socket bone grafting after tooth extraction

Do you need a socket bone grafting after your tooth extraction?


Are you going to your dentist for a tooth extraction? If yes, you need to have all the facts on what happens once you have a tooth extracted. When your tooth is extracted, it leaves a hole encompassed by alveolar bone.

The alveolar bone is a bone whose purpose is to support the tooth. After tooth removal, the body begins to resorb the bone. This can be prevented by replacing the extracted tooth, dental implants or having a socket graft.

However, it is often impossible to place an implant at the same time as the tooth extraction. But, if it is possible to place one, the implant will act as the pole of a tent to prevent the surrounding bone from undergoing atrophy.

Oasis Dental and Implant Specialist Team will review the reasons why bone grafting is an important procedure if you want to have a dental implant done in the future.

What happens if you don’t have a socket bone grafting and you need to?

If you have a tooth extraction procedure and there was no socket bone grafting done to preserve the surrounding bone, you may be susceptible to the following:

I. The combination of resorptive patterns will result in an atrophied ridge that has moved in palatal direction
II. Horizontal alveolar ridge loss along its buccal aspect and sometimes vertical ridge height loss. This is, however, unpredictable
III. Loss of hard and soft tissue after extraction may result in a non-ideal restoration. The soft tissue are almost impossible to recreate after a loss surgically
IV. A higher percentage of ridge resorption occurs along the buccal aspect of the ridge with the maxillary sites losing more than the mandibular sites

With these in mind, not every tooth extraction needs to be grafted. A classic technique of socket preservation follows a 3 step process, i.e.

Step 1: Tooth Extraction
You will be administered with local anesthesia to numb the pain during extraction. Removal of debris from the socket is done with a curette or surgical spoon. The changes in the alveolar bone due to tooth removal becomes worse if the patient had periodontitis before the extraction.

Step 2: Placing the Grafting Materials
Placing the graft material into a socket is a simple procedure. The commonly used bone grafts types are in four categories. These include Allografts, Alloplasts, Xenografts to Autogenous bone grafts which are graft materials harvested from the patient.

A resorbable membrane is then used to cover the grafted socket at its occlusal aspect.

Step 3: Primary Tissue Closure
For tissue closure, most specialists use an FGG (Free autogenous Gingival Graft) to cover the grafted site. You may then have to wait for more than four months before placing implants. This depends on the grafted material used in the ridge preservation.

You will then be on antibiotics, analgesics, a chlorhexidine wash, etc. to help you in your healing process.

Call Oasis Dental and Dental Implant Specialist Team (905-876-2747) for your Free Treatment Consultation for:

  • Dental Implants
  • Implant Denture
  • Bone Grafting
  • Sinus Lift



Hours of Operation

  • Monday
    09:00 AM until 6:00 PM
  • Tuesday
    10:00 AM until 7:00 PM
  • Wednesday
    09:00 AM until 6:00 PM
  • Thursday
    10:00 AM until 7:00 PM
  • Friday
    09:00 AM until 2:00 PM
  • Saturday
    09:00 AM until 2:00 PM
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9030 Derry Road West Milton Ontario L9T 7H9
  • Phone:905-876-2747
  • Fax:905-876-2749
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