Dental implants are a leading tooth replacement solution for patients with one or more missing teeth. Implants have a high success rate, but jawbone health is a key factor in that success. Patients with bone loss may not be ideal candidates for dental implants.
The good news is that having some degree of bone loss does not mean dental implants are not an option for you. There are ways to regenerate lost bone tissue, such as bone grafting, a procedure that adds bone tissue to areas where the jaw has thinned out due to the absence of teeth.
If you’re interested in dental implants, schedule a consultation with Cosmetic Family Dentistry of West Milford to find out if you’re a candidate.
Why Bone Density Matters for Dental Implants
Dental implants rely on osseointegration, the process of fusing with the jawbone. If the bone is too weak or thin, this process may not be successful, resulting in instability and possibly implant failure.
Common causes of bone loss include:
- Missing teeth for extended periods
- Periodontal disease
- Injury
- Dentures that don’t fit properly
Bone loss occurs when there is lack of stimulation due to the absence of tooth roots or when the bone is damaged in some way, leading to resorption (gradual dissolving of the bone).
What Is Bone Grafting?
Bone grafting involves the placement of bone material in areas where the jaw bone is thin. The added bone material bonds with the existing bone and stimulates regeneration of new bone tissue.
Types of graft material:
- Autograft: patient's own bone
- Allograft: donor bone, processed
- Xenograft: bovine/animal-derived
- Synthetic/alloplast
We will recommend the best type of graft material based on your individual needs and what will provide the most effective results and offer the greatest chance of implant success following treatment.
Signs You May Need a Bone Graft Before Implants
You might need some preparation before getting dental implants if any of the following criteria apply to your specific case:
- Long-term missing teeth. The longer a tooth has been missing, the greater the risk and degree of bone loss in that area of your jaw.
- History of gum disease. Gum disease is a bacterial infection that causes gradual damage to the gums and leads to jaw bone loss.
- Previous imaging showing bone loss. If you’ve had dental X-rays or scans that showed bone loss in the past, there is very little chance that the bone has regenerated and has likely weakened further over time.
- Poor fitting dental restorations. If previous restorations such as dentures, fillings, crowns, and bridges are ill fitting or misaligned there can be an uneven distribution of forces in the mouth. This can cause bone loss in areas of the jaw that are experiencing increased force and friction.
A consultation and imaging is the best way to evaluate the current condition of your jaw bone to determine if bone grafting would be necessary before dental implant placement.
The Bone Grafting Process: What to Expect
- Initial consultation and imaging. The first step is to determine if bone grafting is necessary, which involves imaging using X-rays and sometimes CT scans. A treatment plan will be created according to the results of these images.
- The grafting procedure. The bone graft will be placed, typically with local anesthesia, and a few stitches to close the gum tissue.
- Healing and integration. Over the next few months the graft will bond with the bone, providing renewed strength and density. The exact timeline will vary based on each patient’s rate of healing.
- Follow-up visits. You will need a few follow-up visits to monitor healing and confirm when the bone is ready for implant placement.
Benefits of Bone Grafting for Implant Success
- Improved implant stability and longevity. Dental implants are more stable and last longer when the bone was adequately prepared ahead of the procedure.
- Better aesthetic outcomes. Bone grafting preserves facial structure, keeping your jawline strong and defined.
- Reduces risk of implant failure. The success rate of dental implants is significantly higher and the chance of failure much lower when the proper preparations are made to ensure bone strength.
- Expands candidacy. Bone grafting provides an option for patients who have been told they "couldn't get implants" due to bone loss. More patients now have choices when it comes to replacing teeth.
What Happens After Bone Grafting?
You can expect to need anywhere from 1-3 days to recover following bone grafting. You may experience some soreness and swelling that can be managed with ice and pain relievers. Once the gum tissue heals you will still need to allow a few months for the bone to heal and strengthen. This part takes place with little awareness, allowing you to go about your regular daily activities until imaging shows adequate progress. By following post-op care instructions you can keep the healing process on track.
Schedule a Consultation
If you’re ready to replace missing teeth, contact Cosmetic Family Dentistry of West Milford and schedule a consultation. We will evaluate bone density and overall oral health to make a recommendation for treatment that is in your best interest. Our goal is to provide you with a fully functional, natural-looking smile.
Frequently Asked Questions About Bone Grafting
Is bone grafting painful?
Modern anesthesia can make bone grafting as comfortable as possible for patients. In most cases local anesthesia is sufficient, but additional options are available upon request.
How long does it take to heal from a bone graft before getting an implant?
The average healing time after bone grafting is 3-6 months, though timelines vary from one case to another based on many factors.
Will insurance cover bone grafting for dental implants?
Insurance may cover bone grafting in certain cases, but it depends on the details of your plan. Contact your insurance provider to inquire about coverage for your specific case.
Can I get a bone graft and implant placed on the same day?
It may be possible for some patients to get a dental implant placed on the same day as a bone graft. There are specific criteria required to qualify for this option, so you will need a professional evaluation to determine eligibility.
What happens if I don't get a bone graft when I need one?
If you wait to get a bone graft it will likely still be possible, it may just be a more complex procedure with a different approach as needed.
Cosmetic Family Dentistry of West Milford, led by Dr. Agnieszka Jamrozek, DMD, provides comprehensive implant restoration services to patients throughout West Milford, NJ and surrounding communities including Ringwood, Wanaque, and Butler. If you're ready to explore whether bone grafting and dental implants are right for you, contact us today to schedule a consultation.