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CAL DENTAL GROUP • LOS ANGELES
Bone Grafting & Dental Implants With Bone Loss in Los Angeles
Clinically reviewed by Dr. Michael Issakharian, DDS
Bone loss does not automatically end the implant conversation. An examination and appropriate imaging help determine whether grafting, a different implant design, or a non-implant alternative should be considered.
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Why does the bone assessment matter?
Implants need an appropriate supporting site, with nearby structures considered during planning. Ask your clinician to show you the proposed position on your imaging and explain what limits the available space. A previous statement that you have “not enough bone” is useful history, but it is not a complete current treatment plan.
Bone grafting and ridge augmentation
Ridge augmentation adds bone or graft material where the jaw ridge needs development for the planned implant. Depending on the site, grafting may be performed separately or with implant placement. Ask which graft material is proposed, where it comes from, and what healing milestones will be checked before proceeding.
When is a sinus lift discussed?
A sinus lift is considered for selected upper back-tooth sites where the sinus and available bone affect implant placement. It develops space for bone beneath the sinus. The timing of implant placement depends on the individual procedure and the existing support; an extra healing stage may be needed.
Advanced options for complex cases
Cal Dental Group offers evaluation across implant options, including complex bone-loss cases. Ask whether short or narrow implants, a different full-arch design, or specialized approaches such as zygomatic or subperiosteal implants are appropriate. These require specific planning and are not substitutes for a full assessment. The consultation should explain the relevant clinician, risks, alternatives, and maintenance requirements.
Bring your previous records
Prior scans, extraction dates, grafting history, and implant records can help the team understand what has changed. Share your medication list, including medicines used for osteoporosis or cancer. Do not stop prescribed medicines on your own; your clinicians should coordinate any changes.
EXPERIENCE AT CAL DENTAL GROUP
10,000 implants over 20 years
Practice-wide implant experience, with general dentists and specialists working together in our Los Angeles office.
Plan your visit
936 Crenshaw Blvd, Suite 101
Los Angeles, CA 90019
Explore all dental implant options
Meet Dr. Michael Issakharian, oral and maxillofacial surgeon, and Dr. Pedram Fakheri, periodontist.
Ask which clinician will provide your surgical and restorative care.
Questions patients ask
Does every implant require a bone graft?
No. Grafting is considered when needed for the proposed treatment and site.
How long does grafting add?
Some grafts require a separate healing period of several months. Ask for your expected sequence and the findings that will determine readiness for the next step.
Can I avoid grafting?
There may be alternatives, including a different implant or restoration design or a conventional denture or bridge. Each has its own limitations; suitability must be assessed.
Continue exploring your options
All-on-4 & full-arch implants
Full-arch implants support replacement teeth for an entire upper or lower arch.
Implant candidacy
Dental implant candidacy is determined by an examination, health-history review, and appropriate imaging.
Procedure & recovery
Implant treatment includes planning, placement, healing, and the final replacement teeth.
Patient education from Cal Dental Group. Updated October 21, 2026. Meet our dental team.
Additional reading: AAP: Ridge modification · AAP: Sinus augmentation.
This guide explains options to discuss with your clinician. Your examination determines the appropriate treatment, risks, and timeline.