“Can you get bone graft and implant at the same time?”
I want to replace my missing tooth. Can you get a bone graft and implant at the same time?
2 Answers
DentalHygienistDentist
Jeremy Egan
Dentist
Yes, it is often possible to perform a bone graft and place a dental implant simultaneously, depending on the extent of bone loss and the specific needs of your case. This combined approach, known as a simultaneous implant and bone grafting procedure, can save time by allowing the implant to be placed without waiting months for a separate bone graft to heal. Dr. Jeremy Egan, DMD, MD, at Elite Oral and Maxillofacial Surgery of Oklahoma, can assess whether you’re a good candidate for this approach based on your bone quality and the location of the implant.
When Bone Grafting and Implant Placement Can Be Done Together
Minimal to Moderate Bone Loss
If you have mild to moderate bone loss but still have enough stable bone to support the implant, a bone graft can be added around the implant to enhance the bone structure and improve stability. This is often done with small grafts, such as bone chips or particulate grafting material.
Sufficient Bone Support for Initial Stability
For simultaneous implant and grafting, it’s essential that the implant can achieve initial stability in the existing bone. Dr. Egan will assess the area with imaging, such as a 3D cone beam CT scan, to ensure the implant can be placed securely.
Single Implants or Less Complex Cases
Simultaneous grafting and implant placement are commonly performed for single implants or less complex cases. For larger areas or significant bone grafts, a staged approach (performing the graft first, followed by implant placement after it heals) may be necessary.
Benefits of Getting a Bone Graft and Implant Together
Shorter Treatment Timeline: Combining the procedures reduces the need for separate surgeries and healing periods, allowing you to move forward with the implant crown sooner.
Preserves Bone Structure: Adding a graft during implant placement can help fill gaps and ensure that the surrounding bone grows around the implant, promoting long-term stability.
Supports Aesthetic Outcomes: For visible teeth, grafting with the implant can help shape the gum line and ensure natural-looking results.
When a Staged Approach is Better
In cases where there is significant bone loss or if a larger bone graft is required, Dr. Egan may recommend a staged approach. This involves performing the bone graft first and allowing it to heal for a few months before placing the implant. This staged method provides a strong foundation and increases the likelihood of successful osseointegration (bone fusion with the implant).
Types of Bone Grafting Materials Used in Combined Procedures
Autografts: Bone taken from your own body (often from another area of the jaw).
Allografts: Processed bone from a human donor, commonly used in dental grafting.
Xenografts: Bone derived from animal sources, usually bovine, and processed for safety and compatibility.
Synthetic Grafts: Biocompatible materials designed to encourage new bone growth.
Dr. Egan’s Evaluation Process
Dr. Egan will evaluate your bone structure, oral health, and specific needs to determine if simultaneous implant and bone grafting is a viable option. He may use advanced imaging to assess bone quality and density and to create a precise treatment plan.
At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan is experienced in advanced implant techniques, offering personalized solutions that fit your unique situation. Whether you’re a candidate for simultaneous placement or require a staged approach, Dr. Egan will guide you through the process to help you achieve a stable, long-lasting implant solution.
When Bone Grafting and Implant Placement Can Be Done Together
Minimal to Moderate Bone Loss
If you have mild to moderate bone loss but still have enough stable bone to support the implant, a bone graft can be added around the implant to enhance the bone structure and improve stability. This is often done with small grafts, such as bone chips or particulate grafting material.
Sufficient Bone Support for Initial Stability
For simultaneous implant and grafting, it’s essential that the implant can achieve initial stability in the existing bone. Dr. Egan will assess the area with imaging, such as a 3D cone beam CT scan, to ensure the implant can be placed securely.
Single Implants or Less Complex Cases
Simultaneous grafting and implant placement are commonly performed for single implants or less complex cases. For larger areas or significant bone grafts, a staged approach (performing the graft first, followed by implant placement after it heals) may be necessary.
Benefits of Getting a Bone Graft and Implant Together
Shorter Treatment Timeline: Combining the procedures reduces the need for separate surgeries and healing periods, allowing you to move forward with the implant crown sooner.
Preserves Bone Structure: Adding a graft during implant placement can help fill gaps and ensure that the surrounding bone grows around the implant, promoting long-term stability.
Supports Aesthetic Outcomes: For visible teeth, grafting with the implant can help shape the gum line and ensure natural-looking results.
When a Staged Approach is Better
In cases where there is significant bone loss or if a larger bone graft is required, Dr. Egan may recommend a staged approach. This involves performing the bone graft first and allowing it to heal for a few months before placing the implant. This staged method provides a strong foundation and increases the likelihood of successful osseointegration (bone fusion with the implant).
Types of Bone Grafting Materials Used in Combined Procedures
Autografts: Bone taken from your own body (often from another area of the jaw).
Allografts: Processed bone from a human donor, commonly used in dental grafting.
Xenografts: Bone derived from animal sources, usually bovine, and processed for safety and compatibility.
Synthetic Grafts: Biocompatible materials designed to encourage new bone growth.
Dr. Egan’s Evaluation Process
Dr. Egan will evaluate your bone structure, oral health, and specific needs to determine if simultaneous implant and bone grafting is a viable option. He may use advanced imaging to assess bone quality and density and to create a precise treatment plan.
At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan is experienced in advanced implant techniques, offering personalized solutions that fit your unique situation. Whether you’re a candidate for simultaneous placement or require a staged approach, Dr. Egan will guide you through the process to help you achieve a stable, long-lasting implant solution.

Daniel Javaheri
Dentist
Yes, you absolutely can. It just depends on a case by case basis. Some cases require bone grafting first to prepare adequate space for the implant. Therefore, it is best to have a consultation with an exam and X-rays to determine to correct course of action.