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Bone Grafting Didn’t Work

I have a dentist who has done many dental implant procedures in his career. When he went to do mine, he decided there wasn’t enough bone structure for it to be a viable case. He told me we’d need to do some bone grafting to be certain the case wouldn’t fail. I agreed because I wanted the best chance of a successful case. We did the bone grafting, waited for healing, then attempted to do the dental implants again. Again he felt that I didn’t have enough bone structure. Now I’m three procedures in and still have nothing. He’s now suggesting we just do a dental bridge. I will if I have to but is there any way I can still get a dental implant? Should I have gone to a dental implant specialist?

Melissa

Dear Melissa,

illustraition of a dental implant next to natural teeth

You’ve certainly been through the ringer with these procedures. While there isn’t actually a detnal implant specialty that is recognized by the American Dental Association . However, there are obviously going to be dentists who invested more in training (which all has to be done post-doctorally) and have more experience as well.

It sounds like your dentist may be experienced at the dental implant procedure but new at the bone grafting part. The good thing this tells me about your dentist is he is continuing to learn the new technology and add to his skill set in order to better help his patients.

Another thing I like about your dentist is his integrity. Some dentists, not wanting to embarrass themselves over a failed procedure would have just gone ahead and placed the implant without the ideal amount of bone in place. The dental implant would have lasted for a while and eventually failed, you would never have known it was because of the bone. Your dentist cared more about the quality of your care than his own pride.

Can you still have a dental implant? Yes. If you’ve got the stamina to try again, I certainly think you can. But, in all likelihood, you will need to have the bone grafting done with a different dentist. I don’t think your dentist will be at all offended about that given what I’ve learned of his character and ethics thus far.

If you decide you don’t want to go through all of that again, then getting a dental bridge is an acceptable option.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.