Bone grafting Periodontal treatment
A dental bone graft adds bone or a bone substitute where the jaw is too thin or short for an implant, or fills a socket after extraction to keep its shape. The graft acts as a scaffold that the body replaces with its own bone over four to nine months.
Why is bone grafting needed?
After a tooth is lost, the jaw ridge shrinks most in the first months. A thin ridge cannot hold an implant. Grafting at extraction (socket preservation) keeps the ridge; ridge augmentation rebuilds one that has already narrowed.
What are the types of bone graft?
- Autograft: the patient's own bone.
- Allograft: processed human donor bone.
- Xenograft: processed bovine or porcine mineral.
- Alloplast: synthetic materials.
Membranes cover the graft to keep gum tissue out while bone forms.
More on bone grafting
- Bone graft materials: Bone graft materials come from four sources: the patient's own bone (autograft), processed human donor bone (allograft), cattle or pig bone mineral (xenograft) and lab-made minerals (alloplast).
- Socket preservation after extraction: Socket preservation places bone graft material in a tooth socket at the extraction visit, usually under a collagen membrane or sponge, to limit shrinking of the jaw ridge as it heals.
- Ridge augmentation: Ridge augmentation rebuilds a jaw ridge that is too thin or too short for an implant, adding width (horizontal) or height (vertical) with particulate grafts under a membrane, bone blocks, ridge splitting or tenting screws.
- Guided bone regeneration (GBR): Guided bone regeneration (GBR) covers a bone graft with a barrier membrane that keeps soft tissue cells out of the defect, so bone-forming cells from the surrounding jaw can fill it.
- Sinus lift types: lateral window and crestal: A lateral window sinus lift reaches the sinus floor through a small window in the side of the upper jaw, and a crestal (osteotome) lift raises the floor through the implant hole from below.
- PRF and growth factors: PRF and PRP are concentrates spun from the patient's own blood, and Emdogain, rhPDGF-BB (GEM 21S) and rhBMP-2 (INFUSE) are FDA-approved biologics added to periodontal or bone grafts.
- Bone graft recovery day by day: Recovery from a dental bone graft comes in stages: the gum heals over 1 to 3 weeks, and the graft then matures into bone over months before an implant.
- Periodontal regeneration: Periodontal regeneration regrows the bone, ligament and root cementum that hold a tooth, in deep bone defects beside a root (intrabony defects) and between the roots of molars (furcations).
- Bone graft failure: A dental bone graft fails when infection, exposure through the gum or poor healing leaves too little new bone for an implant.
Questions
Is a bone graft painful?
It is done under local anesthetic. Soreness and swelling for several days is typical.
Sources
Bone grafting In Florida
Practices whose own website has a page for this treatment. Each name opens the practice record.
Southeast
DIDental Implant Center of MiamiBay Harbor Islands · 4.9 stars, 485 reviewsPSPeriodontal SolutionsMiami · 5.0 stars, 785 reviewsSFSouth Florida Periodontics and Dental ImplantsMiami · 5.0 stars, 896 reviewsSCStuart Center for Laser Periodontics & ImplantsStuart · 5.0 stars, 580 reviewsBPBroward Periodontics & Implant DentistryHollywood · 5.0 stars, 398 reviewsGPGallardo Periodontics and Implant DentistryMiami · 4.9 stars, 659 reviewsFIFlorida Institute for Periodontics & Dental ImplantsWest Palm Beach · 4.9 stars, 252 reviewsFDFerber Dental Group: Dr. Brian Ferber DMD & AssociatesGreenacres · 4.7 stars, 837 reviewsPBPalm Beach PeriodonticsWest Palm Beach · 4.9 stars, 167 reviewsAGAndre Grenier, DMD, PLLCPlantation · 5.0 stars, 717 reviewsGPGarazi Periodontics and Dental ImplantsMiami · 5.0 stars, 633 reviewsVIVero Implants & PeriodonticsVero Beach · 5.0 stars, 283 reviewsIDImplantation Dental CenterPlantation · 5.0 stars, 163 reviewsMCMcCawley Center for Laser Periodontics & ImplantsFort Lauderdale · 4.9 stars, 1,531 reviewsMIDr. Mark I. Gutt, DMD, PAMiami Beach · 5.0 stars, 350 reviewsBCBroward Center for Laser Periodontics & ImplantsFort Lauderdale · 4.9 stars, 286 reviewsPPPrecision Periodontics & Implant Dentistry: Daniel S. Lauer, DMDJupiter · 5.0 stars, 181 reviewsMHMiami Healthy SmilesMiami · 4.9 stars, 411 reviewsMIDr. Mark I. Gutt DMD, PAKey West · 4.9 stars, 144 reviewsNBNorth Broward Center for Laser Periodontics & ImplantsDeerfield Beach · 5.0 stars, 316 reviewsCRCōR PerioNorth Miami Beach · 4.9 stars, 503 reviewsCSCoral Springs SmilesCoral Springs · 4.7 stars, 478 reviewsJEDr. Jason Ehrenman D.M.D. M.S.D.North Palm Beach · 5.0 stars, 137 reviewsTATotal Arch Dental Implant CenterStuart · 4.9 stars, 50 reviewsREDr. Rafael E CorderoPalm Beach Gardens · 4.9 stars, 198 reviewsNANeil A. Friedman, DMD PAKey Biscayne · 5.0 stars, 376 reviewsDBDelray Beach Laser Periodontics and Implants, P.A.Delray Beach · 4.9 stars, 253 reviewsBPBoca PerioBoca Raton · 4.9 stars, 267 reviewsSPSapphire Periodontics and Implant Dentistry (formerly Dr. Leiderman)Plantation · 4.9 stars, 147 reviewsRARomanoPerio & Associates, P.A.Miami · 5.0 stars, 175 reviewsMKMiller & Korn Periodontics and Implant Solutions: Robert J Miller DMD, Randi J Korn DMDPlantation · 4.8 stars, 121 reviewsBEBeatriz E. Terry, D.D.S., M.S., P.A.Miami · 5.0 stars, 101 reviewsFDFlorida Dental RejuvenationDelray Beach · 4.9 stars, 106 reviewsHWHoward W Rosa DMD Dental Implants PeriodontistBoca Raton · 4.9 stars, 58 reviewsPBPalm Beach PeriodonticsBoynton Beach · 4.9 stars, 121 reviewsRCRaul Cook, DDS, MSD Periodontics & Dental ImplantsFort Lauderdale · 4.9 stars, 147 reviewsOPOasis PerioFort Lauderdale · 5.0 stars, 64 reviewsDSDesigner Smiles, FLCoral Springs · 4.5 stars, 65 reviewsJRJorge R. Blanco, DDSSouth Miami · 5.0 stars, 80 reviewsPIPeriodontal & Implant ExcellenceWest Palm Beach · 4.8 stars, 39 reviewsMLMiami Lakes Periodontal Associates: Robert A. del Castillo, DMD, PAHialeah · 4.3 stars, 43 reviewsHPHescheles Periodontal Laser & Implant CenterBoynton Beach · 4.9 stars, 32 reviewsDNDiaz-Norrman Angel DDSMiami · 4.5 stars, 34 reviewsMFDr. Mark ForrestPembroke Pines · 4.6 stars, 25 reviewsBRBoca Raton Periodontics: Goldfarb Randy DDSBoca Raton · 4.7 stars, 25 reviewsBDBGR DentalWest Palm Beach · 4.3 stars, 39 reviewsFDFerber DentalBoca Raton · 3.9 stars, 16 reviewsODOzga DentalPompano Beach · 4.7 stars, 14 reviewsFIFlorida Institute for Periodontics & Dental ImplantsWellington · 5.0 stars, 2 reviewsWPWellington Periodontal AssociatesWellington · 4.4 stars, 13 reviewsSFSouth Florida Periodontist: Aventura FLAventura · 5.0 stars, 1 reviews
Tampa Bay
SPSt. Petersburg Dental Implant CenterSt. Petersburg · 4.9 stars, 90 reviewsTBTampa Bay Periodontics and Implant DentistryWesley Chapel · 4.9 stars, 54 reviewsTBTampa Bay Dental Implants & PeriodonticsSt. Petersburg · 4.9 stars, 463 reviewsRPRubino Periodontics & Implant DentistryLakewood Ranch · 4.9 stars, 615 reviewsIDImplant Dentistry Periodontics & Facial RejuvenationWesley Chapel · 4.8 stars, 292 reviewsTBTampa Bay Periodontics and Implant DentistryTampa · 4.9 stars, 292 reviewsNTNorth Tampa Periodontics & Implant DentistryTampa · 4.9 stars, 335 reviewsIPImplant & Periodontal TherapyTampa · 4.9 stars, 239 reviewsPHPeriodontal Health CenterNew Port Richey · 4.9 stars, 522 reviewsRPRubino Periodontics & Implant DentistryBradenton · 4.9 stars, 564 reviewsBPBritten Periodontics & Implant DentistryClearwater · 4.9 stars, 311 reviewsRPRasmussen Periodontics and Implant DentistryWesley Chapel · 4.9 stars, 369 reviewsTBTampa Bay Periodontics and Implant DentistryBrandon · 4.9 stars, 64 reviewsCICrawford Implant Dentistry & Laser PeriodonticsSt. Petersburg · 4.9 stars, 636 reviewsCPContemporary Periodontics & Implant DentistrySt. Petersburg · 5.0 stars, 500 reviewsRPRubino Periodontics & Implant DentistryParrish · 4.9 stars, 78 reviewsPHPeriodontal Health CenterTampa · 4.9 stars, 410 reviewsPPPinellas Periodontics & Implant Dentistry at ClearwaterClearwater · 4.5 stars, 58 reviewsSPSouthbay Periodontics & ImplantologyRiverview · 4.8 stars, 160 reviewsESEdward S Mortellaro Jr DMD PABrandon · 4.9 stars, 192 reviewsIPImplant & Periodontal TherapyClearwater · 4.8 stars, 102 reviewsBLBrandon Lakes Periodontics & Dental ImplantsBrandon · 4.5 stars, 80 reviewsTMTorres Maria DDSTampa · 4.4 stars, 25 reviewsCPChurney PeriodonticsClearwater · 4.4 stars, 21 reviewsTBTampa Bay Dental Implants & PeriodonticsLargo · 5.0 stars, 7 reviewsBABird Alberto M DDSLargo · 4.3 stars, 11 reviews
Southwest
RJRyan J Donovan DMD, MS, PA Periodontics And Dental ImplantsFort Myers · 4.9 stars, 145 reviewsSPSarasota Periodontal AssociatesVenice · 4.9 stars, 270 reviewsNPNaples PeriodontistNaples · 5.0 stars, 691 reviewsPPParadise PeriodonticsSarasota · 4.9 stars, 265 reviewsNDNaples Dental and Wellness CenterNaples · 5.0 stars, 577 reviewsSPSarasota Periodontal AssociatesSarasota · 4.9 stars, 477 reviewsFDFlorida Dental Implant InstituteNaples · 5.0 stars, 124 reviewsTMTyler M. Blackenburg, DMDNorth Port · 5.0 stars, 772 reviewsBPBonita Periodontics & ImplantsBonita Springs · 4.9 stars, 353 reviewsTPTaschner PeriodonticsFort Myers · 4.9 stars, 172 reviewsRCRyan C. Taylor Periodontics & Dental ImplantsSarasota · 4.8 stars, 538 reviewsPIPeriodontics and Implant Center of NaplesNaples · 5.0 stars, 144 reviewsRPRusso Periodontics: John Russo, DDS, MHSSarasota · 5.0 stars, 43 reviewsPCParadise Coast PeriodonticsNaples · 5.0 stars, 80 reviewsSPSarasota Periodontal AssociatesLakewood Ranch · 4.8 stars, 200 reviewsPPerioHealthPunta Gorda · 5.0 stars, 143 reviewsONOlde Naples PeriodonticsNaples · 4.9 stars, 49 reviewsGMDr. George M. Kazakos, DMDFort Myers · 4.9 stars, 45 reviewsPCParadise Coast Periodontics, Scott F. Johnson DMD, MS, LLCBonita Springs · 5.0 stars, 41 reviewsVPViruet Periodontics and Dental ImplantsFort Myers · 4.9 stars, 55 reviewsPPerioHealthNaples · 5.0 stars, 12 reviewsSISpecialists In PeriodonticsCape Coral · 2.6 stars, 9 reviews
Central
LPLakeland Periodontics & Implant DentistryLakeland · 5.0 stars, 1,580 reviewsCFCentral Florida Oral, Facial and Periodontal Surgery and Dental ImplantsThe Villages · 4.8 stars, 331 reviewsPPPolk Periodontics Dental Implant CenterWinter Haven · 5.0 stars, 682 reviewsCFCentral Florida Periodontics & ImplantologyWinter Park · 5.0 stars, 503 reviewsPPPrecision Periodontics and Dental ImplantsWinter Garden · 4.8 stars, 147 reviewsBPBergens Periodontics & Implant Dentistry of DaytonaDaytona Beach · 4.9 stars, 266 reviewsVPVillage Periodontics & Dental Implant CenterOxford · 4.9 stars, 755 reviewsTPTomoka Periodontics and Implant DentistryOrmond Beach · 4.9 stars, 497 reviewsTPTomoka Periodontics & Implant DentistryDaytona Beach · 5.0 stars, 500 reviewsWWWhite Wolf Dental GroupPort Orange · 4.8 stars, 821 reviewsHPHamlin Periodontics & Implant DentistryWinter Garden · 5.0 stars, 208 reviewsWPWinter Park Periodontics & Implant DentistryWinter Park · 4.5 stars, 50 reviewsPEPinnacle Endodontics, Periodontics, and ImplantsOrlando · 4.9 stars, 186 reviewsLNLake Nona Dental Implants and Periodontics of OrlandoOrlando · 4.9 stars, 46 reviewsKPKennedy Periodontics, Implant DentistryLake Mary · 3.9 stars, 29 reviewsJKDr. Jeff Kim, DDSPort Orange · 4.9 stars, 19 reviewsPIPeriodontist in VeroMelbourne
North
BPBergens Periodontics & Implant Dentistry of Palm CoastPalm Coast · 4.9 stars, 251 reviewsAIAmelia Island PeriodonticsFernandina Beach · 4.9 stars, 462 reviewsDSDental Specialists of North FloridaSt. Augustine · 4.8 stars, 210 reviewsNFNortheast Florida Periodontics & Dental ImplantsJacksonville · 4.9 stars, 229 reviewsJCJacksonville Center for Prosthodontics and Implant DentistryJacksonville · 4.9 stars, 291 reviewsSSStephen Strout, DMD, MS, PASt. Augustine · 3.3 stars, 15 reviewsDSDental Specialists of North FloridaPalm Coast · 4.8 stars, 84 reviewsTRTwin Rivers PeriodonticsJacksonville · 5.0 stars, 297 reviewsTPTomoka Periodontics and Implant DentistryPalm Coast · 5.0 stars, 70 reviewsLRDr. Leah R. StrangeOcala · 5.0 stars, 29 reviewsDJDarby & Johnson, P.A.: Darby Jr John F DDSOcala · 4.8 stars, 24 reviewsRWDr. Richard W. Oliver Jr, DMDGainesville · 4.6 stars, 16 reviewsDSDental Specialists of North FloridaSt Johns · 5.0 stars, 2 reviewsYKYoung, Kirk H MS DDSOrange Park · 4.1 stars, 9 reviewsGEDr. Gregory E. Oxford, DDSSt. Augustine · 5.0 stars, 5 reviews
Panhandle
PPPensacola Periodontics and Implant DentistryPensacola · 4.9 stars, 309 reviewsPAPeriodontal Associates of North FloridaTallahassee · 4.9 stars, 1,650 reviewsCPCoastal PeriodonticsFort Walton Beach · 4.9 stars, 331 reviewsBIBay Implant, Perio, and EndoLynn Haven · 4.9 stars, 424 reviewsPCPanama City Implants & PeriodonticsPanama City · 4.9 stars, 551 reviewsPIPeriodontics & Implant Dentistry of TallahasseeTallahassee · 4.9 stars, 871 reviewsCPCapital Periodontal AssociatesTallahassee · 5.0 stars, 415 reviewsECEmerald Coast PeriodonticsNiceville · 4.9 stars, 39 reviews
Treatments Read next
LANAP laser gum surgeryLANAP (Laser-Assisted New Attachment Procedure) treats periodontitis with the PerioLase MVP-7, a 1064 nm Nd:YAG laser made by Millennium Dental Technologies.Laser gum surgeryLaser gum surgery uses light energy in place of a scalpel to remove diseased gum tissue, reduce bacteria and reshape gums.
Scaling and root planingScaling and root planing (SRP) is a deep cleaning that removes tartar and bacteria from the tooth roots below the gumline, under local anesthetic.
Gum graftingA gum graft places new tissue over an exposed root or thin gum to stop recession, cover the root and reduce sensitivity.Pinhole gum rejuvenationThe Pinhole Surgical Technique treats receding gums through a small opening in the gum.
Crown lengtheningCrown lengthening removes gum, and often a small amount of bone, to expose more of a tooth.