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Creating the foundation for dental implants

If you’ve been told you don’t have enough bone for dental implants, it doesn’t necessarily mean implants aren’t possible. In many cases, the bone in the jaw can be rebuilt or supported, allowing implants to be placed safely and securely.

Why bone levels matter

Dental implants rely on strong, stable bone to hold them in place. Over time, bone can be reduced due to:

  • Missing teeth.
  • Gum disease.
  • Natural changes in the jaw.
  • The position of the sinus in the upper jaw.

When this happens, there may not be enough support for an implant straight away.

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A way to rebuild the foundation

Bone regeneration involves strengthening or rebuilding areas of the jaw where bone has been lost.

This is typically done using a bone graft, where material is placed into the area to encourage new bone to form. The graft may be:

  • Your own bone.
  • Donor bone.
  • Or a synthetic material designed to support regeneration.

Over time, this is replaced by your natural bone, creating a stable base for implants.

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Bone Regeneration

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Planning treatment properly

Bone regeneration is not carried out in isolation. It forms part of a wider treatment plan, based on:

  • Your existing bone levels.
  • The position of missing teeth.
  • The type of implant solution being considered.

This ensures that any grafting carried out supports the final result, not just the immediate stage of treatment.

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Sinus augmentation (sinus lift)

In the upper jaw, the sinus can sit very close to the bone needed for implants.

A sinus lift creates the space required to place implants safely. This involves:

  • Gently lifting the sinus lining.
  • Placing bone material beneath it.
  • Allowing new bone to form in that space.

It’s a well-established procedure and often used when upper back teeth have been missing for some time.

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What to expect from treatment

If bone regeneration is needed, it will be planned as part of your implant treatment. This may involve:

  1. Detailed assessment and scans.
  2. Bone grafting or sinus lift.
  3. A healing period while new bone forms.
  4. Placement of the dental implant.

You’ll be guided through each stage, so you understand how everything fits together.

A calm, carefully managed process

Procedures like bone grafting can sound more involved than they feel in practice. Patients often comment that:

  • The process is more straightforward than expected.
  • Discomfort is manageable.
  • Everything is clearly explained beforehand.

For those who feel anxious, sedation options are available to make treatment more comfortable.

Related treatments:

Dr Mohan Chawla

Bone regeneration and implant treatment require careful planning and experience.

Dr Mohan Chawla has treated a wide range of cases, including those involving reduced bone levels and more complex implant planning. Patients often highlight how clearly everything is explained, and how supported they feel throughout the process.

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Case 1: Veneers AT

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Case 2: Veneers BM

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Case 3: Veneers CG

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Case 4: Veneers CP

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Case 5: Veneers CS

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Case 6: Veneers DP

Treatment testimonials

Mrs Angela Haigh

"I want to say what a pleasure it is to visit the team. My dentist Dr Chawla is he best.

Jennifer Trillow, Maidenhead

"Optima has been my dentist for over 10 years. Always pleased with the treatment from both NHS and private. My dentist (Aparna) is lovely and always gives good advice, and I’m completely at ease with her. The staff are warm and welcoming. I wouldn’t want to go anywhere else for treatment!

Elaine Lewis

"My family and I have been attending the Optima Dental Practice for about 15 years. We have always found everyone who works there very caring, friendly and above all, professional. We always feel we can trust and rely on the treatment we receive there.

K J Syms

"As one of the many people that hated going to the dentist, all that changed after I discovered Optima Dental Care. In fact, I look forward to my visit to see the dentist. They are very professional and kind. I have known Dr Mohan Chawla for over 10 years and hope to go on for many more.

Jo Dimmock

"Dear Mohan I would like it known how happy I am with all treatments received. Yourself, and all the staff are amazing and as a fairly nervous patient I’m always made to feel at ease, and everything is explained thoroughly and the standard of care is second to none for myself and my son. The surgery is extremely clean and welcoming. 100% highly recommended.

Paul Vincent

"Wanted to say thank you for the care I received throughout the process of having my implant completed. I was talked through the process in detail before starting. At each stage I felt comfortable that I knew what was happening. The end result is exactly what I was promised. Thank you.

Hazel, Ashtead

"I am very happy with all the dental work that Dr Mohan Chawla has carried out for me since I became a patient at his practice nine years ago. Then last year, 2018, he performed what I call ‘a little magic dentistry on three of my truly ugly, filled front teeth, turning them into splendidly normal-looking teeth. Making smiling a joy for the first time in decades.

Ken Hudson, Epsom

"Dear Dr Chawla, I thank you for your reminder about dental appointments, but I doubt if I shall be requiring one for a few years yet to come! The new set of dentures fit perfectly with no sores, ulcers or the like to date, and for which I must compliment your workmanship and recommend to others. Wishing you every success in the future.

David Burrows

"Many thanks to Dr Chawla and his team for the treatment I received during my implant process. It was lengthy and not always pleasant – invasive surgery, bone graft, temporary plate etc. – but they always made me feel that the outcome would be worthwhile – and it was! I still feel reasonably relaxed about visiting my dentist.

Deeque, Shepperton

"3 years on, and I am forever grateful to Mohan. When no one else could offer a solution for my lateral incisor, which had broken off close to the gum, for a new crown, and my bone was very limited for an implant. He engineered a solution to have a new crown. To get rid of that awful plate was such a relief and in many ways life-changing!

TESTIMONIALS

Frequently asked questions

When is bone regeneration needed? down black circle arrow right black circle arrow

Bone regeneration may be recommended where:

• Teeth have been missing for a long period.
• Bone has reduced in height or thickness.
• Gum disease has affected the supporting structures.
• The sinus limits the available bone in the upper jaw.

This is assessed carefully before any treatment is planned.

Can I still have dental implants if I don’t have enough bone? down black circle arrow right black circle arrow

In many cases, yes. Bone grafting or alternative approaches such as All-on-4 may make implants possible.

How long does a bone graft take to heal? down black circle arrow right black circle arrow

Healing usually takes a few months, as the graft material is replaced by natural bone.

Is a sinus lift always needed for upper implants? down black circle arrow right black circle arrow

Not always. It depends on the available bone and the position of the sinus.

Is bone grafting painful? down black circle arrow right black circle arrow

Most patients find discomfort manageable, and the procedure is carefully controlled. Sedation can also be used if needed.

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