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Upper Molars with Sinus Bone Graft and Lower Single Implants -Ramsey Amin DDS Reviews

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This is a nice example of basic treatment with dental implants that was well engineered. What you are looking at here are four dental implant molars that I placed in virtual 3-D. The implants are actually surgically placed in the bone but what I did was ‘overlay’ the implants that are actually there with the computerized virtual dental implants. This is done so that the exact position can be seen more easily and you can learn more from this article.

Before treatment…. patient already has one implant

Notice that all of the implant sizes maximize the available bone volume… The implants are not too small and they are not too large… Both of these can create problems. Also notice that each implant has plenty of bone on the outer wall which will support these implants for a long time and will greatly reduce the chance of ever having bone loss/peri-implantitis.

On the upper right notice there are two dental implants. A sinus bone graft was done in order to create enough height of bone to place these implants. The implants are placed against the medial wall for best trajectory but also avoiding the contents of the nose. Previously she was missing the second molar and the first molar had to be extracted due to periodontal bone loss.

Genetically, her sinuses hang down fairly low which would not allow implants of larger diameter and length to be placed. This is very important for the upper jaw in the back of the mouth. I also suggest that these implants be connected especially if the last two teeth are dental implants. You can clearly see the sinus bone graft over the top of the implants.

Teeth not on 3 of the implants yet. One of the implants in the upper was placed in eastern europe 20 years ago.

The lower molar dental implants are single tooth dental implants. The one on the left side of the screen is smaller and longer while the one on the right side of the screen is wider and shorter. Even though they are the same lower first molar the anatomy, each area is slightly different. Every tooth is planned in a unique manner.

This patient happens to be the wife of a dentist that I treated. I actually treat many doctors and dentists…. Even we need tooth replacements too!!

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

10 thoughts on “Upper Molars with Sinus Bone Graft and Lower Single Implants -Ramsey Amin DDS Reviews

  1. Hi Doctor, I know it would be a long shot since this was an article few years ago but this is probably the most useful website for me right now.. I got my upper second molar and the wisdom tooth extracted together 4 months ago and in order words i got no teeth in the last region of area. Do I still need to do the implant for this situation? (since its not like there is a space between two teeth) Hope you can see this and Thanks!!

  2. Hi Doctor,

    I just wanted to thank you for responding to an email I sent a couple of months ago. Because of your help, I was able to make a well informed decision regarding this procedure. Have a good day?

  3. Dear Dr, about 4 months ago my maxillary second molar was extracted. I am 30 y.o. and have all my other teeth and am otherwise healthy. Financial considerations are fortunately not a problem for me but I’m worried about possible complications of getting an implant. I’ve read that bone in the area of the second maxillary molar can be too weak for an implant. Is it advisable to have an implant for this missing tooth or is it better to manage without it? Since having the tooth removed I’m very aware that a tooth is missing but I’m worried about possible complications of any surgery.

    1. The bone is in fact very song in this area. Operator technique and experience is going to be critical for having this tooth replaced. I would suggest the operator and use a compression technique to compress bone marrow rather than a drilling technique.

      Upper second molars can be very well done and last very long time. The longer and bigger the implant in this area, the better.

  4. Good day. My second given name is Bojan . I was on implant operation because opf three tooth 5,6,7 on my right side. I was in Dental Plaza in Belgrad Serbien. They on first sight sounded OK. So I talk on telephone what we will do . Solution was 2 implants and tief between conected. Naturally that bone is not to much under pressure. But they do it totaly something another. At When I was pictured that on rentgen later. Another Dentist show me picture. Obius is 2 implants putted to close on one side and another on other side but diffrent distance, which is normally not naturaly what it is. When I call Dental Plaza he told me God told him to do liek that. Question is how to correct this , since is brigde vesrion puted in my bones. Is it possible to put separate Tooth crone on every implant to be somehow equal? Or it must be pulled out and another implant putted in bone. Second question is : is it safe for my bone? Conclusion Dentist in Dental Plaza Belgrade purposly damage my bone, with knowledge that will be operate in future , if i wanted to have correct. Thanks , Sincerely Bojan Vujasinovic

    1. With all due respect it is a little difficult to understand your question due to a possible language barrier. It sounds like you had to dental implants put very close to one another. There is not a great solution for this besides removing one of the implants and starting over.

      I doubt God told him to do it like this.
      Sorry my friend

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About Ramsey A. 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.