Why is a Bone Graft Necessary?

Bone Grafting
Bone Grafting
We are top New York periodontists and dental implant specialists focusing on placing dental implants in Manhattan, NY. For over 12 years we have performed numerous Bone Graft procedures and are very familiar with risks and complications related to bone grafts. If required we use CDC approved Freeze-dried bone allograft (FDBA) and Demineralized freeze-dried bone allograft (DFDBA) and use guidelines of the American Association of Tissue Banks (AATB) with respect to procurement, processing, and sterilization of bone grafting in Manhattan.

Our highly specialized dental implant center located in Midtown, New York. Dr. Daniel Royzman and Dr. Daria Royzman uses latest dental equipment available on the market today and provides highly personalized and comprehensive care. D&D Periodontal & Implant Surgery Center under management of top NYC periodontists, offer best periodontal and dental implants procedures to patients from New York City area.


If you have inquired about dental implants but have been informed you will need a bone graft, this might be a bit disconcerting. You can rest assured that a bone graft (see: Bone Grafting) is a very straightforward Tissue Regeneration procedure and sometimes it can be carried out at the same time as the dental implant placement, or even when a tooth is extracted (see: Tooth Extraction).

It is necessary for your dental implant dentist to ensure there is a certain amount of healthy bone surrounding the dental implant and this usually needs to be several millimeters. This provides a strong foundation for the implant so it will be firmly anchored in the jawbone. Without sufficient bone there is an increased risk that the implant would eventually fail and it would not be strong enough to support the replacement tooth.

The initial diagnostic tests, in particular the CT scan will show your dentist the amount of available bone you have and mass.

Why Do We Lose Bone?

A natural tooth has a long root which extends into the jawbone. Every time you bite down, force is placed on the tooth which is then transmitted through the crown of the tooth, down into the tooth root and out into the surrounding jawbone. The stimulation provided by chewing and biting is very important as it tells the body to keep replacing old and dying bone cells, maintaining the overall mass and density of your jawbone.

Once a tooth root is removed, this stimulation is lost and the bone is gradually reabsorbed. Much of this reabsorption takes place within the first year of tooth loss, so if you are considering dental implants it is better to get them done sooner rather than later.

You can also lose bone due to injury or infection. Periodontal disease is particularly destructive and will eat away at the bone surrounding a tooth, eventually leading to tooth loss. The bony socket surrounding a tooth may be damaged if a tooth is knocked out.

Are There Different Types of Bone Grafts?

Yes, depending on the amount of bone to be replaced and the position in the mouth. The bone will be built up to provide a large enough ridge in which to insert the dental implant post. This could mean increasing the width or height and can be done using a number of different procedures.

If you need dental implants to replace upper back teeth then you may need a sinus graft or lift. This is very common as the bone in this area tends to be thinner because it is near to the sinus cavities. During this procedure your implant dentist will lift up the membrane in between the jawbone and the sinus cavity so they can insert bone graft material into the empty space.

Where Do Bone Grafts Come From?

You can use bone from another location in your mouth or body, or the bone can be donated and will be carefully screened and sterilized to ensure it is safe for use. Another possible option is an artificial bone graft, made from an artificial material that helps to promote the growth of new bone cells.

See more on Bone Allografts from CDC.GOV

Very often the bone graft will be made from an artificial material that helps to promote the growth of new bone cells. Usually, a collagen membrane is used, that helps to stimulate new bone cell production and which is gradually reabsorbed by the body.

For more information about dental implants options offered in Midtown, NYC as well as periodontal treatment options please contact our Manhattan, NYC center:

D & D Periodontal Associates, P.C.
57 W 57th St #605
New York, NY 10019
Phone: (212) 759-7763