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[Health Column] Is Bone Grafting Really Necessary for Implants? Key Points to Consider Before Surgery

[Health Column] Is Bone Grafting Really Necessary for Implants? Key Points to Consider Before Surgery




 


hello, Smile Dental Clinic of Director Oh Su-hwan no see.


At the dentist Implant consultation The most nerve-wracking moment when receiving it is “I need a bone graft.” Isn't it when you hear that?

Costs are rising, and concerns are growing about whether treatment is truly necessary.

In particular, you may have had the experience of being confused because the language was slightly different at each hospital.

 

But rather than worrying Accurate understanding comes first.
Today, we'll explain what implant 'bone grafting' is, whether it's really necessary for everyone, and even give you some tips for making a wise decision.


 

1. What exactly does implant bone grafting mean?

✨Bone grafting is not a process of ‘filling in bone’, but rather a process of creating space for new bone to grow.

Many people think of bones as hard and unchanging tissues like stone, but in reality, Bone is a living tissue that is continuously created and reshaped and has microscopically porous structures. no see.

 

thus Implant bone grafting is not simply a concept of filling, The process of creating space for bone cells to grow into It's much easier to understand if you think of it this way.

 

 

[Health Column] Is Bone Grafting Really Necessary for Implants? Key Points to Consider Before Surgery

 

When building a house, if you first set up the 'formwork', concrete will be poured into it and harden, right?
 
Bone grafting is similar! The graft material acts as a mold.
As my bone cells grow and enter it, it hardens into solid bone over time.
In other words, bone grafting is not a process of 'attaching' bones, but a process of creating a 'frame (space)' for new bone growth.

 


  2. What materials are used for bone grafting?

Many people worry, “It’s not even my bone, so will it be okay?” bone graft material is broadly divided into the following:

 

🔸 autologous bone

    • Bone taken from the patient during surgery

🔸 heterognathic bone

    • Materials safely processed from animal bones such as cows, horses, and pigs

🔸 Homologous bone

    • Materials collected from another person's tissue and then sterilized and verified

[Health Column] Is Bone Grafting Really Necessary for Implants? Key Points to Consider Before Surgery

    • No single ingredient is always the best!

    • They are used in combination according to the patient's gum bone condition and defect range.


3. So… is it impossible to get an implant ‘without bone grafting’?

The correct answer is NO. Bone grafting is not necessary in all cases.

The most important factor in deciding whether to have a bone graft is right, “How long has it been since you lost your tooth?”


 

📌 In this case, it is likely to be 'necessary' ⬆️

    • If you have lost a tooth for a long time and the gum bone has been absorbed a lot

    • When the remaining bone thickness is very thin


📌 In this case, it may be 'avoidable'

    • If the tooth was extracted relatively recently and there is sufficient existing bone remaining


Also, these days, as implant technology advances,
In some cases, stable implantation is possible without major surgery by using a 'short implant'.

 


[Health Column] Is Bone Grafting Really Necessary for Implants? Key Points to Consider Before Surgery

 


as a result “Bone grafting is not something that must always be done,” but rather a treatment that is decided based on the patient’s condition!


 

4. Short implants, are they okay?

class I thought that a long implant would be advantageous, but

Nowadays, surface technology and fixation power have advanced. Even short implants can be expected to provide sufficient stability.

 


[Health Column] Is Bone Grafting Really Necessary for Implants? Key Points to Consider Before Surgery

 

FAQ

Q1. Are the purposes of bone grafting different for front teeth, molars, and teeth?

A1. Yes, they are different. Molars must withstand strong chewing forces, so functional stability is the primary goal. Front teeth, on the other hand, are primarily concerned with preventing gum recession and shape changes, so aesthetics are important.


Therefore, if there is sufficient bone remaining on the molar side, it is possible to make a strategic choice of not necessarily going for bone grafting.

 

 

Q2. If I don't do bone grafting and place a short implant, won't it be weak?

 

A2. Surface treatment technology has improved, so you can expect sufficient fixing power.


Q3. Is there anything patients can do in advance to avoid implant bone grafting?

A3. If you manage inflammation well before tooth extraction, the implant environment can be greatly improved.



Conclusion - “Knowing your bone condition and making a choice” is the most important.


Implants are not simply a treatment to fill empty spaces.  The process of regenerating parts of my body no see.


✔️ “Everyone else is doing it”
✔️ “Because the hospital told me to do it”
It's not something you can just decide.


 

What is the condition of my bones?
Is the purpose of bone grafting functional or aesthetic?
Is there no alternative?


 

It is wisest to compare and decide slowly based on this standard.

 

If necessary, seek consultation from several hospitals.  A treatment plan tailored to your oral condition I hope you find it.



 

 

[Health Column] Is Bone Grafting Really Necessary for Implants? Key Points to Consider Before Surgery
Smile D Dental Clinic
CEO Oh Su-hwan

 

- Graduated from Yonsei University College of Dentistry
- Department of Orthodontics, Yonsei University Graduate School of Dentistry
- Orthodontic specialist certified by the Ministry of Health and Welfare
- Regular member of the Korean Orthodontic Association
- Completed internship and residency at Ewha Womans University Mokdong Hospital, Department of Orthodontics
- International member of the American Academy of Orthodontics (AAO)
- International member of the World Federation of Orthodontics (WFO)
- Regular member of the Korean Orthodontic Association
- Certified by the Korean Orthodontic Association

 

 

 

See more expert columns from Smile Dental Clinic Director Oh Su-hwan

 

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    치아 빠진 지 얼마나 됐느냐가 이렇게 중요한지 처음 알았어요… 그냥 다 똑같은 줄 알았는데요
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