Bone Grafting For Dental Implants…Where Do You Get the Bone?

Bone Grafting For Dental Implants…Where Do You Get the Bone?

Bone Grafting For Dental Implants…Where Do You Get the Bone?

When you lose a tooth, you lose bone with it.

Rebuilding the bone for dental implants is very common.  Unfortunately, there is not a lot of information made available to patients about where the bone comes from.

In this video, I will describe bone material options such as human, cow (bovine), your own bone and synthetic.

Questions?

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
https://www.burbankdentalimplants.com

18 Comments

  1. alexandra nick

    Hi Dr . Amin , on the 18 of September this year I had all my 7 remaining upper teeth removed and placed 5 implants ,with bone graft (synthetic) and sinus lift. I was prescribed antibiotics before and after the procedure( clindamycin and metronidazole). There was a bridge put on my implants the second day after the procedure .Everything seems like is healing ok….as I was very very bruised and swollen after the surgery . My question is was the synthetic material good for my bone graft? and why now almost 2 weeks after the procedure the shape of my face looks kind of different , essp. the shape of my mouth and why I still have this feeling of fullness and swollen still around my nose. No pain . I still look little like a chipmunk.

    October 6, 2018 at 4:21 am Reply
    1. RamseyAminDDS

      it sounds like you had a difficult surgery and hopefully was not treated by an inexperienced provider. Bruising and swelling are normal. Some people will even have some residual numbness. Because this is the upper jaw most of the time that numbness will go away. The feeling of fullness in your appearance should stabilize by week 4. After that you may need to make some modifications of the temporary bridge in order to manage lip support for a full arch restoration. I hope to heal up well and have a great result!

      October 8, 2018 at 1:48 am Reply
  2. Donald Smith

    Could you use fish bone for a dental bone graft?

    April 13, 2018 at 7:38 pm Reply
    1. RamseyAminDDS

      no

      April 23, 2018 at 3:51 am Reply
  3. Gev

    HELLO IM A DENTAL STUDENT HERE IN PHILLIPINES, MY INSTRUCTOR GIVE ME AN ASSIGNMENT, ON HOW YOU WILL PLACE THE BONE FOR BONE GRAFT…what the specific structure of bone will put.
    please help me doc! on how to explain to him cuz i need to defend it nextweek thanks in advance sir Ramsey

    July 13, 2016 at 1:38 am Reply
    1. RamseyAminDDS

      Do a literature review and use great sources to study. Good luck. You are entering a great profession!!

      July 15, 2016 at 1:04 pm Reply
  4. Chapman

    Hello wonderful Dr Amin!

    Is what you mention as ‘bone widening/expansion’ suitable for a front tooth? An area that still has the tooth and has a large area of infection/failed apico? Or is block bone better for that?

    I would like it to look as nice as possible, be strong bone and remain for many years as I’m in my 30s! Not sure if bone grafting does stay for many years or until I’m 70 at least? Hope so!

    Thankyou ?

    January 22, 2016 at 9:08 pm Reply
    1. RamseyAminDDS

      both techniques and work in this area but sometimes bone expansion may lead to a tooth that ends up being slightly longer at the gumline specifically in the upper front teeth. This is going to depend on the shape of your bone in cross-section which can only be determined by 3-D scan. Your surgeon will have recommendations for you based on what they feel comfortable performing. Many dental implants surgeons do not perform block grafts or bone expansion.

      February 7, 2016 at 7:31 pm Reply
  5. Jill

    Hi I just got tooth number20 extracted today due to a failed root canel that was done 6 years should. The oral surgeon said there was bone loss did a bone graph and sutured me up he said not everyone is a candidate for an implant. I have to go back 10 weeks to evaluate and see how I do.
    What would happen that would result in the bone graft not working to get the implant.i was told by my original dentist I would be a candidate as I don’t smoke. Thank you

    March 10, 2015 at 4:39 pm Reply
    1. Ramsey Amin DDS

      Hello Jill,

      If the adjacent teeth #19 and #21 are healthy, it is very unlikely that you would not be able to have an implant for tooth #20. 10 weeks is probably a little bit too early to evaluate a bone graft. I would wait approximately 12-20 weeks and have a 3-D scan done and virtual implant placement.

      In my own practice, a socket bone graft is an extremely successful and predictable procedure. It is often modified with your own blood products and growth factors such as PRF. You should experience almost 0 pain.

      PRF

      Socket Bone Grafting….Do I Need It for My Dental Implant? Ramsey Amin DDS Reviews

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      March 10, 2015 at 10:13 pm Reply
  6. Prakhar Jain

    Hey Doctor,

    I had consulted you earlier too with respect to myself getting an implant done for my upper frontal incisors. The corresponding link is given for your reference.

    https://www.burbankdentalimplants.com/disadvantages-of-dental-implants-the-cons/#comment-8203

    Off late, I’ve got the implant placed in the jaw last month after undergoing the orthodontic treatment for proper spacing, etc. for 5 months. Also, due to lack of amount of bone in the area around 1 tooth, an additional bone grafting was also done. But, unfortunately, there had been a slight drift in the implant position (initially placed parallel to the other teeth) observed in the O.P.G. taken the next day. The implantologist was quite unsure about the consequences of that and suggested I needn’t worry as the success of the implant would be only determined after the bone graft (Xeno-graft) takes up well after a period of about six months. I would just like you to advise me on the same and what possibly could be done.

    Thanks!

    Best Regards,
    Prakhar Jain

    January 2, 2015 at 10:21 am Reply
    1. Ramsey Amin DDS

      Thank you for referencing the previous comments. It helped give me background.

      It is critically important for the front center teeth dental implants to be placed in an extremely precise position. Any degree of variation from near-perfect, will result oftentimes in a poor aesthetic result. There is very little wiggle room for error in this area of the mouth.

      Sometimes very soft bone allows the implant to drift during the final placement off of Center. This can often be prevented by the use of a computer generated surgical guide and or a highly experienced dental implant surgeon.

      In general the OPG panoramic x-ray is not a great x-ray for evaluating the position of front teeth dental implants. There is a lot of distortion in that type of an x-ray. Atypical, intraoral x-ray we call a periapical x-ray is better but this still only told you the two-dimensional placement. Do not always believe what you see on x-ray…. It is ultimately the real position in your mouth which is going to dictate the final result being what you desire.

      Nothing can be done except for to wait for bone healing to take place or to remove and replace the implant before integrates.

      Very respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      January 4, 2015 at 5:26 pm Reply
  7. Gina

    Thank you for your time doc…you are really awesome! I am moving to Cali in 6 months and I will come see you…i need a graft!

    August 19, 2014 at 6:17 pm Reply
    1. Ramsey Amin DDS

      thank you!

      Dr. Amin 😉

      August 25, 2014 at 4:09 am Reply
  8. Hi Cheryl,
    What you are describing would be the most perfect material in the world! A synthetic material that can do all that you describe is not in existance yet.
    As for the second question, it sounds like you are describing connecting implants to natural teeth.
    Connecting implants to natural teeth is not recommended. Implants and teeth move slightly and they move differently. Often times, the tooth they are connected to is lost from decay due to this movement over time.
    It is a last resort.
    Ramsey A. Amin, D.D.S., D.A.B.O.I.
    Diplomate of the American Board of Oral Implantology /Implant Dentistry
    Fellow-American Academy of Implant Dentistry

    September 8, 2010 at 2:14 pm Reply
  9. Cheryl O'Bryan

    Is there any synthetic material that now builds up bone without having to use bovine or cadeaver or a persons own bone that could increase height and/or width that won’t cause the material to shrink or collapse over time so the implant will stay?
    Also, is there a way to replace a bridge that already exists by removing the bridge that is attached to the far lower back tooth that has to be removed and is attached to the side teeth thus creates a bridge for 2 teeth in the middle that are missing? Can an implant hold up a bridge this way? ex. implant where back tooth would be; space( bridge ), space( bridge ), and then bridge over 2 side teeth.

    August 25, 2010 at 3:40 pm Reply
  10. Hi Cheryl,
    Let your implant dentist guide you here as each bone graft is so unique.
    I use all types of bone from your own, human donor bone bone, cow bone or synthetics. I have done so for 10 years.
    More important than the type of bone used is that it is the right type for YOUR situation. Surgical technique of your dentist is critical to the result.

    July 20, 2010 at 10:17 pm Reply
  11. Cheryl O'Bryan

    What material do you use to fill up the socket on a lower back tooth extraction?
    If the lower side teeth are missing and you need to build height what type of material do you use to grow bone?
    I read the discussion about bmp, prp, etc. already.
    I need to have my lower back tooth removed and then since I am missing the 2 teeth next to that which a bridge is over my 2 side teeth connected to that back tooth I am looking for opinions on what is the best and safest and non allergenic materials to use for this.
    I am in florida….wish I was in CA. and am looking for wise opinions.
    Thank you!

    July 20, 2010 at 3:55 pm Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!