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Bone Grafting
Bone Grafting Rating 5 out of 5 based on 4 reviews

Bone Grafting

Dental Implants require sufficient bone of good quality and quantity in order for the dental implants to have stability once the implants are placed in the bone.

Generally speaking the human lower jaw has tougher and more dense bone compared to the upper jaw which usually has more softer bone.

Once a tooth is removed, the bone in the tooth socket starts to remodel and resorb and after several months, there can be a lot of bone loss in the tooth socket caused by the loss of that tooth.

The ideal time for implant placement is around 6-8 weeks after tooth extraction at which time soft tissue healing has occurred but a lot of bone loss has not yet occurred. Waiting 6-8 weeks also allows any infection remaining in the tooth socket to be cleared up.

At pearl dental clinic, we usually place our implants 6-8 weeks after extractions. At that time we inspect the bone quality and quantity and there can usually be three scenarios:

  1. One possibility is that there is insufficient bone present for implant placement and we will have to do bone augmentation to build-up the bone in that region. For bone augmentation we will use either donated human cadaver bone OR Bio-Oss (bovine derived) bone granules OR patients own bone. We will also use a porcine derived Bio-Gide membrane at that point.Bone augmentation can fail (~25% failure rate) and the bone graft can become infected or become loose and lead to graft failure, in which case it will need to be redone or a different treatment tried.Once bone grafting is carried out we will have to wait around 6 months for the patients own bone to grow into it before we can place the implant.
  2. The second possibility is that the bone is slightly insufficient, in which case we can place the implant and do bone grafting at the same time.We usually use Bio-Oss (bovine derived bone) and Bio-Gide (porcine derived membrane) along with placing the titanium implant.
  3. The third possibility is that there is sufficient bone present and we can place the implant without doing any bone grafting.Bone grafting is an important part of dental implantology and you can find our more about it on our bone grafting page.

For a better functional and cosmetic dental implant outcome, where needed we always carry out bone grafting. We can use the patient’s own bone, irradiated cadaver bone, synthetic bone or bovine derived bone. If bone grafting is not carried out in cases where it is necessary, it can lead to serious problems for the patient.

Case Study

Bone Grafting

Above you can see the case of a lady who presented to us with implants placed in the smile zone that should have had bone grafting but the implants were placed without bone grafting.

Bone Grafting

Bone Grafting

As a result the implant threads are exposed and her implant crowns look very long. To hide this, she has to permanently wear a removable plastic gum mask to cover the unsightly implant threads and the very long implant crowns. In such a case, doing bone grafting could have prevented these problems.

We try to avoid this disastrous outcome, by always doing bone grafting around implants that need bone grafting even if that delays treatment for a little while. Our aim is to achieve the best long term outcome and not to rush to complete as many cases as possible.

Bone Grafting


Pearl Dental Clinic is open 7 days a week from 9am to 9pm. You can book an appointment by calling us on 0208 547 9997 or emailing us or booking an appointment online


Latest Patient Reviews

  • Pearl Dental Clinic

    Very professional. Reception friendly. Dentist made me very welcome. He was very happy to explain treatment clearly. Treatment is not cheap but I think it is one of the best and thats why I am happy to travel 70 odd miles to attend.

  • Pearl Dental Clinic

    They lessen my fear and take care of my teeth.

  • Dear Madam/Sir,

    Niyi from East London

    I am delighted with the work done at the Pearl Dental Clinic and wish to express deep gratitude and thanks to Dr Mohsen Esfahani, Dr Dejan Dragisic and the staff at the clinic.
    Upon finding Pearl on the web I was immediately impressed by the professional highly informative website. After putting through the first tentative email hoping for an appointment I was again pleasantly surprised by the swift response, examination and commencement of work. The administrators at the clinic are polite, patient, professional, understanding and welcoming as are the dental support staff whose chair-side work is precise and efficient.
    I presented in late 2010 with quite upsetting dental problems. Dr Mohsen Esfahani has a manner that immediately puts one at ease. He shows and talks concisely through what he has seen, discusses a range of options and explains their pros and cons. Just being treated as an intelligent adult rather than a mouth that needs working on is very pleasing. His considerate and thorough manner is to be highly recommended and his dental work is beautiful, caring tooth restoration. My other, more surgical work, was done by Dr Dejan Dragisic who like Dr Esfahani I cannot praise enough. He is another warm, patient specialist who empathises with his patient and explains the procedure to be done and what to expect then works to produce results that are essentially beautiful and highly functional dental solutions.
    Another thing, probably of much importance to anyone visiting a dentist, is I found even the most involved procedures were relatively painless. The anesthetic system the clinic uses does indeed help make things comfortable.
    For the first time in years, thanks to the dentists at Pearl Dental Clinic, I can actually give a full and confident smile. All in all I have no hesitation in recommending the Pearl Dental Clinic and my faith in them is such that I would travel for hours for an appointment rather than go elsewhere.

    12 November 2011
  • Pearl Dental Clinic

    Impressive Implant!

    Why would anyone drive for 2 hours to a dentist when there are dozens within minutes away? In a word Professionalism.
    A dental implant is a big and expensive decision and I had put it off for years, being daunted by the process. Then, I found Pearl Dental Clinic on the internet. From the first contact, I knew I was dealing with people who knew their business and cared about their clients. The website is well designed and information was easy to find; however, additional queries were promptly answered both by email and the on-line chat option. The efficient, helpful and friendly responses inspired immediate confidence. The impression was reinforced when visiting the practice. Ash and Duniya were friendly and charming at reception; Ali Ganiwalla, the Practice Manager, was elegant efficiency personified; Dr Mohsen Esfahani displayed reassuring thoroughness and cultural sensitivity at the consultation and Dr Dejan Dragisic, the implantologist, was a supreme professional. Each stage of the process was clearly explained and options fully discussed, helping to dissipate nervousness and anxiety. All questions, whether relating to clinical, administrative or cosmetic issues were immediately answered by the team, leaving no doubt that I was in good, expert hands at all times.
    Dental implants are serious decisions and need serious professionals. Wherever you live, you would not want to make your choice without consulting Pearl. I wish I had known about them years ago! Thank you and well done for a truly first class service.

    28 April 2010