About Bone Grafting

What is Bone Grafting?

Over a period of time, the jaw bone associated with missing teeth atrophies and is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for the placement of dental implants. In these situations, most patients are not candidates for the placement of dental implants.

With bone grafting we now have the opportunity to not only replace bone where it is missing, but we also have the ability to promote new bone growth in that location. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance.

Types of Bone Grafts

Autogenous Bone Grafts

Autogenous bone grafts, also known as autografts, are made from your own bone, taken from somewhere else in the body. The bone is typically harvested from the chin, jaw, lower leg bone, hip, or the skull. Autogenous bone grafts are advantageous in that the graft material is your own live bone, meaning it contains living cellular elements that enhances bone growth, also eliminating the risk of your body rejecting the graft material since it comes from you.

However, one downside to the autograft is that it requires a second procedure to harvest bone from elsewhere in the body. Depending on your condition, a second procedure may not be recommended.

Allogenic Bone

Allogenic bone, or allograft, is dead bone harvested from a cadaver, then processed using a freeze-dry method to extract the water via a vacuum. Unlike autogenous bone, allogenic bone cannot produce new bone on it’s own. Rather, it serves as a framework, or scaffold, over which bone from the surrounding bony walls can grow to fill the defect or void.

Xenogenic Bone

Xenogenic bone is derived from non-living bone of another species, usually a cow. The bone is processed at very high temperatures to avoid the potential for immune rejection and contamination. Like allogenic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void.

Both allogenic and xenogenic bone grafting have an advantage of not requiring a second procedure to harvest your own bone, as with autografts. However, because these options lack autograft’s bone-forming properties, bone regeneration may take longer than with autografts, and have a less predictable outcome.

Bone Graft Substitutes

As a substitute to using real bone many synthetic materials are available as safe and proven alternatives, including:

Demineralized Bone Matrix (DBM)/Demineralized Freeze-Dried Bone Allograft (DFDBA)

This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected through a syringe.

Graft Composites

Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of substances. Some combinations may include: collagen/ceramic composite, which closely resembles the composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or a collagen/ceramic/autograft composite.

Bone Morphogenetic Proteins

Bone morphogenetic proteins (BMPs) are proteins naturally produced in the body that promote and regulate bone formation and healing.

Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits. Dr. Butura will determine which type of bone graft material best suited to your particular needs.

Butura Oral & Dental Implant Surgery

5 out of 5 stars based on 12 Bone Grafting reviews.

Our Latest Patient Testimonial

I went in for an extraction and bone grafting and was in and out in less than 1 hour. This was one of the easiest procedures I have had at a dental office. I would recommend them to anyone.

- John B

5 out of 5 stars on

Our Latest Patient Testimonial

All positive things to say about Dr. Butura and his excellent friendly caring staff, especially Lori, Eileen and Marie:) Every appointment was timely, comfortable and Dr. Butura is thorough and excellent. I highly recommend them, almost sorry my bone graft is completed:)

- Cathy C

5 out of 5 stars on

Our Latest Patient Testimonial

I had both an extraction (tooth broken off into gum) and bone grafting done, with sutures. Dr. Butura carefully explained every step, calming any anxiety. Not only did the whole procedure take less time than expected, but all went smoothly and I did not feel anything. Moreover, I did not have any pain post procedure! A 2 week follow up appointment revealed good healing underway. Previously opposed to implants, I am now seriously considering having a few done. Dr. Butura inspires confidence, he is an excellent oral surgeon!

- Basia L

5 out of 5 stars on

Our Latest Patient Testimonial

Thank you for taking such great care of my sister. She was such a nervous wreck and in pain but her experience was so fast, stress free and Dr. Butura and his team put her at ease and she literally walked out smiling. It doesn't get any better than that! Definitely will recommend the Butura Team to anyone who needs oral surgery.

- M C

5 out of 5 stars on

Our Latest Patient Testimonial

I just had a tooth extracted and bone graft put in a couple days ago. I was very nervous and scared (mostly because of past traumatic experiences at dental offices). I have to say Dr. Butura is an excellent oral surgeon. He not only took the time to learn my symptoms but he also explained the procedure, which gave me a sense of reassurance. I never really felt pain and he made sure I was ok while he was treating me. Dr. Butura's  staff was super nice and friendly to me , thank you Marie for going the extra mile to help me feel comfortable during the procedure. I left his office feeling relieved because my experience here was definitely pleasant and pain free. I also have gotten a couple calls since my visit  from his office to ask me how I am recovering. My pain is very minimal and I am recovering very well. Thank you Dr. Butura for genuinely caring for your patients and being an awsome oral surgeon, and thank you to your awsome staff

- Jessica T

5 out of 5 stars on

Our Latest Patient Testimonial

I required IV sedation for my tooth extraction and bone graft. I am a RN and worked in the OR for many years. Dr Butura was able to start my IV quickly on the first stick without any discomfort and when I woke up, I felt great with no nausea or light headedness. I know I was in very experienced hands and would highly recommend Dr Butura for any oral surgery procedure one might have. This was the best surgery experience I have had and will definitely be returning to Dr Butura for my tooth implant.

- Jean R

5 out of 5 stars on

Our Latest Patient Testimonial

Extremely pleased with my overall experience with Dr Butura, as well as his front and back office staff...they are wonderful! They were very respectful and accommodating in my time of need. I required oral surgery with a bone graft. Everything was explained to me with great detail and all my questions answered. I would, without a doubt reccommend this practice to any of my family or friends. I too, work for a well-known medical practice, and feel Dr Butura and his staff give the utmost attention to detail, care and respect to their patients...my same philosophy..."treat people the way you want to be treated". This is certainly what I felt from the moment I walked into their office. This is an excellent oral surgeon...If need be, I would definitely go back. My only complaint is that I cannot give more than five stars for an overall rating! 🙂

- Jan S

5 out of 5 stars on

Our Latest Patient Testimonial

It has been 20 years since I have had a tooth extracted. Then it took hours to recover and days of pain. This time, it was done within a short period of time, using only local anesthesia an with little lingering pain. The graft was quick and the healing is progressing nicely.

- Aaron F

5 out of 5 stars on

Our Latest Patient Testimonial

So remember Tom Hanks in Castaway? He had an infected tooth and tried to remove it with a couple of rocks. I was at that point before seeing Dr Butura. The pain was on a scale of 1 to10 a 25. I saw my primary dentist first and she suggested the tooth could not be saved and referred me to Dr Butura. I had a consultation the next day and confirmed removal and implant was the best alternative. I was scheduled the next morning. We attempted to use a local but the infection prevented it from complete numbing. With out a hitch they put me under, did the extraction, pain gone!! No post complications and I will return for the implant after area heals.

- Roger M

5 out of 5 stars on

Our Latest Patient Testimonial

I was in a lot of pain, and very apprehensive about the work required to deal with it. Dr. Butura could see my discomfort and did an exemplary job of 'talking me off the ledge' in preparation for the work I'd need to do. His nurses, assistants, and office staff were equally friendly and professional. Though I hope I never need his level of skill again (!) if faced with oral surgery, you won't find better than Dr. Butura and his team.

- Dorothy E

5 out of 5 stars on

Our Latest Patient Testimonial

Really one of the more "pleasant" visits to a dental office if there ever really is a pleasant visit haha. Awesome experience and if in the future there are any more work to be done, I wouldn't hesitate to come back. Thanks again! You guys are awesome!

- Alex Y

5 out of 5 stars on

Our Latest Patient Testimonial

Thank you for such positive experience! Oral surgery can be stressful, however, the office staff and Dr. Butura's pleasant demeanor put me at ease.

- Barabara F

5 out of 5 stars on