Bone Grafting

Bone Regeneration in Rancho Cucamonga CA

For dental implants to be successful long term, they need to be placed in a good foundation of jaw bone. Unfortunately, sometimes the foundation is not adequate and requires a  bone grafting or re-building procedure prior to implant placement. Bone loss occurs in areas where teeth have been missing over extended periods of time. The only function of jaw bone is to support teeth, and when teeth are removed, the bone naturally resorbs, or goes away. Chronic infection, gum disease, or trauma can cause more pronounced bone loss. Using 3D CBCT imaging, we are able to assess the quantity of the jaw bone to see if you are a candidate for bone grafting.

Types of Bone Grafting Procedures

There are a variety of bone grafting procedures with different types of materials. The location of the problem and type of problem (width vs height) will determine the specific procedure required. The following is a list of commonly used bone grafting procedures.

Sinus Lift bone graft

When back teeth in the top jaw need to be replaced, the space is limited by the maxillary sinuses. These sinuses are air filled cavities in your cheek bones that are involved in breathing. Over time, the maxillary sinuses can become enlarged in a process called “pneumatization,” and limits the vertical space for implant placement. In these cases, the graft is placed in the sinus cavity to recreate the foundation. In most cases, dental implants can be placed at the same time as the sinus lift bone graft in 1 surgery. However, in severe bone loss, the sinus lift bone graft is done first and the implants placed at a second stage.

Socket graft

When teeth are removed, the hole that is left behind in the jaw bone is termed the extraction socket. The socket contains 4 walls and a floor and needs to be replaced with bone in order to provide the foundation for a dental implant. This process of bone replacement can occur naturally. However, when one of the walls of the socket is thin or lost (due to infection, gum disease, or position of the tooth), it needs to be replaced. The best time to do this procedure is at the same time as the tooth extraction.

Ridge augmentation

Ridge augmentation is general term that refers to rebuilding jaw bone that has been lost. Typically these are more extensive procedures that may requiring cutting the jaw bone or using titanium mesh.

Types of Bone Grafting materials

There are several different options for bone grafts and selection of material depends on the situation.

Autograft (your own bone)

The best option for a graft is to replace missing bone with your own bone. However, it requires a second surgical site in a different part of your body with additional risks and healing time.

Allograft (cadaveric bone)

Bone is harvested from a cadaver jaw bone and placed through a stringent sterilization process. The risk of disease transmission is almost non-existent. The material acts as a scaffold and resorbs or goes away over time and gets replaced by your own bone. It is typically used it routine socket grafts or in combination with other biologic materials.

Bone Morphogenetic Protein (rh-BMP 2, Infuse)

BMP-2 is an exciting new product that has been FDA approved for socket grafts and sinus lift bone grafts. It is found naturally in your body and stimulates the creation of bone-forming cells. Typically it is used in more challenging situations.

Patient Reviews

Inland Empire Oral & Maxillofacial Surgeons

5 out of 5 stars based on 49 Bone Graft Surgery reviews.

Our Latest Patient Testimonial

This is the third procedure with a total of 5 teeth extractions and a bone graft for an implant.Nothing changes with all my visits the doctor and entire staff are really concerned for you, . I dont feel like another number they have to deal with.Veru courteous and friendly, I feel like I have known them for a while. Under the circumstances for the dental work I require I don't know how it could get any better, they have certainly exceeded my expectations

- Robert H

5 out of 5 stars on

Our Latest Patient Testimonial

I was very apprehensive since a previously reviewed problem now needed immediate attention. I appreciate the professionalism of the staff and their kindness.

- Rose S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Hicke performed my mandibular tori removal last week, and I have to say he's awesome. He tried to call me on four different occasions after my surgery to check on my healing. They entire staff is friendly and professional. I saw Dr. Dudziak for my follow up, and he is equally as awesome. I would highly recommend this office.

- Tracie G

5 out of 5 stars on

Our Latest Patient Testimonial

Had a molar disintegrate under a cracked crown. Needed tooth removed and bone loss graft procedure. Was initially extremely apprehensive. Sang was the primary reassurance, but Dr.Choi himself put me at ease immediately with his explanation of the procedure and his "bedside" manner. The girls on the Surgical Team are terrific and comforting as well. They are apparently stronger than they look as they sometimes are called upon to restrain a patient having a bad reaction to anesthesia. Thanks girls, and sorry!! Overall it was a very easy and comforting experience. Thanks Dr.Choi and Team!

- Brian S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr.Choi and staff were very professional and highly skilled. They made me feel super comfortable and explained everything really well. Dr. Choi was so thorough and informative. I am so glad I had them do my surgery, everything went smoothly. Thanks Maria

- Maria A

5 out of 5 stars on

Our Latest Patient Testimonial

It would be so simple to just agree with all the previous comments but that wouldn't give a fraction of the credit that these beautiful people deserve. Dr Dudziak to me, is a god. His credentials alone are beyond belief. I was so nervous at the time I checked in but by the time I talked to all the sweet staff girls, I was almost calm. By the time Dr Dudziak came in, I was totally trusting. This was the first time in my life that I went to a dentist and felt NO pain, during or after. I'm 63 yrs old. That's a lot of years of enduring mediocre dental procedures. I want to mention another doctor in the staff of this organization, Dr Choi. I had been seen by him prior to Dr Dudziak but couldn't get into him due to his unavailability. He did my first procedures and falls into the same qualifications as Dr Dudziak. He was also fantastic. To summarize, I used to have a fear of dentists. Now, I have lost that fear, thanks to the staff and Doctors of the Inland Empire Dental Group. I owe you guys my life.

- Sandy &Cliff H

5 out of 5 stars on

Our Latest Patient Testimonial

Staff was really nice, all my questions answered

- Dannie O

5 out of 5 stars on

Our Latest Patient Testimonial

Painless and made sure i was comfortable at all times

- Rodrigo F

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent service! Marlene was extremely helpful, staff were all so kind, friendly and also very helpful. My nurse was awesome really put me at ease, very nice! I highly recommend this office, very clean. Dr. Dudziak is the best! Great personality and I have had no pain. So happy with his work! Cindy M.

- Cindy M

5 out of 5 stars on

Our Latest Patient Testimonial

Friendly and courteous staff. The whole procedure went better than expected. Dr Dudziak was very professional and courteous. I recommend to family,friends and anyone who needs oral surgery. With my experience,I had very little pain, bleeding and swelling. Bravo to all that handeled my procedure! 5 star rateing and "Thumbs up"!

- Robert Conlee L

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Dudziak is an excellent surgeon as well as a wonderful person. I experienced zero pain with absolutely no complications. His staff and office are amazing. I'm so appreciative, thank you very much.

- Roberta L

5 out of 5 stars on

Our Latest Patient Testimonial

I was really nervous before my procedure, but the doctor and his staff were so kind that they really helped to put me at ease and make the entire process very pleasant! Thank-you!

- Linda M

5 out of 5 stars on

Our Latest Patient Testimonial

I'm on my second sinus lift/bone implant/dental implant procedure. This is a lengthy process but I'm finally done with the left side and now I'm on to the right side. Dr. Hicke and his team (Cathy Horvath, Sue and Sang) were excellent throughout. General anesthesia was easy and there was absolutely no pain during these procedures. Recovery with ice packs, etc. was totally manageable. Sinus lift required three full days of recovery at home. Dr. Hicke is very good - you will be in good hands.

- Frances L

5 out of 5 stars on

Our Latest Patient Testimonial

Best dental visit I have ever had!! My wife and I were very impressed with the overall care I received, the professionalism and knowledge of the entire staff and the outcome! Thank you for going the extra mile to care for your patients!

- Robert T

5 out of 5 stars on

Our Latest Patient Testimonial

This was my second procedure with this Dr and office. I cannot say enough to thank this office for the smiles and compassion they give to their patients! Not to mention the BEST lip balm in the world! Thank you to Cathy, Crystal and Dr. Choi for their excellent team work. In closing, it was very generous enough and welcome of Dr Choi and my referring Dentist Dr Stowells to send me such a beautiful and thoughtful gift of spring flowers to cheer me during my recover!!

- Sharon W

5 out of 5 stars on