Requirement for a successful bone graft? (photo)

Hi.  Thanks for your question.  The thing that makes this tricky is that the bony defect looks to include the back wall (lingual) of the jaw so it makes it hard to get anything to stay in place.  That's not to say that it can't be done.  There are more advanced grafting techniques than just particulate grafting.  Ask your dentist  about 1. grafting with PRP or PRGF, 2. the technique of guided bone and tissue regeneration with barrier membranes and 3. possibly block grafting.  The thing is that you have to remove the tooth and you might as well do some kind of grafting because as the other doctor stated you really need to start thinking about those neighboring teeth and a graft could possibly help those teeth.  Also don't rule out the possibility of re-entering the site a second time after the first one heals and re-grafting.  It's definitely a challenging situation but certainly possible.  Good Luck.  Hope this was helpful

When that tooth is removed, the area must be well cleaned out by the dentist. After this, I would strongly recommend you have a bone graft placed and left alone for a minimum of 9-12 months before attempting an implant placement. This bone graft serves two purposes: 1) to hopefully hold an implant, and at this point more importantly 2) to add bone next to the neighbouring teeth which are in grave danger at this point. The biggest bone grafting problems I see are when the implant dentist attempts to place the implant too soon after the graft is placed.Good luck!

For something tells you the risks your doctor, follow their indications, usually without placing bone is also achieved good quality of bone to be able to place an implant, do not stress only need time for healing.
Good luck :)

 When it comes to infection this large there will be some risk of bone graft not taking, with that said, it's better attempt to preserve your bone rather than leaving a large hole. Over time, bone recedes and in this case, that area will likely continue to recede.