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Why You Might Need a Bone Graft Before Dental Implants

Dr. Jin Sup Shin, board-certified orthodontist at SmileWorks NYC
Smileworks Dentistry & Orthodontics
Reviewed By:
Dr. Jin Sup Shin
Last Updated: October 13, 2026

A bone graft before dental implants is needed when the jawbone lacks the density or volume to anchor an implant, and this is far more common than most people realize. Tooth loss triggers a natural process in which the jawbone begins to shrink because it no longer has a root stimulating it, and, depending on how long a tooth has been missing, that loss can be significant. The good news is that bone grafting is a well-established, routine part of the implant process and paves the way for lasting results.

At SmileWorks NYC, our award-winning team uses state-of-the-art 3D X-ray and imaging technology to evaluate your jaw before recommending any treatment. If our team finds that there isn’t enough bone to support a dental implant, a bone graft becomes an important first step. We take pride in explaining every part of the process so you feel confident and informed before anything begins.

What Is a Bone Graft?

A bone graft adds volume and density to areas of the jaw where bone has been lost, creating a strong foundation for an implant to fuse with the surrounding bone over time. According to the Cleveland Clinic, a dental bone graft acts like a scaffold that allows your body’s own bone tissue to grow and regenerate. Without that foundation, an implant won’t have the stability it needs to function like a natural tooth root.

Graft material varies depending on your situation. Some grafts use donor bone from a tissue bank, while others use synthetic materials or bone from another part of your own body. In every case, the goal is the same: build enough bone mass so your implant has a secure, long-lasting base. Our oral surgery team will walk you through which option fits your needs based on your imaging and oral health.

Common Reasons a Bone Graft May Be Recommended

Infographic on reasons for a bone graft before dental implants in NYCEvery patient is different, but there are a few situations in which bone grafting is often necessary before implant placement.

You’ve Had a Tooth Missing for a While

Bone resorption begins relatively quickly after tooth loss and continues over time. The longer a gap exists in your smile, the more bone may have disappeared from that area. Patients across Manhattan, Midtown East, and the Upper East Side often come to us after long periods of tooth loss and are relieved to learn that grafting can get them back on track.

You’ve Had Periodontal Disease

Advanced gum disease doesn’t just affect soft tissue. In later stages, it can destroy the bone supporting your teeth, leaving areas too thin or shallow to hold an implant without additional support first. Addressing gum health before pursuing extraction and implant treatment is an important part of setting yourself up for a successful outcome.

You Wore Dentures for a Long Time

Dentures rest on top of the gums, so they do not support the jawbone the same way natural tooth roots do. Over time, this can cause the bone beneath the denture to shrink. Even patients from Chelsea, Harlem, and Kips Bay who have worn dentures for many years may still be good candidates for dental implants after the right bone grafting treatment. 

What to Expect From the Grafting Process

Bone grafting is usually an outpatient procedure and can often be done right here in our Midtown East office. Once the graft is placed, your mouth needs time to heal before the implant can be added. Every patient’s timeline is different, but it often takes several months for the graft to bond with your natural bone. During that time, our team will check your progress with follow-up imaging and make sure everything is healing the way it should. 

Patients who follow the dental implant timeline with proper bone support experience far better long-term outcomes than those who skip this step. Bone grafting, when needed, is what makes a successful, lasting implant possible.

Frequently Asked Questions About Bone Grafting for Dental Implants

How do I know if I need a bone graft before a dental implant?

The only way to know is through imaging. At SmileWorks NYC, we use 3D X-ray and scanning technology to evaluate the density and volume of your jawbone before recommending any treatment. If that imaging shows the bone is too thin or shallow to support an implant, a bone graft is typically recommended as a preparatory step.

What materials are used in a dental bone graft?

Bone graft material can come from a few different sources, including donor bone from a tissue bank, synthetic materials, or bone taken from another part of your own body. Our oral surgery team will recommend the option that best fits your imaging results and overall oral health.

How long does it take for a bone graft to heal before an implant can be placed?

Healing time varies by patient, but it generally takes several months for a bone graft to fully bond with the surrounding natural bone. Your care team will monitor progress with follow-up imaging to confirm the graft site is ready before moving forward with implant placement.

Is a dental bone graft a painful procedure?

Bone grafting is typically performed as an outpatient procedure, and many patients find the initial recovery manageable. Comfort levels and recovery details vary from person to person, so your care team will walk you through what to expect and how to care for the graft site as it heals.

Can I get a dental implant if I’ve worn dentures for many years?

Many long-time denture wearers are still good candidates for dental implants. Because dentures rest on the gums rather than stimulating the jawbone the way natural tooth roots do, bone loss underneath a denture is common, but a bone graft can often rebuild enough bone to support a future implant.

Get Started on Your Implants at SmileWorks NYC

SmileWorks NYC is a multi-specialty, award-winning practice conveniently located in Midtown East, Manhattan, equipped with 3D X-ray, 3D scanner, and 3D printer technology to give our team an unmatched level of precision in treatment planning. Patients from the Flatiron District, the Central Park area, and across Manhattan trust our team to guide them through every step, from their initial evaluation to their final restoration.

If you’ve been wondering whether dental implants are right for you, we’re ready to help you find out. We accept most PPO insurance plans and offer free consultations, so there’s no reason to wait. Contact our office to schedule your free consultation today.

Dr. Jin Sup Shin, board-certified orthodontist at SmileWorks NYC
Dr. Jin Sup Shin
Dr. Shin is an orthodontist trained at New York University, where she earned her Bachelor of Science, Doctor of Dental Surgery, and completed her residency in Orthodontics and Dentofacial Orthopedics. Graduating in the top 2% of her class, she was inducted into Omicron Kappa Upsilon (OKU). Dr. Shin is also an adjunct assistant clinical professor at NYU and has published research in scientific journals.