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The Process of Bone Grafting in Dental Implantology


Posted on 7/15/2024 by Pacific Oral and Facial Surgery Center
Photo of bone graft done at  Pacific Oral & Facial Surgery Center in Livermore, CABone grafting is often needed to rebuild enough bone to support dental implants. When the jawbone is too thin or narrow for implant placement, bone grafting creates a thicker, wider bone. This provides a solid foundation for the implants.

Initial Evaluation


The first step is a thorough evaluation of the jawbone anatomy with 3D imaging like a CBCT scan. The oral surgeon assesses bone quantity and quality to determine if bone augmentation is required before implants. Measurements of ridge dimensions are taken.

Harvesting Bone


Bone grafts require a donor source of bone. Common sites include the chin or hip area. The surgeon creates a small cut and utilizes specialized instruments to extract bone carefully. Synthetic bone materials may also be used for grafts.

Preparing the Implant Site


Once donor bone is obtained, the surgeon accesses the implant site and lifts back the gums. The surface of the existing jawbone is then prepared to expose fresh bleeding bone. This enhances graft integration.

Packing and Forming the Graft Material


The harvested bone or substitute is then tightly packed and molded into the implant site. The surgeon shapes it precisely to augment the ridge width or height based on 3D measurements. Growth factors may be added to stimulate bone regeneration.

Stabilizing the Bone Graft


To ensure stability, the grafted area is often secured with small metal screws or tacks, which eventually become part of the bone. Absorbable membranes may also be used to cover the graft and assist in its healing process.

Closing and Healing


The gums are closed over the graft site with sutures or surgical glue. Grafted bone takes several months to regenerate and fully integrate, so no implants are placed initially. You receive detailed post-op care instructions to protect the grafted area.

Implant Surgery


Once healed, CT scans verify bone volume gain. A second surgery opens the site, confirms bone growth, and inserts the implants into the regenerated bone. After further healing, implant crowns complete the restoration.

With meticulous surgical techniques and proper healing, bone grafting can successfully augment thin or compromised jawbones to enable ideal implant placement and support. Contact us to set up an appointment for a bone grafting evaluation.

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Board certified in Oral & Maxillofacial surgery
The surgical specialty of oral and maxillofacial surgery requires up to six additional years of hospital based surgical and anesthesia training beyond dental school.
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Dental Blog | Livermore & Tracy CA | Michael Beckley DDS
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Pacific Oral and Facial Surgery Center, 1133 E Stanley Blvd #215, Livermore, CA 94550 • 925-290-7727 • pacificofs.com • 11/12/2024 • Tags: oral surgeon Livermore •