Bone Grafting for Implants

Do I Have Enough Bone?

After tooth extraction, if the walls of the socket are very thick, they will usually fill naturally with bone in two to three months. However, when the walls of your socket are very thin (such as in your upper and lower front teeth), this type of healing will not be as predictable. In these situations, a bone graft is often placed at the time of tooth extraction to help your body fill in the empty socket with bone. This step will maintain the width and volume of bone you will need for implant placement several months later.

An example of a jaw with inadequate front bone structure to support an implant
1. Inadequate Bone
A depiction of the placed bone grafting material to increase the bone structure
2. Graft Material Placed
A representation of dental implants placed after bone grafting
3. Implants Placed

There may be inadequate bone for implant placement if your tooth was removed many years ago and your bony ridge is extremely thin. In this case, a bone graft can be placed next to the thin bone and allowed to heal for up to six months. After the graft has fused to your pre-existing bone, the ridge will be re-entered and the implant placed. Bone grafting is usually a relatively comfortable office procedure. Many different bone-grafting materials are available, including your own bone.

A jaw lacking enough bone in the back of the mouth for a dental implant
1. Inadequate Bone
An example of a dental implant after adding jaw structure with bone grafting
2. Graft Material and Implant Placed

You may also need bone grafting if the sinus cavities in your upper jaw are very large, or very low, and extend into the tooth-bearing areas. This often occurs when teeth in the back of a person’s upper jaw have been removed many years before, and the amount of bone available for implant placement is limited. A “sinus grafting procedure” is then required. Most often, it is performed in the office with local anesthesia and perhaps sedation. During this procedure, the membrane that lines the sinus will be located and elevated. Bone will then be added to restore the bone height and ensure that dental implants of an adequate length can be placed. This procedure often can be performed at the time of implant placement.


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Tribeca Oral and Maxillofacial Surgery, PLLC

5 out of 5 stars based on 7 Bone Grafting reviews

Patient Review By Karran P

Dr. Schiffman is experienced and very knowledgeable. He was informative and pleasant. I extracted 4 wisdom teeth in order to start my Invisalign and He did a great job since they were close to my nerve but after a week every part of my mouth felt great no pain and sensitivity thanks doc I will definitely recommend anyone to try them.....

- Karran P

5 out of 5 stars on

Patient Review By Kathy T

Dr. Faye is amazing. I have less pain with her with major extractions (and my 84-year old mom) than with some regular dental work I've had in the past. She is never too busy to fit us in on an emergency and for me, the fact that she can put me to sleep during the procedure is a major plus. The healing time if very fast - she is just the best.

- Kathy T

5 out of 5 stars on

Patient Review By Geraldine Walsh K

I am a survivor of Guggenheim Dental Clinic. At age 6 I had a very traumatic extraction, no pain management and a slap in the face because I cried.I have no problems with any other dental procedure, never received anything with novocaine. When I saw Dr.Day for one extraction I cried all the way to the office. With sedation remembered nothing. Yesterday, at the age of 61 I had my four wisdom teeth extracted because I trusted her and the staff. At times I could feel what she was doing but no anxiety or pain. Took one naproxen when I got home, no pain afterthat . As of this morning I don't feel as though I had any procedure done Thank you all. Geraldine

- Geraldine Walsh K

5 out of 5 stars on

Patient Review By Samuel S

I would recommend this oral surgeon to a friend or anyone else. She is absolutely amazing

- Samuel S

5 out of 5 stars on

Patient Review By Jennifer Z

Great office, excellent staff, and skilled doctor. Extremely clean and comfortable operation area. When I walked in, all the tools for the procedure were covered under sheet for my comfort. My procedure went accordingly and recovery was smooth, the nurses called to check in the day after. I would recommend her to everyone and I sure wish I did my first pair of wisdom extractions with her!

- Jennifer Z

5 out of 5 stars on

Patient Review By Joanne J

Everything that Dr. Fay told me would happen before, during and after my procedure was exactly what I experienced. I had absolutely no "chipmunk" swelling and you can tell that while I was under anesthesia she was very gentle. Great experience and I would highly recommend to anyone.

- Joanne J

5 out of 5 stars on

Patient Review By Shivaal S

Great Staff, Great Doctor, Office well kept

- Shivaal S

5 out of 5 stars on