Learn More about Dental Implants


Bone Grafting Expansion

for Dental Implants


Periodontal disease is the leading cause of bone loss in the oral cavity, though there are others, such as ill-fitting dentures and facial trauma. The bone grafting procedure is an excellent way to replace lost bone tissue and encourage natural bone growth. Bone grafting is a versatile and predictable procedure which fulfills a wide variety of functions.

A bone graft may be required to create a stable base for dental implant placement, to halt the progression of gum disease, or to make the smile appear more aesthetically-pleasing.

There are several types of dental bone grafts. The following are the most common:

Autogenous bone graft – In this type of graft, the bone is removed from elsewhere in the body and implanted in the mouth. Common donor sites for bone grafting include the chin and wisdom tooth areas of the jaw. If large amounts of bone need to be harvested, the hip or the shin bone (tibia) is generally used.
Allograft – Bone from a human tissue donor obtained from a bone bank (cadaver bone)
Alloplast – Synthetic or artificial bone.
Xenograft – This is the implantation of bovine (cow) bone. A xenograft is safe and has been used successfully for many years. Ample bone can be obtained and no secondary donor site is necessary.

Reasons for bone grafting

There are a wide variety of reasons why bone grafting may be the best option for restoring the jaw bone.

  • Dental implants – Implants are the preferred replacement method for missing teeth because they restore full functionality to the mouth; however, implants need to be firmly anchored to the jawbone to be effective. If the jawbone lacks the necessary quality or quantity of bone, bone grafting can strengthen and thicken the implant site.
  • Sinus lift graft – A sinus lift entails elevating the sinus membrane and grafting bone onto the sinus floor so that implants can be securely placed.
  • Ridge augmentation – Ridges in the bone can occur due to trauma, injury, birth defects or severe periodontal disease. The bone graft is used to fill in the ridge and make the jawbone a uniform shape.
  • Nerve repositioning – If the inferior alveolar nerve requires movement to allow for the placement of implants, a bone grafting procedure may be required. The inferior alveolar nerve allows feeling and sensation in the lower chin and lip.

What does bone grafting treatment involve?

Bone grafting is a fairly simple procedure, which is usually done under sedation. Initially, the grafting material needs to either be harvested or prepared for insertion. An incision is made in the gum tissue. The bone grafting material is then placed at the affected site.

The bone regeneration process may be aided by:

Gum/bone tissue regeneration – A thin barrier (collagen membrane) is placed below the gum line over the grafting material. This barrier creates enough space for healthy tissue to grow and separates the faster growing gum tissue from the slower growing fibers. This means that bone cells can migrate to the protected area and grow naturally.
Tissue stimulating proteins – Enamel matrix proteins occur during natural tooth development. Emdogain is a matrix protein product which may be placed on the affected site before the gum is sutured. It mediates the formation of accellular cementum on the tooth which provides a foundation to allow periodontal attachment to occur. Tissue stimulating proteins help to create lost support in areas affected by periodontal defects.
Platelet-rich growth factors – A high platelet concentration liquid can be used to create a blood clot at the site of a wound. It has recently been discovered that PRGF also stimulates bone growth – meaning a denser graft in a shorter time period.

The gum is sutured in place and a follow-up appointment will need to be made within 10 days to assess progress. Bone grafting is a highly successful treatment and a good base for further periodontal restorations.

If you have any questions about bone grafting, please ask us.

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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.