ORAL SURGERY > Bone Grafting

Bone Grafting for Dental Implants

Negative effects can occur to your appearance when you are missing teeth and the bone in the vacant area will begin to atrophy. Generally, people will lose 25% of their supporting jawbone structure within the first year after tooth loss. Dental implants are more easily placed when teeth are first lost. Bone replacement in the area becomes more complex as time passes. Implants act similar to your natural teeth. They mimic the missing object and preserve your bone structure, oral health and appearance. Dr. Ismaili will provide you with options so that you can make an informed decision concerning tooth replacement 


When a Tooth Has Been Missing For a Long Time

  • The bone in area of the missing tooth begins to deteriorate or atrophy 

Immediately After a  Hopeless Tooth is Extracted: 

  • If the walls of the socket are thick, new bone will typically fill in the socket within a few months 
  • If the walls of the socket are thin, healing will not be as predictable. In this situation a bone graft is often placed within the thin socket at the time of the extraction procedure. This added step helps maintain the volume and quality of bone for future implant placement 

Same Day Implant Placement

  • In an optimal environment, there are times when an implant can be placed on the same day as a tooth is extracted
  • If you have a tooth that is hopeless, but the bone and socket are healthy you may be a candidate for same day tooth replacement. This could minimize or eliminate the need for bone grafting


Dental implants integrate into the jaw bone and strengthen it by stimulating bone growth. This preserves the natural strength and quality of the mouth, lessening problems in the future. 

The American Association of Orthodontists recommends that a panoramic x-ray be taken by the age of 7 along with a dental exam for all patients to determine if there are potential or developing problems. This x-ray shows the orthodontist if all permanent teeth are present and if there will be adequate space for the developing teeth. Extreme crowding is the most common reason teeth become impacted. However, impacted teeth sometimes occur even when there is enough space, but the tooth decides to track off-course into an abnormal position. 

Treatment will involve the collaboration of an oral surgeon and orthodontist to access the tooth, apply a brace and guide the tooth into the dental arch. The sooner the problem is identified and correction is initiated, the greater the chance of success and the less treatment that may be necessary for correction. In adult patients, typically over 40, the tooth will be more difficult to correct and the more likely it is to be fused to the bone. If the tooth will not move, the only option would be extraction. 

The procedure to uncover and attach a brace to the tooth is called an “expose and bond”. A simple surgical procedure is done by the oral surgeon to lift the gum tissue and uncover the hidden tooth. A brace with a chain is attached and the tissue repositioned. The chain will be visible and available for the orthodontist to apply pressure to guide the tooth into the correct location within the mouth. The guided eruption can take weeks or months depending on the complexity of the tooth’s position and the age of the patient.