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Ramsey Amin DDS

Hi Caleb,

Tooth #10 area is generally easy and sucessful to rebuild. I usally do block onlay grafting or GBR (guided bone regeneration)in my practice in Burbank to get the best outcomes.

What is going on with the teeth right next to #10? Any crowns or bone loss?

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


Hi, Today I had my front #10 tooth extracted in preparation for an implant after the tooth became reinfected (it was previously root-canaled a dozen years ago).

Upon extraction today, my oral surgeon said I've lost a lot of bone from the infection and that the chances for implant success are now low -- he still used an artificial graft material -- but said he thinks I will mostly likely need a bridge.

After reading through your posts today I feel like he is not giving me full options on other means by which to build up the bone for an implant. Are there other grafting options you can suggest for me to ask him or another surgeon about?

I am a healthy 33 year-old, non-smoker, with no other dental or bone issues past or present.

Thank you

Jami Wirl

I have had two different crowns, then two root canals on a lower middle tooth. Lastly, I needed an apicoectomy done because the dentist left a piece of the drill bit in the root canal which became infected and formed a cyst. Now, a year and a half later, I have intense swelling in the gum. I have been advised to take antibiotics and go in Monday for x-rays to see what my options are. Do you have any foresight or recommendations for me?

Dr. Ramsey Amin DDS

Hi Alicia,

Without seeing you, I could not tell you exactly. Ask your dentist what they would do in their own mouth.

Ask what is the long-term prognosis of your particular teeth.
Ask if they feel implants may be better.

Good Luck,

Dr. Amin


I have a question, I'm 26 years old, I had two root canals and two crowns put on my two front teeth when i was 14 due to a fall that happened. Well, I just went to the dentist and they told me i need a root canal and a apicoectomy and a bone graph. The tooth that needs the root canal is the anterior tooth to the right on my front tooth. My question is, Should i have this done, and have implants done or should i try this and hope for the best? I'm so scared and lost as to why this has occured. I'm young and have two young children ,this is so not fair :(

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