Bone Grafting: Procedure Details

For successful implant placement, a reliable “foundation” is required — a sufficient volume of jaw bone. However, after tooth extraction, the bone quickly becomes thinner (atrophies) because it stops receiving load.

Bone grafting in dentistry Kyiv is a procedure for building up bone tissue, which makes it possible to create a strong support for a future tooth. At the Crystal Dent clinic, we restore bone tissue quickly and painlessly, creating the conditions for your new smile.

Many patients are afraid of the term “surgery,” however, it is important to understand: bone grafting is a safe, predictable, and in many cases standard procedure for recreating lost bone volume using special biocompatible materials (grafts).

Bone tissue grafting in dentistry includes three strategic goals:

Creation of mechanical support

For an implant to withstand chewing load for years, it must be surrounded by healthy bone by at least 1.5–2 mm on all sides. Without this, the post may become mobile.

Ensuring aesthetics

Without sufficient “foundation” volume, the gum around the future crown will look unnatural, which is especially critical in the smile zone.

Protection of anatomical structures

Augmentation allows safe implant placement without damaging the maxillary sinuses in the upper jaw or the mandibular nerve.

Today, implantology and bone grafting are fields that complement each other. Dental bone grafting makes it possible to restore the integrity of the dental arch even in cases where dentists previously had to offer only inconvenient removable dentures.

The main reason a doctor prescribes bone grafting during dental implantation is a deficiency of jaw volume. The specialist determines the need for the procedure at the initial consultation after analyzing the CT scan.

Without a sufficient amount of tissue, the implant simply will not be able to fix reliably and over time will begin to loosen or be rejected.

Bone grafting has the following indications:

• Bone atrophy: a natural decrease in tissue volume that begins as early as 3–4 months after tooth loss.
• Long-term absence of teeth: if a tooth has been missing for several years, the bone in this area becomes thin and fragile.
• Bone grafting after tooth extraction: if the root was removed traumatically or there was severe inflammation at its site (cyst, granuloma), the socket must be restored.
• Traumas and inflammations: consequences of periodontitis or mechanical damage to the jaw.
• Preparation for implants: creation of an aesthetic gum contour so that the crown looks like a natural tooth.

Today, bone grafting during dental implantation allows restoration of the dental arch even in areas where the bone has almost completely disappeared.

In modern dentistry, there are several methods of jaw restoration. The choice depends on where exactly the volume is lacking and how pronounced the problem is.

Let us consider the main types:

Guided bone regeneration (GBR)

The most common method. The doctor places a special bone powder (graft) and covers it with a protective membrane. The membrane keeps the material in place and prevents soft gum tissues from growing inside prematurely.

Sinus lift

This is a specific sinus lifting and bone grafting procedure performed only on the upper jaw in the area of the maxillary sinuses. The doctor carefully raises the sinus floor and fills the formed space with material to “lengthen” the bone for implant placement.

Bone block grafting

The method is used in cases of severe tissue deficiency. Bone block grafting involves transplanting a small fragment of the patient’s own bone (taken from another area of the jaw). The block is fixed with titanium micro-screws and integrates very well, creating a strong foundation.

Combined bone grafting

In complex cases, the dentist may combine several methods. For example, using a bone block together with granulate (powder) to achieve an ideal contour. Combined bone grafting makes it possible to solve tasks of any complexity in one stage.

3D Bone Grafting

This is the most modern and precise approach. 3D bone grafting involves the use of individually manufactured frameworks or membranes based on computer modeling. This allows restoration of bone simultaneously in three planes (height, width, and thickness) with ideal accuracy.

Surgical bone restoration has its nuances depending on which jaw the manipulation is performed on. This is due to different bone density and the proximity of important anatomical structures.

Bone grafting of the upper jaw

The upper jaw is more porous and lighter. The main feature here is the proximity of the maxillary sinuses. If teeth have been missing for a long time, the sinus floor descends, and there is no space left for the implant. Therefore, sinus lifting is most often performed in this area.

Bone grafting of the upper jaw usually heals faster due to active blood supply, but requires caution so as not to damage the sinus mucosa.

Bone grafting of the lower jaw

The lower jaw is much denser and harder; it bears the main chewing load. When performing bone grafting of the lower jaw, it is important for the doctor to consider the location of the mandibular nerve.

Bone grafting of the alveolar ridge (the part of the jaw where the teeth are held) on the lower jaw often requires widening of a narrow ridge or the use of bone blocks due to the high density of the bone.

In general, jaw bone grafting is a standard and safe procedure. The time for complete integration of the material is from 3 to 6 months on the upper jaw and from 4 to 9 months on the lower jaw, after which final prosthetics can be performed.

Many patients are interested in the question: is it possible to avoid two separate surgeries and do everything at once? Modern techniques at Crystal Dent make this possible.

Bone grafting simultaneously with implantation is possible if the patient has at least a minimal volume of their own bone for primary fixation of the post.

Advantages of combining procedures:

• Time saving: you do not need to wait several months for the bone to integrate before placing the implant. The total treatment time is reduced by 4–6 months.
• One rehabilitation: you go through the healing period, antibiotic intake, and suture removal only once.
• Preservation of the gum contour: soft tissues begin forming around the implant immediately, which provides a better aesthetic result.

If the tissue deficiency is critical, the doctor will recommend separating the stages. First, the “foundation” is prepared, and after it is strengthened, the implant is placed.

In modern dentistry, this process is divided into clear stages so that the bone grafting operation proceeds quickly and without complications:

• Diagnostics: we perform a CT scan and create a 3D surgical plan.
• Preparation: anesthesia and antiseptic treatment.
• The procedure itself: the doctor places the bone material and fixes it. This takes from 40 minutes to 1.5 hours.
• Completion: suturing and care recommendations.

How the postoperative period goes and the final result depend on your rest in the first days.

• Sensations: slight swelling on days 2–3 is normal. Pain is easily relieved with standard painkillers.
• Timeframes: the gum heals in 10–14 days, and complete strengthening of the new bone takes from 4 to 6 months.

Main rules:

• Do not drink through a straw and do not rinse your mouth actively (only oral baths).
  ● Eat soft and warm food on the opposite side of the jaw.
  ● Avoid sports, saunas, and air travel for one week.
  ● Minimize smoking — it interferes with bone integration.

Choosing a clinic for surgical procedures is the key to your peace of mind and health. Bone grafting in dentistry Kyiv at Crystal Dent is a combination of high technologies and an individual approach to each case.

Why patients choose us:

Surgeons’ experience

Our specialists have performed hundreds of successful bone augmentation surgeries of any complexity — from closed sinus lifting to complex 3D grafting.

Modern biomaterials

We use only certified osteoplastic materials and membranes from leading global manufacturers (Switzerland, Germany).

Accurate 3D Diagnostics

Having our own modern equipment allows us to perform CT scans and plan the surgery in detail, eliminating any risks.

Safety and Sterility

We strictly follow antiseptic protocols. Your safety is our priority.

Predictable Result

Thanks to meticulous planning, you know in advance what your smile will look like after implantation.

The best confirmation of our quality is the grateful reviews of patients who have already restored their teeth at our clinic.

Many patients are concerned about the question: how much does bone grafting cost? It is important to understand that this is an individual procedure, and the final cost cannot be the same for everyone.

The price of bone grafting depends on several key factors:

• Volume of bone deficiency: augmentation in the area of one tooth will cost less than restoration of the entire jaw.
• Chosen method: for example, a closed sinus lift is technically simpler and more affordable than bone block transplantation.
• Materials used: the type of bone graft (synthetic or natural) and the need to install special protective membranes.
• Complexity of the clinical case: the presence of accompanying inflammations or proximity of nerve endings.

The doctor will draw up a detailed treatment plan, where all stages and materials will be specified, with no hidden payments.

If you need bone grafting before implantation or after tooth extraction, contact Crystal Dent dental clinic in Kyiv. Our surgeons will select the optimal method of bone tissue restoration and draw up an individual treatment plan. Schedule a consultation today to safely prepare for implant placement and restore a full smile.