What If You Do Not Have Enough Bone For A Dental Implant?

Comprehensive guide to bone augmentation procedures including ridge expansion, bone grafts, sinus lifts, and distraction osteogenesis for successful dental implant placement when jawbone is insufficient

What If You Do Not Have Enough Bone For A Dental Implant?
Dr. Rob Jung _

If you've lost a tooth and want to fill in the empty space, a dental implant might be the solution. These are cosmetic replacements that have a titanium root that threads into the jawbone. Dental implants look like real teeth, and they function like them too.

Unfortunately, some people struggle with not enough bone for dental implant procedures to be effective. Without enough jawbone, the implant cannot stay in place. Not having enough bone for a dental implant does not mean that having an implant is impossible. There are solutions and treatments for people without enough bone for dental implant procedures.

Causes of Bone Loss

Bone loss happens for several reasons. The most common reasons include atrophy, infection, or trauma. Bones will atrophy when they haven't been used, so they begin to shrink or progressively deteriorate through resorption. As people age, their bones will also go through resorption.

Dental issues like gum disease or wearing dentures can also cause bone loss. If you have had problems at some point in your bone development, the bone loss may make it difficult for a dentist to implant an artificial tooth.

Treatment Options for Those With Bone Loss

On a positive note, there are treatment options available for people without enough jawbone for a dental implant.

Ridge Expansion

If you need more jawbone for a dental implant, dentists can perform a ridge expansion procedure. This is a bone graft procedure that is used when the jaw is too narrow. Dentists can insert the implant as soon as they complete the expansion, or they can choose to wait until the ridge heals. Dentists carry out this procedure in their offices and with a local anaesthetic.

Bone Grafts

A bone graft involves an overnight stay and general anaesthesia, as it requires a surgeon to remove bone from a spot in your body and graft it to your jawbone. Often, the bone comes from the hip or shin. Some surgeons are able to use bones from animal sources if you would prefer.

Sinus Elevation

Another choice is a procedure called a sinus elevation or a sinus lift. A surgeon fills the maxillary sinus with bone to increase the height of the upper jaw. Dentists might recommend this procedure if the upper jaw does not have enough bone to sustain an implant. The maxillary sinus is above the back teeth on the sides of the nose.

Distraction Osteogenesis

Distraction osteogenesis is a procedure that separates bone into two pieces to increase the size of the bone. The procedure is popular because it can increase bone size in any direction.

Usually, a surgeon will cut the jawbone and then insert a titanium connector with pins or screws to hold the bone in place. The patient unscrews the titanium connector a little bit each day, allowing the bone to grow broader or taller. Eventually, a surgeon removes the connector; then, the dentist can insert the implant.

Sources and References

  1. [1]
    Biomechanical and radiological assessment of immediate implants for alveolar ridge preservation
    BMC Oral Health (PubMed Central)
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6243806/
  2. [2]
    Comparative Bone Graft Evaluation for Dental Implant Success: An Evidence-Based Review
    Journal of Long-Term Effects of Medical Implants
    https://pubmed.ncbi.nlm.nih.gov/34369720/
  3. [3]
    Maxillary Sinus Lift Procedures: An Overview of Current Techniques, Presurgical Evaluation, and Complications
    Journal of Clinical Medicine (PubMed Central)
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10753870/
  4. [4]
    Bone expansion as a horizontal alveolar ridge augmentation technique: a systematic review and meta-analysis
    Clinical Oral Investigations
    https://pubmed.ncbi.nlm.nih.gov/39808204/
  5. [5]
    Alveolar distraction osteogenesis for dental implant treatments of the vertical bone atrophy: A systematic review
    Journal of Investigative and Clinical Dentistry (PubMed Central)
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6344013/

All sources accessed and verified on . Medical information reviewed for accuracy and compliance with current guidelines.

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Medically Reviewed

Reviewed by Dr. Nasim Mechoui , BDS (Bristol)

Published:
Updated:

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Dr. Rob Jung

Award-winning cosmetic and implant dentist specializing in smile makeovers and dental implants in London.

Experience: 10+ years

Dr. Rob Jung is an award-winning cosmetic and implant dentist with a passion for creating beautiful, healthy smiles. He specializes in comprehensive smile makeovers and advanced implant procedures, offering patient-centered care with flexible payment options.

Education

  • Dentistry
    Medical University of Łódź, Poland (2016)

Certifications

  • GDC Registration
    General Dental Council (2017)
  • Digital Dentist of the Year
    Industry Award (2021)
Cosmetic Dentistry Implant Dentistry

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