The bone surrounding and supporting your teeth is there only to support the teeth. Over time, your body may naturally resorb this bone in the area of a missing or damaged tooth. When a tooth is lost or extracted, you can expect to see about a 30-50% loss in the surrounding bone within the first six months. This bone loss can weaken the foundation of your jaw, change your bite and cause cosmetic problems with your smile.

Dr. Israel Puterman conducts bone grafting treatments for patients to prevent these problems. He typically recommends grafting as part of other procedures, such as placing dental implants or restoring the full dental arch with All-on-4®. These dental restorations require a strong foundation that is capable of returning aesthetics and function to the teeth, and combining bone grafting with the procedures promotes more durable and predictable results.

The Purpose of Bone Grafting

Bone grafting replaces lost bone and encourages the growth of new bone around the teeth. The treatment offers additional support to natural teeth or provides a solid foundation for tooth replacements such as dental implants.

Dr. Puterman has expertise in a variety of bone grafting techniques, which means that patients can receive the care they require regardless of their needs. He has experience with both autogenous (your own bone) and alternative materials for bone grafts and can employ either to produce a lasting and aesthetically appealing result.

Dr. Puterman uses a specialized PiezoSurgery instrument to source and shape bone. This allows him to work much more gently and precisely than with a drill, improving your comfort during and after the procedure. Also, bone grafting patients receive leukocyte- and platelet-rich fibrin (L-PRF) as part of their care. L-PRF is an emerging recovery treatment that uses your body’s own natural ability to heal. Nearly every bone grafting patient will benefit from these advanced tools and techniques.

How Bone Grafting Works

Ridge Preservation

Dr. Puterman may conduct bone grafting for patients at the same time as extracting teeth and placing dental implants. This promotes the viability and durability of the dental implants.

Without bone grafting, the surrounding bone will begin to resorb away after a tooth extraction. Bone grafting prevents this type of resorption and helps ensure that there will be enough bone to retain the implant in a functional and natural-appearing manner.

Before & After Gallery

Example of what happens when no ridge preservation bone graft is done:

Ridge Augmentation

If you had a tooth extraction in the past, it’s possible that you did not receive bone grafting at the time. It’s also possible that the benefits of a previous graft have already diminished. As a result, you may have experienced bone resorption, which must be resolved before you receive a dental implant.

This type of bone grafting can take longer to heal, so it’s preferable that patients receive a ridge preservation graft (at the time of the extraction). In both approaches, Dr. Puterman can conduct the treatment in a variety of ways based on your needs and preferences.

Guided Tissue Regeneration

Due to disease, damage, or other causes, you may experience bone resorption around one of your natural teeth. Guided tissue regeneration is a form of bone grafting that addresses this concern.

In some cases, guided tissue regeneration can repair the loss of bone around the tooth. In other situations, this form of bone grafting may not offer the improvement patients need, and Dr. Puterman may recommend that they have the tooth extracted and replaced with a dental implant.

This x-ray show bone loss on the side of the tooth:


Sinus Grafting

When a tooth is lost in the back of the upper jaw, bone resorption tends to cause the sinus cavity to expand downwards. Sinus grafting allows Dr. Puterman to reshape the sinus cavity back to its natural form and to place dental implants in the back of the upper jaw. The approaches he uses offer predictable outcomes, and he can usually conduct the surgery while placing the implants. Explore our website for more details about sinus grafting.

What Patients Can Expect with Bone Grafting

Since patients typically receive bone grafting in combination with other procedures, grafts are usually a small but important part of their treatment. The skills that Dr. Puterman offers patients in his care promotes the durability of any tooth restoration that he performs.

The use of Piezo instruments makes bone grafting very manageable for most patients. Dr. Puterman can also employ different sedation and anesthetic techniques to ensure your comfort throughout the procedure, and the L-PRF treatment along with his specific anti-inflammatory recovery regimen will help you recover more quickly and easily.

Whether you require dental implants or need treatment to address bone loss around damaged teeth, Dr. Puterman can assist you with bone grafting.  Patients can learn more by scheduling an appointment online or by calling (301) 652-0939.