Can you have a bone graft and dental implant at the same time? Yes — in many cases the graft and implant are placed in a single visit, a technique called guided bone regeneration. Where bone loss is more severe, the graft is placed first and the implant follows after three to six months of healing. A CT scan tells us which route is right for you.
So, you need a dental implant and bone graft. What exactly does it involve?
A dental implant is the best solution once a tooth has been removed. It’s fixed in place; you can brush and floss around it like your natural teeth. It’s the closest thing we can give you to having your natural tooth (or teeth!) back.
Teeth often need to be removed as they may be infected or have fractured. The problem here is twofold. Firstly, whenever a tooth is removed, you’ll naturally lose some bone. Secondly, if you have a big infection, or the tooth is difficult to remove, this can cause more damage to the bone. This can result in not having enough bone to be able to place a dental implant or having JUST enough to squeeze an implant in. And trust me, squeezing in an implant is a BAD idea.
What exactly is bone grafting? As the name suggests, it replaces missing bone. There are so many different methods and materials we can use when we place dental implants with bone graft. It very much depends on how much bone is missing and where the implants need to go.
What are the options for bone grafting? Well, you can use some of your bones. The only downside of this is that you have to take it from elsewhere in your mouth. The benefits of using your bone are incredible. Your body regenerates FULLY (assuming the correct technique has been used). This leads to stable results in the long run.
Other options are to use materials that are either synthetic, human, or animal in origin. These materials have their indications and can’t be used in every circumstance. These materials are generally enhanced by adding some of your own bone.
It’s quite common for dental implants with bone grafts to be performed at the same time. This is often referred to as ‘guided bone regeneration’ and when performed correctly, this is a predictable procedure. The key phrase here is ‘when performed correctly’.
Bone grafting, while predictable, is a difficult procedure to perform. Most dentists dislike doing it. Dr. Pav Khaira is a dedicated implant surgeon with significant advanced training in implants, including a master’s degree, who accepts referrals from other colleagues for the treatment of complex cases. What this means for you is you will be treated by a professional who ONLY undertakes implant treatment, has extensive training and experience, and doesn’t have to think about procedures other than dental implants and related surgery.
If you have missing teeth and would like to know your options for a fixed replacement, contact us for a consultation to learn what your best options are to replace with a dental implant.
Can a bone graft and dental implant be done at the same time?
Usually, yes. When the defect around the implant site is contained and there is enough native bone to hold the implant firmly, I place the implant and graft together in one procedure (same-day grafting, or guided bone regeneration). This shortens overall treatment by months and means one surgery instead of two. If the bone loss is extensive — after a long-standing infection or a difficult extraction — a staged approach is safer: graft first, implant later.
How long after a bone graft can you get an implant?
For staged cases, most grafts need three to six months to mature before the implant is placed, depending on the size of the defect and the material used. Your own bone regenerates fastest; synthetic, human-donor and bovine materials can take a little longer. I confirm readiness with a follow-up CT scan rather than guessing from the calendar.
Does bone grafting hurt, and how long is recovery?
The procedure itself is done under local anaesthetic (with IV sedation available if you’re anxious), so you won’t feel it. Expect swelling and mild discomfort for a few days, managed with ordinary painkillers. Most patients are back to work within two to three days.
How much does a bone graft for a dental implant cost in the UK?
Costs depend on the size of the defect and the material used — small same-day grafts add a few hundred pounds to implant treatment, while larger staged reconstructions cost more. Guide prices are on my fees page, and every plan is confirmed in writing after your CT assessment.
Want to go deeper? On The Dental Implant Podcast I discuss bone grafting journeys and collagenated xenografts and cortical bone membranes with fellow clinicians.
Told you don’t have enough bone for a graft to work? Zygomatic implants bypass the jawbone entirely and may make treatment possible without grafting.