Dr. Eugenie Kim showing a patient a 3D scan of her teeth on a chairside screen

Bone Grafting & GBR: Building a Strong Foundation

When a tooth is lost, the surrounding jawbone can begin to shrink. Bone grafting and GBR help rebuild that support, making room for dental implants and helping preserve your facial contours.

What Are Bone Grafting and GBR?

Your jawbone is kept strong in part by the stimulation it receives from tooth roots. After a tooth is lost or extracted, the bone in that area can gradually shrink in both height and width.

A bone graft places bone-building material where the bone is thin or missing. It acts as a framework that your own body gradually replaces with new bone.

Guided Bone Regeneration (GBR) adds a protective barrier membrane over the site. The membrane keeps faster-growing gum tissue out of the area, giving new bone the time and space it needs to form.

A gloved hand pointing at a 3D scan of a dental arch on a monitor

When Is Bone Grafting Recommended?

  • Preparing for Dental Implants: An implant needs enough healthy bone around it to stay stable over the long term.
  • After a Tooth Extraction: Grafting the empty socket can help limit the shrinkage that typically follows, keeping future options open.
  • Long-Standing Tooth Loss: When teeth have been missing for some time, the ridge may have narrowed too much to support an implant without rebuilding.
  • Bone Loss from Gum Disease or Infection: Certain bone defects can be rebuilt once the underlying problem has been treated.
Dr. Eugenie Kim reviewing a 3D scan with a patient

What to Expect During Treatment

  1. 01

    3D Imaging & Planning

    We use CBCT imaging to measure your bone and plan the graft around your anatomy and your long-term goals.

  2. 02

    Comfortable Numbing

    The area is fully numbed with local anesthetic before anything begins.

  3. 03

    Graft & Membrane Placement

    The graft material is placed where it is needed and, for GBR, covered with a protective membrane. The gum is then closed over the site.

  4. 04

    Healing

    New bone forms gradually, often over several months. Healing time varies with the size of the graft and your own healing, and we follow your progress with checkups.

  5. 05

    Your Next Step

    Once the site has healed, we confirm the result with imaging and plan your implant or restoration.

Common Types of Grafting Procedures

The approach depends on where bone is needed and how much. After reviewing your 3D imaging, we will explain which option fits your situation and which graft material we recommend:

  • Socket Preservation: A graft placed right after an extraction to help limit the bone loss that follows.
  • Ridge Augmentation: Rebuilds the width or height of a jawbone ridge that has already shrunk, often using GBR.
  • Grafting at the Time of Implant Placement: When there is enough bone to stabilize the implant, smaller areas can sometimes be grafted during the same visit.

Frequently Asked Questions

Is bone grafting painful?

The procedure is done under local anesthetic, so you should feel pressure rather than pain. Some swelling and soreness are normal for a few days afterward, and we will give you clear instructions for managing them.

How long before I can get a dental implant?

It depends on the size and type of graft. Smaller grafts may be placed at the same visit as the implant, while larger ones often need several months of healing first. We will give you a timeline based on your imaging.

Do I always need a bone graft before an implant?

No. Many patients have enough bone for an implant without grafting. A 3D scan shows us how much bone is available so we can tell you whether a graft is needed.

What should I do while the graft heals?

Follow your post-operative instructions, avoid disturbing the area, and keep your follow-up visits. Smoking can interfere with healing, so we recommend avoiding it during recovery.

Do You Take My Insurance?

We believe treatment decisions should be guided by your individual needs, not insurance restrictions. Our team is happy to assist with questions about treatment fees, insurance claims, and financing options.

  • Fee-for-service, out-of-network practice
  • Insurance claims submitted on your behalf as a courtesy
  • Flexible financing through Cherry, subject to approval
  • We do not accept Denti-Cal or HMO plans
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