front tooth. First round was 5 days after the initial root canal and then again 15 years later. The retreat did work, however I’ve now developed +1 one mobility in all 4 upper front teeth (even though only 2 had issues). No one can tell me why. My bone healed great. Needless to say I am in a constant state of paranoia. I think about it 24/7. Other than that I do get a lot of cavaties in my other teeth that my paranoia tells me will eventually be an issue. I just feel that all implants would rid me of my anxiety. I’m just 36, but I don’t want to constantly be scared of losing my teeth. So back to my original question, would it be silly to remove all teeth and just go ahead with implants?

    1. Silly…possibly. you are very young. That being said I have done full mouth extraction and dental implants even zygomatic implants on patients in their 30s. Dental implants are not permanent. Please do not let anyone tell you that they are. If done correctly it may last 15-40 years but there are still issues that can occur such as peri-implantitis, recession and prosthetic problems. If all of your teeth are so bad that it is a better option to do this than by all means consider make sure you see someone who is going to engineer well. I would not likely ever suggest an all on 4 type of restoration for somebody as young as you. Having more implants is always better than less.

  44. Hi I’m missing teeth I have gone to the dentist and gat dentures and can’t wear them there very uncomfortable what can I do

    1. If you cannot adapt to dentures then there are not many other options besides dental implants if you do not have teeth anymore. I recently had a patient that I thought she could have an upper denture and lower implants but ends up to be she could not adapt to the upper at all so now I’m doing an upper Prettau dental implant bridge which will be fixated 24 regular implants and two zygomatic Implants.

  45. Dr.Amin, First I want to thank you and whoever gave you a heart for those who suffer with difficult teeth. It is necessary for people to voice their fears and have good un-biased counsel. Second, I would like to have your opinion. I had some hard living as well, but the worst factor was scarlett fever at age 9 Or 10, which has devegenerated the roots of my teeth. I have had all teeth pulled, upper cost me $12,000 for implants and a temporary. Lower has cost me $32,000 for implants and a temporary. Well, here is the dillema, $16,000 of the $32,000 was for the final lower titanium and whatever permanent. I thought that was my final payment, which I took out a reverse mortgage to pay off. But I went in and was told, actually need $8800. More for permanent upper, and they both should be done at the same time. Well, I honestly thought I could rest from this very very expensive work and live with temporaries for a few years. I had no idea the entire work was not paid off. So the dental office has $16,000.00 basically waiting fir me to add $8800. Is it fair to have demanded the full $32,000, knowing I needed to do both at same time? What if I die in a car accident tomorrow, my heirs would never know the $16,000 had been prepaid months ago. Wouldnt it be more ethical to have waited to charge the $16,000 until I could come up with the $8800.????

    1. Each office functions a little bit differently. I feel bad that it wasn’t clear to you from the very beginning what treatment cost and timeline are. Did they not give you everything in writing before they ever started with a detailed description of a full arch restoration?

      I guess if you have a credit on file then the money is yours!

  46. I have a tooth that has had a crown on it and root canal now the dentist says my tooth is loose due to bone loss what are my options

    1. There are not many options for loose teeth except for too extract them. Occasionally they can be kept and splinted or connected to the other teeth for a while. This has to be done very carefully and the bite has to be adjusted to prevent the tooth removing anymore.
      So sorry.

  47. I am 53 years old and I still have a baby tooth that has to be pulled..letter K.. then the dentist said number 23 thru 27 needed to be removed…my question is Ii know letter K, needs to be removed and number 23 needs to be removed..but she says I need the other one she wants to pull look fine to me so do I need to get another opion.

    1. If the baby tooth on top is absolutely fine that I would leave it alone.

      Tooth number 23 is in lower incisor and often when you lose one you lose the entire group because the bone loss of shared in an area that you cannot see. Often times the single lower incisor cannot be replaced with a dental implant and the adjacent teeth are too weak to do a bridge so often times we end up having to remove four of the lower incisors.

  48. Hello Dr. Amin – I went to a dental surgeon who recommended a full lower arch fixed permanent teeth and three implants for missing teeth in my upper arch, however cosmetically my upper teeth are fairly unattractive and I’d need to get extensive work like veneers and gum grafting to make them match my new lower arch. Plus given my history of teeth problems I’m not sure how long they’ll last. Your article hits the nail on the head for me – why would I bother getting all that work done on my upper arch only to possibly have my natural teeth fail in future? To me it makes more sense to have fixed permanent teeth on both the upper and lower at the same time and not try to “save” my natural teeth. Is there some functional advantage to keeping my upper natural teeth? I am currently 47 years old and in general good health. Thank you.

    1. This is a great question. Of course this has to be answered on a case-by-case basis but the bottom line is if your natural teeth are very predictably savable for a long time and saving the teeth is best. If you have to do numerous root canal on teeth that have already had a root canal’s and crowns then I would likely suggest removing the teeth. This will also depend on your bone type and thickness. You really need to be in the hands of an expert dentist to make this decision.

      Don’t just pull all of your teeth for the sake of making them even. The rationale should be very good.

    2. I wanted to post an update. I had all of my teeth removed in December in favour of full upper and lower implant bridges. Although this was the best option for me and I don’t fully regret it, anyone considering this route should not make the decision lightly. I’ve discovered that there are speech issues and significant loss of dental proprioception (sensing your bite forces and tooth “feeling”) that the nice before and after pictures you see on the internet don’t inform you about. I was aware of these before my procedure but it’s not until after and when it’s too late that you will experience the impact first hand. Also, keeping your new teeth clean is quite labour intensive and you must be compliant in order to maintain the implants and ensure longevity. So if your teeth are in bad shape due to poor oral hygiene and you go the implant route, you cannot continue as before or else your your new teeth will be likely to fail as well. I hope this helps someone who is considering removing all of their teeth. I am in the care of a good team and am happy with the aesthetic and functional results so far (still in temps) but they are no substitute for real functional teeth.

  49. I have gum disease and my dentist…who hurt me emotionally and physically..told me i had 2yrs left with my remaining teeth..following the creation of a plate to replace the front tooth i lost. I know my gums are no longer ok and all my teeth need replacing..how much would this be?

  50. I am 28. I am a former heroin addict and have been sober for over 4 years. My teeth paid the biggest price for my former life….and I am so embarrassed! Right now as I type this, it is 1:45 am and I’m sitting in the bathroom bawling because of the worst toothache I’ve ever had!!! I cannot handle this anymore. I don’t have dental insurance and I am a mother of 4. I am so upset and sad and just want the pain to go away, I can’t be a mom when I’m up all night dying from this stupid mistake I made years ago. I need advice. Please. I will do anything to make this pain go away permanently, and basically all of my bottom teeth are ruined. It’s so embarrassing, I can’t tell you how hard it is for me to even type this here knowing someone could see it.

    1. It’s going to be ok!!! Please don’t cry on the floor, rise up and take control.

      You’ve got this. Find low income dentist to have the teeth extracted and just go for a denture, somewhere somehow someone will help you have teeth. Don’t give up. I just wanted to say that to you. Your positive attitude will get you where you need to be! Don’t live in the past, today is all you have. Be strong for your children.

  51. I’m 47 years old and have had a full upper denture for the last 20 years . I was told that I have no bone and am not a candidate for implants of any sort for the upper. I do have my bottom front six teeth, which are in good condition, but I never had a partial/bridge for the back missing teeth since having them extracted 20 years ago. When I asked about a snap-on implant for the upper and bottom, it was suggested to get a new full upper denture and a bottom partial due to severe bone loss. Can you give me any suggestions and do you have any referrals in or near Fayetteville, NC area. Thank you.

  52. Hello my name is Jeronimo Sanchez. I really wish i could get my teeth fixed but im just too poor. Had my teeth fixed when i was 16 and was finally able to smile again. Then when i was 19 i was in a wreck and it cracked some of my teeth. I had numerous other injuries and felt like my life was over. I neglected my teeth for years and im paying for it Im only 29 and have 2 daughters and just wish i could smile for them. I dont know what it feels like to smile cause 90 percent of my life i have had bad teeth. I just wish i had some help. I have a full time job and work everyday but i still dont make enough. Im sorry for ranting

    1. You might want to consider treatment in a local dental school. It takes more time but you can save some money on basic needs. Implant costs are about the same though.

  53. How much is a fixed dental implant I have dentures already but only top because they messed up partial I had for bottom and broke roots of two crowned teeth. So now I have nothing to hold bottom in. Please give me an idea. I am 52 yrs old and do not want to lose the bone I have left

  54. Hello Dr I am 55 years old and have two bridges covering four teeth — total eight, on my top– and one bridge totaling 4 teeth on my bottom– I have had my other teeth bonded over and over for the last 20 years, they get chipped out far too frequently for any reason I have no idea — now I have gum disease in my lower’s especially my two front bottoms– with the root being darn near exposed, and I stopped going to the oral surgeon I was going to because of his extreme rudeness– what I’m wondering is if I could get all these teeth pulled and either get dentures or implants?
    Any advice would be helpful and thank you!

    1. Yes that is an option. First I suggest that you find a kind and caring dentist that you get along with. There is no room for rudeness in dental care.

      1. Thank you Dr, I do appreciate your reply!
        I currently have an appointment at Aspen dental here in Iowa next week– I will save this information and present it to them if they have any questions of what I want– I do appreciate your response, have a great weekend!!

  55. I was raised in an extremely abusive home and then married into an abusive relationship. Several times my mouth and face have been beaten or hit with blunt force. I’m missing several back teeth and my front teeth are so hideous that I don’t smile. I envy people with wide smiles of teeth. I am hoping to someday have this done and to smile without thought.

  56. Sir/madam I am sandip Kadam from Maharashtra my mother don’t have any teath , her edge is 55 can we replant herteth and how

  57. Hi I have chronic high blood pressure and my teeth are co.ing loose and my gums are receding down to the root andmost of my teeth hurt what should I do to fix my problem

    1. Team up with your physician and get your blood pressure under control first. It sounds like you will need extensive extractions of multiple teeth. Having your blood pressure under control I’ll keep you safe during the procedure. I would suggest you have intravenous sedation for the procedure. This will help prevent anxiety which can skyrocket your blood pressure turning into a stroke or heart attack during a dental procedure.

  58. All of my teeth are rotting, and I have been told that I have to get all. Of them removed, so I am only going to. Remain with five teeth at the bottom and seven on top.I do not want to do this so if there are any other options please help.

  59. I have bad teeth, went to dentist and asked him to remove all my teeth, he had a look and said he isnt going to remove all, because there are still good teeth, he just wants to remove the bad teeth and he put fillings in the rest because he says its best to keep as many bottom teeth as possible, what would be best? Remove all or leave it as he suggests. I dont have the money to go back in a few years and remove the rest again. Please help

    1. If financial issues drive the decision I would keep the solid lower teeth. This will be more stable if you can’t afford implants. Take excellent care of those few. A full lower denture without implants is miserable.

  60. Hello, I’m considering dental implants, as a child I was on different medications for chronic ear infection, the meds changed every few weeks as my body would become immune. This lasted a few years and has significantly eroded the enamel, especially along the gum on the bottom teeth. This means cavities are pretty common, more so in places I can’t see, to even notice them. I’m also going on my second root canal. Dental pain has been a big part of my life and I’m ready to pull! Especially at only 24, it would be lovely not to live between dentist apps.

    1. As I have said on numerous occasions over the years… Dental implants are second-place to your natural teeth. Cavities can be dealt with. Change your lifestyle but don’t just pull your teeth to get rid of your dental problems.

      For those people that have a tremendous amount of problems around a substantial amount of dental work, and then having dental implants is a better idea. If a tooth can be saved very predictably and kept for 20 years it is better to keep the tooth.

  61. I am 38 and need all my teeth pulling because they have decayed that bad and I have pieces stuck in my gums I have had suicidal thought because of this people make fun of me because my teeth are decayed that bad and now I don’t like talking to people because of this I am on national minimum wage so I can’t afford treatment I don’t know what else to do I don’t know how much more I can take I need help because I am worried what I’m going to do next I haven’t smiled for over 20 years I had bad experience with dentist when I was young and I am scared to go to the dentist please help me

    1. Why not just have the remaining roots pulled all while you are asleep? It should be very easy to do. Then you can make a complete set of upper and lower dentures that can look very nice and natural. This is very simple and fast treatment. You deserve better than this

      1. Would you have any references in the Central Florida area?? Trying to find someone to examine and let me know if removing all my back and side teeth and replacing with implants is a good idea. Need to get work done soon bad teeth starting to cause health issues.

        1. Their is an article in the site for how to choose an implant dentist. You can search in the search bar for it. That should help. 🙂

  62. Hello! In my 20s here, trying to plan for the future because my grandfather, grandmother, and aunt all had to get dentures around my age. My thin gums are constantly receding and this has caused me many problems resulting in many gum grafts. I also have several stunted roots due to three sets of braces. Despite my teeth being relatively healthy (with a bit of bone loss) it seems like no matter what I do I inevitably have to get another surgery. I don’t know how many more my family can afford and I certainly don’t know if I will be able to afford any myself once I’m forced off of my parents’ insurance at age 26. It doesn’t seem like implants or dentures would solve the problem since the issue is my gums, but I thought I’d ask anyways because this is a source of deep concern for me. What are my options? Can I do anything or do I have to continue getting surgery every few years (if that will even be possible) and brush every night hoping for the best?

    1. sounds silly but I want you to go on to YouTube and watching a video of how to floss properly. My guess is you have been doing it wrong all of these years. eliminate soda and energy drinks altogether and brush for 3-5 minutes with an electric toothbrush twice daily. Be sure to floss after you brush not before you brush.

      dental implants are not the answer!

  63. I’m 19. My dentists have told me for years that all of my teeth will probably fall out by the time I’m 20. They’re all bad, they all have cavities. I’ve had many root canals and crowns we’ve spent thousands of dollars and still nothing helps. Should I get the implants? I know that a possible second procedure might have to be done down the road but I’m fine with that.

    1. Sounds silly but I want you to go on YouTube and watch a video on how to actually floss. Brush with an electric toothbrush for 3 to 5 minutes twice daily. Eliminate all soda and energy drinks. Do not smoke. Do not eat sweets so frequently.
      These lifestyle choices will eliminate so many problems but cannot repair past damage.

  64. How much does this actually cost? I’m in need of having my teeth replaced badly but can’t afford most procedures

  65. Please a woman of 30 years old i have lost a lot of my teeth and the rest in front too have shifted, I find it very uncomfortable when I talk, please help me get my teeth fixed with implant

  66. I’m 62 years old.My top teeth are so bad only 7 left plus 2 broken. some been pulled professionally and some fell due to gum disease my GP told me. I don’t know what to do. My bottom teeth are not bad and I would like to keep them as long as I could. I would like to get (my top teeth) fix asap because its making me feel so embarrass around people especially work. I live in sydenham Victoria. could you recommend a Dentist around my area I could go to. hopefully not too costly.

  67. How much does it cost to do full implants top and bottom my husband has little to no jaw line is it still possible to get this done?

    1. Still possible to have it done. Cost can not be discussed without seeing you…highly variable depending on your needs and wants.

  68. I just want to know if it is possible to convert a fixed bridge implant supported appliance in to a snap on denture.

    I have a full upper fixed fridge that attached to a set of implants with screws. I would like to get ride of that. It is too costly to resurface and maintain. I would to remove it and use the implant to support a snap on denture. Is it possible

    Let me know. Thanks.

    1. hello anonymous,

      The short answer is yes.

      It sounds like you have a fixed hybrid bridge which is the most basic of all fixed Bridges. I absolutely do not like fixed hybrid Bridges because they break all the time. A hybrid means that you have plastic denture teeth fused onto a metal base. Rather than convert your current implant bridge to an overdenture, I would suggest you converted to a solid zirconia fixed bridge such as the Prettau dental implant bridge. If designed correctly, they do not chip or break at all. They do not stain and look like brand-new for years to come. You will not be happy with an overdenture if you have been used to a fixed bridge. The problem is your bridge requires way too much maintenance and is way too fragile. That is why I do not do these types of Bridges although they are less costly in the short-term they do not last in the long-term.

      Find an expert in your area to do this so that you have it done right the first time.


      Ramsey Amin DDS

  69. I’m only 28 but I’ve always had “bad” teeth. I used to think it was my fault and became somewhat OCD with brushing (sometimes up to 9 times a day!) But I still got cavities. Now I’ve had so many root canals and extractions that I’m barely working with teeth as it is. I recently had a baby and I guess the pregnancy took another toll on my teeth as I have both back top side teeth rotting from the gum line down.
    As I’ve already lost the teeth beside them and a few on the bottom, and im being told the problem is likely genetic and won’t get better, would it be wise to just cut my losses early and get all my teeth replaced with implants?

    My bite has been thrown off from all the missing teeth and it’s hard to chew. All pretty embarrassing for someone who hasn’t reached 30 yet.

    1. Sometimes that is the solution, but at your young age you need to really exhaust all options. I have done full mouth dental implants on many 30-year-olds because there was no other option left.

  70. Doc, can i have 4 implants in Upper front then the others are Bridge, i mean dental supported bridge, because Full upper dental implants are Expensive, btw is Bioteeth stem cell is better than Implant? Thanks

  71. Is it possible to get implants if your teeth have already been surgically removed?? I don’t know much about this..I do have an upper denture but it’s not a good fit since my bottom teeth which are natural are so bad now & decaying & breaking off at the gums..ugh!! I just want a permanent solution, & no teeth is not an option..lol..but natural pretty looking teeth..thank you

  72. hello, im 52 years old, my lower teeth are a mess, and my upper are a little better, how much will be the cost for extracting the bottom teeth to out the mini implant? and clean or fix the upper ones?, i can’t drink cold beverages, or too hot either, is very bad! thanks

  73. When I was younger I loved to drink soda and eat candy. Little did I know that the acid in soda and candy would damage my teeth. My mom never cared if o brush my teeth so I never did. Also I only went to the dentist like 3 times. I’m currently 19 and I have some teeth that are decaying and sometimes give me pain. I’m afraid to talk to people because they will look at my teeth. My teeth are also yellow. What should I do?

  74. So being 26 almost 27, I looked into dental implants and the lady said it would be $20,000…..
    Would it be safe to say I should either go to Mexico and have the surgery done, or just rip my own out and hope they drop the price dramatically?

    1. @RamseyAminDDS As well my teeth are all loose and cracked from gingivitis. They hurt and I’m about to the point where ripping them all out ad not having the pressure pain sounds about good right now. I can’t even chew food unless its soft from the pain and/or possible crack or chip.

      1. At your young age I would try to keep your teeth if possible. Even if you had full mouth dental implants what are you going to do when they need to be possibly replaced when you are 55? Dental implants do last a long time but they are not “permanent.”

        You may also have trouble being treated in the United States after being treated in Mexico. I have 3 patients in my practice right now that have dental implants from companies that all went bankrupt. On all 3 of these patients have to remove all other implants even though there are a few that are savable. This repair and replacement is going to cost way more than it would’ve been to do it right the first time.

  75. So, I have horrible teeth. I had caps put on my teeth when I was 5. When I was 8 they removed my molars because of poor hygiene and a father that didn’t take me to the dentist. I got braces when I was 9. When I turned 13 they removed my braces because I couldn’t stand to brush them because of anxiety. I tried to have one wisdom tooth removed when I was 19 but I felt like they were going to break my jaw…

    I got all 4 wisdom (or the little that was left which wasn’t much considering they were fragmented) removed in 2015 and I had a lot of work still left but had no insurance left to cover dental.

    Recently I went to the dentist since a year has passed. I have wonderful hygeine with my teeth now but when I was given my treatment plan I was going to need 8 crowns and 2 root canals to save my teeth estimating about 8 grand out of pocket after insurance.

    I just want a beautiful smile now that I’m older and have chance to understand my anxiety towards dentist.

    Would replacing my teeth be a possible option?

    1. i am 17. Doctor tried to steel money from my insurance and did many unwanted fillings and 1 root canal. Before Dentist treatments my teeth were totally healthy, Now my root canal teeth pains and the crown is not place properly for even 2nd time. My chewing teeth on right which had filling pains and now I cannot eat on right side( root canal teeth) and same in left side due to the chewing teeth…
      What should I do, it bothers me a lot, I cannot concentrate on my studies even…..

  76. I have a rotten tooth on the left side of my top teeth and the one next to it is still a baby tooth and my two front teeth are cricket and on the right side of my mouth I have two big gaps. I do not want braces my I’m 23yrs old and don’t feel like I want to wait years to get better teeth. Smiling is the last thing I like doing. I’m super insecure about it. I would like to get the 6 tips replaced with implants. But I wonder about the cost or at least payment plans.

    1. At your age braces via orthodontics would be her best option and would be less costly and more long-lived. Of course I don’t know your unique situation but pulling teeth out just to make them look better is rarely a good option.

  77. Im 26 my front teeth have been decaying since i was 20.. Bad teeth run in my family on both sides.. I just want to get them pulled out they are all bad.. What should i do??

    1. Don’t do that! You’re too young to have all of your teeth removed. That will just lead to many long-term problems. Find an excellent dentist in your area that can help you prevent problems and fix the current ones

      Very Respectfully,

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

  78. So I was just told I have 11 cavities which are pretty bad. 6 of which are close to the nerve. It’s going to cost 2400 to get them all filled in but I was told I’ll have sensitivity afterward for a while. I’m not sure if I should get the fill ins or if I should consider just removing all my teeth and getting implants. How much is it to get a full set of implants typically? And will I be able to eat normally? Also what’s the recovery time for something like this?

    1. do not pull your teeth if all you need is fillings!!!!!!!!!!! I have beautifully done fillings in my own teeth.

  79. Good morning. I am at this moment an unhappy and slightly depressed 62 year old woman. I have one very loose tooth top front which I am aware of and all my gums are receding back quite far.Yesterday a dentist recommended a full top dental plate and the bottom four teeth pulled and a plate made for that.
    I am so unhappy because although I see the deterioration in my teeth and gums I do not want my biting teeth pulled out because they are still tight in my gums and I have no pain or discomfort at all with eating, chewing or biting.
    I am a very bubbly person who is always talking and laughing and I love my parties and good foods and all I can think of is my teeth flying out of my mouth and that I will only eat mashed baby foods and will not be able to talk properly.
    Everyone is saying try and keep your own teeth for as long as possible and now I am saying to myself – why – why why should I pull all the top out – what does it really help me now? So if I keep my own teeth is there good habits to prevent or kill gum disease and things I can do to hang in there for at least another 8 years or so?
    Thank you.

    1. it sounds like you have very aggressive periodontal disease called periodontitis. This is a progressive disease where the bone loss will spread to other teeth. There are options for surgical correction as long as the teeth are savable but something needs to be done. Either the pockets need to be reduced in such a way to try to keep your remaining teeth or extraction to rid herself of this chronic inflammatory disease.

  80. I am at the end of my rope with my horrible teeth . My mother never took us to the dentist so my mouth is falling apart and when I was with my children s fathers I was not allowed to go anywhere and thanks to him i had a few broken teeth .I had two caps and numerous procedures done and still to no avail . I work two part time jobs and go to school so looking at this quotes I think I will never be able to fix my teeth.Do you advise maybe dentures …I am going to be 48 in a few weeks

    1. It may be the best solution if cost is a barrier. Perhaps get temporary bridges until you can afford implants.

  81. My two top teeth stick out and I would like them taken out and replaced with implants how much would this coat me it is making me very depressed

    1. unfortunately you need to be seen for this type of evaluation. Front teeth can be very complex dental implant replacements. hang in there!!!!….

  82. hi, yes i have all my teeths, only one backtooth removed, but all my teeths are not good, im loosing the front lower teeth, how much will cost to remove all my teeth and replace them? thank you

  83. I am 23 years old. I grind my teeth so bad i fear the day they become nubs! My teeth are so sensitive, worn down and are now starting to feel loose. I just want a nice smile! Would you suggest implants?

    1. NO!!!!!!! find a great dentist and restore your teeth back to health. Learn all about diet, lifestyle habits and oral hygiene to make your teeth last as long as possible. Your way too young to pull all of your teeth out and get dental implants!

  84. Question I’m getting all my teeth pulled by denist I have paradonal deasese what’s the cost of the snap in dentures with no teeth. I live in ks and want to look more normal

  85. I will make this short I’m 36 will be 37 suffered my whole life crappy teeth I have 24 left wisdoms are gone every tooth has some kind of decay on it summer broke off like six or seven not to mention the pain in the difficulty somedays a broken tooth cut my cheek open it’s just very difficult besides that part the worst of all is that I’m not a bad looking guy at all but my mouth would you or anybody want to come near it probably not its pride crushing it’s demeaning and its own way I hate it I wish I could change it it would build up the self esteem the courage the love I have for me I’ll be able to actually let it so I’d be able to smile for once don’t know what it’s like to smile normally since I was 24 imagine that that’s how many teeth I have left they all need to be pulled I need some in plants all I want is a top and bottom partial or fixed I want to fixed nothing expensive cuz I don’t have a lot of money or I wouldn’t be writing this I am just curious what would you charge just a round about figure for what would anyOne charge that does this just roughly estimate Pull 24 teeth and implant a top and a bottom nothing fancy just something that looks like teeth I don’t care if they looked like ok teeth as long as they don’t look like what I have as long as you don’t look like beetlejuice it kills me man no a good looking guy and I’m afraid to approach women now I’ve never in my life been afraid to approach women I’m afraid even open my mouth to talk I should get an award for being able to have my lips cover my teeth while I talk very embarrassing and it ruins all happy aspects of my life even people that know insi don’t care I don’t smile around them I even hide it from them because that’s how embarrassing it is I don’t know if you can relate I think honestly dentists should give away free practice for charity for people like me people who deserve a second chance at life with a good smile all my family pictures no smile everywhere I go you know smile people say smile I just kind of been my lips bend my lips to make it upwards curve of a smile anyway would you be able to please let me know your rough estimate would be to pull 24 peace and implant a top and a bottom thank you I’ll probably never be able to afford it at least I’ll know what it cost

    1. thank you for sharing your story. I’m sure your a wonderful human being. It hurts me to just read your story. In many cities across the country there are access to care if you are financially compromised. Another avenue is also a dental school which most major cities will have. If at all possible, save your teeth and learn about diet/lifestyle habits/oral hygiene to maintain your teeth as long as possible. Cost cannot be truly determined without seeing you at these types of procedures generally are upwards of $10,000

  86. I’m 26 yes old and let’s just be honest brushing was never my biggest concern. So now I have several lose teeth and they are all very sensitive it’s hard to eat foods I haven’t been to the dentist since I was probably 16. Should I get implants to save the trouble. What do you think the total cost would be. I have medi cal insurance if that helps.

    1. You are way too young to remove all of your teeth and replace them with dental implants. Dental implants that your young age of 26 would not last your entire life.

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

  87. Are you still able to do dentures or implants if your original teeth have already been pulled for quite some years already? Didn’t have money for either at the time and gums and teeth were so infected had to have them pulled. Hate talking to people and smiling is nonexistent

  88. Hello, I’m 27 years old and so tired of always spendin tax money to fix teeth instead of enjoying it. Right now I need about 5 crowns done, possibly a root canal, several fillings, and another wisdom tooth pulled. I use to smoke for the last 12 years and lots of sodas, no matter how much I brush my teeth they still get cavities. I’m already missing 2 molars, and have 2 root canals. I just had another tooth chip tonight which makes 3 that are chipped right now. I’m just so tired of fixing them and spending money for it to just happen again. Should I have them all pulled and do dental implants? I just want to have nice teeth again and not have to worry about them. Thanks for your time.

    1. Unfortunately some past lifestyle habits have caused likely permanent damage. At your young age of 27, extraction of all your teeth would not be a good idea.

      Save the good ones that are very predictable hopefully without root canal’s and Implant the bad ones.

      Find a good dentist and have a complete plan for your entire mouth before even starting a single tooth.

  89. Hi Dr Amin, I have periodontal disease. I have always had dental care and tried to take care of my teeth. I wore braces, had gum surgery and currently have 5 crowns. Dentist has said I need to have a tooth extracted and three root canals and crowns. I’m sure things will just get worse. I do have dental insurance however will still have a lot of expense, I’m just not sure what is best to do, any advise would be greatly appreciated.

    1. Without seeing you there is no way that I can give you such detailed information. This requires a clinical exam, x-rays and the treatment plan. Sorry.

  90. Hi Dr. My name is Brendan I’m 24 and I’ve been suffering for a few years from major tooth decay, the dentist has always been a personal fear of mine and I’ve let this go so long that I’m not sure there’s any helping me. It’s taking a serious toll on my health, in fact I can feel the infection flowing through me. I honestly don’t know what to do or where to go or how to even begin, do you have any suggestions .

    1. I am from New York but I’m willing to go almost anywhere to get this problem solved. I’m a college student and it’s grown to effect everything .

    2. At a young age of 24 pulling all of your teeth and having dental implants would be a bad idea. If your teeth can be saved I would highly suggest you find a dentist that can sedate you under IV sedation and have all of your teeth fixed.

      Have all your teeth fixed what you are sleep and then most importantly maintain them from that point on. If you have dental implants now, they will not be permanent because nothing in dentistry of permanent although dental implants due last a long time but you are very young.

  91. How much would it cost to replace all my teeth.? Also, do dentist take payment plans for people with out dental inusrance?

    1. payment plans are quite common especially when treatment gets into the $50-$100,000 range. There is no way for me to be able to quote you how much this would cost without having seen you. I have no idea about your needs. Sorry

  92. My teeth are horribly rotted out in the back and are starting to go in the front. I would like to have them all replaced soon. I am worried about the cost or the financing aspect. How much (on average) does it cost to do a full implant on top and bottom? I have absesses at least once a year and I can’t take it anymore. I am a 43 year old male with bad teeth. I am single and this is really hindering me to meet someone. how long does it take for this procedure? How many visits will it take? I have 1week of vacation time remaining. Will this be enough time to recover and be back to normal? Please help!

    1. This can be a very costly endeavor for the full mouth ranging from $50-$100,000 if you’re looking at having fixed Bridges. These are very complex replacement. Do your due diligence and make sure you do not under engineered the replacements but only using 4 implants per jaw or using acrylic denture teeth.

      This process takes several months and many appointments to complete. This post on the process of replacing your teeth may be very helpful.

      Make sure to find a highly experienced implant dentist to do this. This is not for the novice dental surgeon.

      1. do you think it would be better to go with dentures? I have dental insurance. how much would I be looking at to go this route? roughly?

  93. Do you ever do pro Bono work for Wounded Veterans that don’t have dental covered under their medical disability insurance? I had to have my left k9 pulled because I chipped it, didn’t have the money to get it fixed, and got infected. I have many bad teeth but have a phobia about going to the dentist. And I’m 32 years old and live in South Eastern Washington

    1. Thank you for serving. Can the VA do this for you? I placed a lot of dental implants in the veterans Hospital during my residency.
      You will want to seek treatment in the local area so that you can be seen for follow-up care.

      Good luck,

      Ramsey Amin DDS

  94. Hi Dr. Ramsey, I’m 21 years old I have crooked and crowded front teeth, which caused a major flaw in my facial appearance especially my front Teeth, they look like a bunny rabbit teeth and i hate them so much to the extent that i’m considering extraction and implant new ones (two front teeth), i just want to know how much it will cost me ? Thanks in advance.

  95. I am a 27 year old that is in despreate need of getting the remaining of my teeth pulled. I am a single mother, recently unemployed who can not afford to pay for any of the that i need done. Most of my teeth have broken but i have not had the root extracted yet, and the remaining of my teeth are breaking its to the point where i can not eat anymore and i always have a headache due to the infection. What should I do?

    1. If the roots are not infected then try to keep them in as long as possible. They will retain your bone volume in there by retain the dimensions of your face. If they are abscessed then they will need to come out. Perhaps consider dentures at a local dental school if finances are a big issue.

  96. Is there any funding for people who need them but can’t afford them? I am a 27 yr old young man who works 40 hours a week making just above minimum wage. I’ve had a lot of work done on my teeth but they are getting extremely worse. I need permanent dental implants. However, I can’t afford such procedures on my salary. If you can help in any way with any information thank you! Sincerely,

    1. Hello Tyler,

      I totally understand where you are coming from. Restoring your mouth with dental implants can become costly. I noticed you use the word “permanent.” Nothing in dentistry, including dental implants are permanent. Although dental implants may last you a very long time, expect to have some maintenance over the years including the possibility of replacing them. The best way to avoid these problems and extend the life of your dental implants is to have them done right the first time. He may be able to visit a dental school in order to reduce the cost but I have found that there fees are approximately 80% of the typical dental implant practice. You may want to consider some non-dental implant options that are more affordable for now and that are also more affordable to maintain over time. Make sure that you see a dental hygienist and you’re taught all the preventative procedures and techniques. Many people don’t realize that there diet alone causes all of these problems. Happy Thanksgiving

      Very respectfully,

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

  97. I have rotting teeth that are broke off to my gums and do not have insurance I don’t want dentures I’m 32 years old my question is what would you recommend for a person my age to do about my bad teeth and the enamel is coming off most of my teeth as well….

  98. So hello Doctor Ramsey i have top an bottom dentures fo over two years now ..i had to take out majority if my teeth or else i would never talk to anyone now the dentures are giving me hell . my gum is like gettin sore frm eating or .i dont knw it really uncomfotable i really think i need to implant all of my tooth an jus take out the few that left. Am not financilly stable but i will save every last penny i work to get this job done..i live in atlanta ..but i will come to you jus please give me a idea on how much money it will cost me..

    1. Without seeing you there is no way to give you any sort of accurate quote. Bone volume and bone density are one of the biggest determining factors of the Surgical part of dental implants.

      Making the teeth is often more costly and depends on many clinical factors that need to be evaluated such as your skeletal bite relationship.

      The most cost-effective solution for your lower jaw would be in overdenture. I have many blog posts with information about overdentures. Please avoid mini dental implants at all costs.

      Dental implant treatment can vary widely from as low as $3000 to upwards of $120,000.

    1. This should work out great for you. Be sure to find the absolute best dental implant dentist in your town….you don’t want to have complications in the short or long term!!

      Good luck.

  99. I am so in need of full dental restoration. I’m wondering where u r located and price ranges of what can be done to help me.

    1. Hi Ellen,

      I am located in Burbank, California. I would be happy to help you personally. The best thing for you to do would be to call and speak to one of my front office receptionists. They are highly skilled and would be able to answer all of your questions.

      Office phone number: 818-846-3203

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

  100. If replacement of all my teeth with implants for “snap dentures” in is only half done (all lower but little upper) does it make sense to come in and have someone from your office review the work of the two previous dentists?
    The first dentist I had, Southland Dental in Sherman Oaks, was terrible and I endured months of agonizing pain…during which time two implants fell out and needed to be replaced, and several mistakes were made which caused additional pain; and the temp denture broke less than 2 weeks of use. My second dentist was able to repair most of what was done poorly, and I am very happy about that, but could always use a second opinion from an expert in the field!


    1. Hi Ryan,

      I am sorry you’ve had any problems. Snap in type dentures are mostly meant for people that have existing dentures. If you have transition from your natural teeth to a snap in implant overdenture, this transition will be difficult.

      Have you considered having a Prettau dental implant bridge or something that is fixed in place full time?

      Plastic and acrylic dentures break all the time. In order for over dentures to work well, they must be thick enough so that they do not break constantly. If they are thin, metal reinforcement is usually suggested.

      You’re welcome to call my office and schedule an appointment. Keep in mind that taking over and existing implant situation a sometimes be more costly than continuing as you are. You’ll need a complete evaluation and new 3-D scan.

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

  101. I am so in need of this kind of work top and bottom. I live in Orlando, FL and have no idea where to go or who to contact here. I have several of my teeth but I just think it would be best if I took them all out. And cost is an issue, or at least I need an idea of how much it will be.

  102. I recently went to Dr. Amin for a second opinion. He was everything, I thought, very knowledgeable and extremely nice. I start my plan on 04/02/2015 and although a little nervous (I hate the dentist) and reluctant to spend the money. I am confident that Dr. Amin will deliver. I heard all the radio ads for “new mouth in a-day” yes, we could all do that and come back in 5 years to fix it. I have done extensive research, infact Dr. Amin even commented on how educated I was on the process. There is a reason a KIA lasts 5 years & a Rolls lasts a lifetime.

    Paul D

    1. Hello Paul,

      Thank you for your very kind words. The world needs more people like you. I will take great care of you.

      There is no doubt that are teeth need to be bioengineered in such a way that promotes long-term stability, health and aesthetics.

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

      1. wish I lived in CA, u would live to find a dentist with your skill set here in Jacksonville, FL. the “1-day denture” thing is not going to work for me…. I have 4-5 missing teeth, and need 6 extracted. many more need to be fixed. I’m tired of suffering and want to do exactly what your doing for these people, I don’t want to fix my left over teeth and have bridges that will just eventually fail. anyways, your awesome.

        1. Thank you for your very kind words… They’re much appreciated!

          Why not consider having a Prettau dental implant bridge? This is a very solid restoration when done properly.

          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

  103. Iv only had one tooth pulled in the back,the rest are all there, but my front two teeth have a huge gap and stick out verryy far but all the rest of my teeth are straight so the only option I have is to wear braces for years and a retainer for the rest of my life…wouldst be better to get them pulled and just get implants??

    1. NO!!!!

      Absolutely nothing is better than your natural teeth…. Dental implants are second place.

      take excellent care of your teeth. Be sure to see an excellent dentist to prevent future problems!

      Ramsey Amin DDS

  104. my wife is in dire need for remaining teeth to pulled and implants or dentures.the oral surgeon is talking 4 Bicon implants on top and 4 on bottom. is this what you were referring to as your all on four procedure ? Not your recommended procedure ? Just don’t want to go with the first dentist if there is something better. we want to make sure they are long term with minimal problems. she is 47. wish we were closer to you. we are in Nebraska. very informative site. thanks

    1. Hi Jon,

      Yikes! Without knowing more about the exact treatment plan from the oral surgeon, it is impossible for me to know whether the 4 implants on each jaw are being used for a removable snap-on overdenture or are being placed in a purposeful tilted position for the all on 4 dental implant procedure.

      As I have said before on several other blog posts, it is my belief that 4 implants for a FIXED dental implant bridge is under engineered for long-term use. Being that your wife is only 47 years old, you may want to consider adding more support. You definitely one of find out whether the final plan is for removable over dentures or for fixed dental implant Bridges.

      If the plan is for fixed dental implant Bridges, you definitely one find out what type of material is being used. This can be acrylic denture teeth fused to metal, porcelain fused to metal, titanium substructures, or fixed monolithic zirconia such as Prettau.

      I would suggest seeking out a very skilled dentist who has years of experience and training in complex implant dentistry. The person making the teeth should be in complete control of your dental restoration.

      Here are some helpful links:
      Prettau Dental Implant Full Mouth Bridge

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

      Overdenture” Basics – Dr. Ramsey Amin, Burbank, CA
      Very respectfully,

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

  105. I lost my two upper jaw front teeth and now I want to place “permanent” ones,how long does the process take and how much?

    1. Hi Jonas,

      It really depends…..The process can be as short as 48 hours to as long as 18 months. Cost can vary from $4000 to $15,000. Each situation is so unique. Can you come in?

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

  106. I am impressed; I need full-mouth restoration, including bone grafting on both sides of lower jaw..However, I live in Troy, New York-wondering if you have any counter parts closer to my location/? Looking forword to your reply.


    1. Hi Elizabeth,

      We had emailed you the answer to this


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

    1. Dr. Amin,
      Thank you! Thank you for this article and website and answering all of the questions and comments, it has been extremely helpful! As someone whom has seen a dentist every 6 months since I was a child, I would NEVER have anticipated being 33 years old and having only 3 natural teeth (on the top/front) and 1 crown (on top canine), and 5 crowns on the bottom. It’s almost mind blowing. I had very few cavities as a child, adult, and I had my first root canal at the age of 28?! Since then I’ve been to numerous dentists, endodontists, back to dentists, just non-stop. I hate to say this but I do believe it is due to a combination of a result of dealing with dentists whom were the only I could see once I was switched to my states Medicaid plan as well as being on antidepressant medication that caused dry mouth that I was just RECENTLY (2018) told about the factor of dry mouth and tooth decay. I had no idea. In the past I’ve noticed my dry mouth and I’ve bought losenges to help generate saliva but never once was I told or warned that it may certainly be a leading factor in my “out of nowhere” sudden tooth decay and breakdown (granted, I should have been smart enough to educate myself) and now I fear it is too late. I am seeing a dentist now that I really like (the last one was all “oh you have pain? Let’s pull it, it’s not a good tooth anyway” and being in that kind of “not even being able to even think clearly” tooth pain, I trusted the dentist) and have already had all of the top teeth on the left pulled – and have an appointment in the next 2 weeks to have the ones on the top right pulled, leaving only 3 “natural teeth”- #7 (which is fractured😣) #8 and #9 on the top. On the bottom, I’ve had 22, 23, 24, 25, 26 pulled (due to bad filling and what “should have been root canaled and crowned” as I was told by the next dentist I saw😕) I also have crowns on 21, 20, 19, 28, and 29 – 2 of which have failed and I’m told I will need to have a new root canal and post/crown. The dentists I’m seeing now seem to be great but my insurance just will not appprove anything (but for the pulling of teeth) and as someone who received a Masters degree a few years ago, I’m working at a “job” where I’m making not even a quarter of what I should be making and am so afraid of going on job interviews due to not wanting to even smile or be around people anymore. I know with all the extractions, I will need dentures (and was actually made a partial for the bottom about 2 years ago but had to stop wearing it a year in because it was causing what my then dentist called a “chronic cavity” on the tooth (crowned tooth) that held it securely in place and hurt and caused infections – not to mention I felt like I couldn’t eat😔 I really don’t thinks dentures are the answer for me, they only increase my dry mouth and am at a completely and total loss to know what to do and feel that with so many extractions I’m going to need implants (that I could only afford right now if I could make payments). Would you recommend researching a dental school near me? (I’m in NJ) Or finding someone locally that does implants and at least getting a free consultation? Are there certain places that are more apt to taking reasonable payments plans? I appreciate any help and advice you can provide! Thank you for your time on this site, it is very helpful!

      1. Oh gosh 😮.
        Dry mouth is the killer of teeth, filling and crowns.
        You may want to hold off on getting implants for now. Remember that implants are not permanent and you want to have it done the best way possible that maybe costly. Also have to keep in mind that require maintenance appointments as well. Keep as many roots as you can to preserve your bone. Maybe make dentures on top of the bad roots.

        This will buy you a lot of time. Basically just pull the top of the tooth leaving the root behind if the tooth has a root canal

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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.