Dentist Questions Dentist

Can I get dental implants if I have bone loss?

I am a 58 year old male. I want to know if I can get dental implants if I have bone loss?

11 Answers

The simple answer is yes in most cases. A thorough evaluation of you dental, medical history is imperative to rule out any mitigating factors, but bone grafts have been improved to the point that bone in many cases can replace the missing bone creating a foundation for the implant
Yes, you can, but sometimes you may need grafting or sinus lift if you have a missing upper tooth.
We would need to evaluate the level of bone loss with x-ray. If you have moderate bone loss severity we may be able to do the bone graft at the time of implant placement.
Hard to answer that question without x-rays. Depends on how much bone is present. And are we replacing a single tooth or for something more extensive. A dental exam would be the best way to answer your questions. Hope that helps.
Yes, just because you’ve had some bone loss, it doesn’t mean you aren’t a good candidate for implants.
Yes, you can. It depends how much bone was lost, but it may still be possible to place implants or you may need bone grafting prior to placing implants.

David M. Garazi, DMD
Hello, Sir,

How are you? First of all, thank you for sending your question to my attention online! You have raised a very good and important question! If an individual, who is about your age and has bone loss, can you still have dental implant? The answer is that it depends on several factors as follows: (i) It depends on the health of an individual (such as underlying diabetics, ostopeanea, osteoparosis, uncontrollable hypertension, immuno-suppressant medications, organ transplant recipients, auto-immune system disorder, etc.). (ii) It depends on whether or not you have any active, or history of, periodontal/gum disease that caused you to lose the jaw bone. (iii) It depends on how much quality of your bone has been lost to a point where implant may/may not be an option.
I hope that I answered your questions. Thank you so much for contacting me!

Yours Sincerely,

Dr. Virginia Chin
Dental implants in the face of bone loss depend upon the extent of the bone loss. If severe, dental implants are very difficult. If the bone loss is not extensive, sometimes the desired area for the implant may be grafted in preparation for the placement of an implant.
This all depends on your type and extent of bone loss as well as your oral and overall health. I recommend a thorough consult from a well-trained dentist who can guide you through your options.
It depends on how much bone loss you have and the location of where the implant is going to be placed. In the front esthetic areas of your mouth, you may need a bone graft to supplement and replace any bone loss to help the implant and the crown look as natural as possible when you smile. In the posterior, non esthetic areas, mild bone loss may be acceptable for an implant. Your dentist, oral surgeon, prosthodontist, or implantologist will determine if you have enough bone for your implant by taking a cone beam X-ray, CBCT. If you don't have enough bone, then a bone graft will be necessary prior to placing the implant. The longer the tooth has been missing at the implant site, the more the bone will have resorbed in that area, and the likelihood that a bone graft will be necessary increases. 

Daniel A. Flores, DDS, MS
Without knowing the extent of the bone loss, I wouldn't be able to answer this question. But generally, most patients with bone loss may need an additional step of repairing/constructing the bone loss by placing bone graft in the area and allowing it to heal adequately. This also depends on your medical history and social habits. Smoking and poor oral hygiene has shown to have a negative effect on the healing process of bone grafting treatment and implants treatment.