If you were being treated for dentures, why would the dentist do bone grafting on the teeth being pulled?

What are the reasons for doing bone grafting on pulled teeth that are not going to be replaced, such as with dentures or a pontic within a bridge?

Doctor Answers 5

Bone grafting and dentures ... #DrSarahThompson

Bone grafting is not something that is required for dentures, but it is strongly recommended.  Bone grafting will provide a better base for the denture to sit upon.  Without the bone grafting, your denture may be loose.  An alternative to bone grafting is getting some implants, which will secure the denture even better.  Implants are typically more expensive than bone grafting.  I hope this helps, but you can follow me on RealSelf if you have more questions.

Saint Louis Dentist
5.0 out of 5 stars 15 reviews

Bone grafting creates a smooth stable foundation

When a patient is at the point they need extractions and dentures, they have likely had a significant amount of bone loss from periodontal disease. A denture must rest on a uniform, smooth ridge in order to have proper retention without any underlying, sharp bony areas which could cause pain when it compresses against the gum during chewing.  During surgery, bone may be reduced and smoothed in some areas while other areas may need grafting in order to preserve the bone ridge in those areas.  Please see your dentist annually after receiving your dentures to ensure that they fit well. Have periodic relines to re-establish balance so that the bone does not resorb as quickly as it can.  It is best to consider some kind of implant retention to stabilize your dentures, and this will preserve bone for the long term and establish excellent retention of your dentures.

Bone grafting would be recommended

It is always recommended to do bone grafting after extraction to help preserve your ridge.  For implants, I would definitely suggest getting a bone graft.  For denture or pontic, it is not required but still useful to get bone grafting to help preserve your ridge.  There's also different type bone grafting material.   For example, I would recommend using xenograft for denture or pontic due to its resorption characteristics.  

Jean-Paul Banh, DDS
Federal Way Dentist

Bone grafting and dental extractions.

bone grafting has become the standard of care after dental extractions. Although , some patients may not want to replace the extracted teeth immediately.    Over the years we have learned without proper ridge preservation after extractions , the jaw will lose height, width and density once the tooth is removed . If a patient does not elect to have the grafting done,  and their desires to replace the missing teeth changes  later it becomes a more difficult procedure for implants , aesthetics in bridges Ext.    No dentist wants you to lose your teeth, but if you do bone grafting will help ensure you have a healthier jaw and more choices if you later desire to place an implant or bridge.  Good luck bone grafting is important 

Richard Sprague, DDS
Beverly Hills Dentist
5.0 out of 5 stars 7 reviews

Is bone grafting necessary?

Bone grafting in the extracted socket site is very important to preserve the surrounding bone height. No mater what procedure you are getting, denture or bridge, bone grafting will make sure that you are set up for a positive outcome.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.