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What Happens if You Don’t Get a Bone Graft Before Dental Implants?

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Our Team

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5/17/2026

Dental implants are some of the most durable and longest-lasting dental restoration options available today, but the success rate of dental implants depends, in part, on the patient’s oral health at the outset of treatment. One of the most important factors in determining who qualifies for dental implants is the state of their jawbone, as this can significantly impact how securely and completely the implant post is able to establish itself and ultimately support a dental restoration, like a crown or bridge. 

In many cases, bone graft surgery before dental implants is a necessary step to set patients up for long-term results they can count on. For patients who do require a bone graft, it’s critical not to skip this step, as doing so can lead to failed dental implant integration and more costly, difficult oral surgery needs down the line, among other complications. At Sexton & Weiskopf Oral & Maxillofacial Surgery in Memphis, TN, our dedicated team of oral surgeons (serving Arlington and Tipton, TN) is here to help you better understand when and why bone grafting before dental implants may be necessary — and what you may be risking without it. 

 

How are dental implants placed? 

Dental implants are placed through a multi-step process that begins with positioning a small titanium post into the jawbone, where it acts as an artificial tooth root. Over time, the surrounding bone naturally fuses with the implant in a process called osseointegration, creating a stable foundation for dental restorations. Because the implant relies on this bond with the bone for strength and support, the quality and density of the jawbone play a critical role in whether the implant can heal properly and function as intended. 

 

How do you know if you have enough bone for dental implants? 

Determining whether you have enough bone for dental implants requires a detailed evaluation, typically including imaging that allows our team to assess bone volume, density, and structure. This helps identify whether the jaw can support an implant as-is or if additional preparation is needed. Patients who have experienced tooth loss, gum disease, or long-term denture use may have reduced bone in the area, which can make implant placement less predictable without first rebuilding that foundation. 

 

Do I really need a bone graft for dental implants? 

If a bone graft has been recommended, it’s usually because the existing bone is not strong or thick enough to properly support an implant. Skipping this step can increase the risk of complications and may ultimately lead to implant failure. Without adequate bone support, patients may face issues such as:  

  • Poor implant stability 
  • Failed osseointegration 
  • Implant loosening over time 
  • Higher risk of infection 
  • Need for more complex revision surgery 

A bone graft helps rebuild the necessary structure so the implant has a stable environment to integrate and function long term. 

 

Does bone grafting before dental implants delay the treatment timeline? 

Bone grafting does add time to the overall dental implant process, as the grafted material needs time to heal and integrate before the implant can be placed. While this can feel like a delay, it is an important step that helps improve the predictability and longevity of the result. In many cases, taking the time to properly prepare the jaw can help avoid setbacks later, reducing the likelihood of complications and giving the implant the best chance possible of achieving the long-term success you deserve. 

 

Set yourself up for success with advanced oral surgery in Memphis, TN 

If you’ve been told you may need a bone graft before dental implants, understanding why that step matters can help you feel more confident moving forward. At Sexton & Weiskopf Oral & Maxillofacial Surgery in Memphis, TN, our team works closely with patients from Memphis, Arlington, and Tipton to create treatment plans that prioritize long-term stability and successful outcomes. Contact our team today to schedule your consultation and take the next step toward a stronger, more reliable smile. 


The nurses and Dr. Weiskopf were very friendly and made me feel comfortable. As someone with a severe fear of Doctors, the gave me pre-op medication to help calm me down and talked me through every process. Not once did I feel nervous. Very thorough instructions were given to me and a day later I'm in no pain.

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Wonderful!! Amazing Staff. I had jaw surgery under the care of Dr John Cannon years ago and the experienced such high level care through the entire process. Dr Cannon is retired but I was impressed that the high level of comfort courtesy and care from the doctors and staff remain the same. Going through any orthopedic procedure is always scary but I promise you you will be highly impressed choosing this practice.

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Dr. Sexton was excellent as well as his staff and nurses. Thank you!!

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Did my consultation and 2 bottom wisdom teeth extraction all in the same week with Dr. Russ. Dr. Russ and his staff were super nice and made the entire experience comfortable for me. I would 10/10 recommend them to anyone looking for an oral surgeon. I also have anxiety and felt it all disappear once I was in their care before the procedure. 🥹

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