Do I Need a Bone Graft?
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.
"Dr Rafla put in my implant over 20 years ago. After all that time it has been fantastic but recently loosened. He repaired it no problem. What I want to mention is his level of compassion he gives. He knew how nervous I was and went above and beyond to ensure my emotional comfort as well as physical. I don't mind waiting 20 years to be in his care again, lol, but will not hesitate to call him when needed! Phenomenal dentist!"- L.P. / Facebook / Sep 18, 2019
"Dr. Rafla and his team present as being caring, nice and knowledgable professionals with positive can do attitudes, reducing stress levels considerably. Surgery is already scheduled and I am confident I will be in good hands!"- D.M. / Facebook / Sep 14, 2019
"He did my implants and they are terrific. I recommend all of my patients to get implants and forget about the root canals. Dr. Timothy Hoffman"- T.H. / Facebook / Sep 12, 2019
"This was my initial (consultation) visit. The entire staff was very courteous and professional. Dr. Rafla was very clear in explaining the procedure and post care that will be involved."- N.S. / Facebook / Jul 25, 2019
"Dr. Rafla and his staff are both pleasant and professional. I have recommended their practice to numerous friends and relatives. Both my wife and I have used them for perio and implants."- M.P. / Facebook / Jun 29, 2019
About Bone Grafts
There may be an inadequate amount of 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.
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.