Bone Grafting for Dental Implants: Do You Really Need It?

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Our Oral Surgeons

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7/10/2026

If you're preparing to replace a missing tooth with an implant, you may have been told you need a bone graft first, and it's natural to wonder whether that extra step is really necessary. The answer is that not everyone needs one. It depends on how much healthy jawbone you have in the area where the implant will go. If bone loss has occurred in that area, grafting may be essential for your surgical plan. 

At Bird and Johnson Oral Surgery, our team evaluates each patient carefully and recommends bone grafting in Cocoa, FL only when it can produce a strong, lasting result. Call today to schedule a consultation and find out what your treatment plan actually requires. 

What is a bone graft? 

So, what is a bone graft? It's a procedure that rebuilds areas of the jaw where bone has become too thin or too soft to support an implant. During treatment, grafting material is placed in the deficient area. Over the following months, your body grows new bone around and through the material. 

The grafting material can come from several sources, including your own bone, donor tissue, or safe synthetic options. Our team will recommend the type ideally suited to your situation. Whichever material is used, the goal of a dental bone graft is the same: creating a stable foundation so your implant can anchor securely. 

Who needs bone grafting? 

Jawbone loss is more common than most patients realize, and it's the main reason grafting comes up before dental implant surgery in Cocoa, FL. You may need a graft if you have:  

  • A long-standing missing tooth: The jawbone needs stimulation from tooth roots to stay strong. Once a tooth is gone, the bone beneath it begins shrinking within months. 
  • Advanced gum disease: Periodontal infection destroys the bone that supports teeth, often leaving too little for an implant. 
  • An injury or extraction: Trauma and difficult extractions can damage the surrounding bone. 
  • Naturally thin bone: Some patients simply have less bone volume in certain areas, especially the upper back jaw near the sinuses. 

On the other hand, if your bone is healthy and adequate, you can typically move straight to implant placement with a dental restoration. The only way to know is through an evaluation with 3D imaging, which lets our team precisely measure your bone. 

What a bone graft treatment looks like 

If a dental bone graft is part of your plan, the procedure should be simple and straightforward. At our office, the area is numbed with local anesthesia, and sedation options are available for added comfort. The grafting material is placed into the site, secured, and covered with the gum tissue, which is then closed with sutures. 

Most patients manage any soreness with over-the-counter medication and return to normal routines within a day or two. The graft then needs 3 – 6 months to integrate with your natural bone. Once it's healed, you're ready for dental implant surgery, and because the implant now has solid support, your new dental restoration can last for decades. 

Get a straight answer about your dental treatment in Cocoa, FL  

A missing tooth is stressful enough without confusion about what your treatment will involve. Whether you need a dental bone graft or can proceed directly to dental implant surgery, our team at Bird and Johnson Oral Surgery will give you a clear, honest recommendation based on your anatomy. If you have questions such as, "What is a bone graft?" or want to know what your dental restoration will require, schedule a consultation in Cocoa, FL today.

This description was provided for each employee that I interacted with.“ Very professional, friendly and good communicators. Extraction to be completed in a couple weeks. Update to follow after extraction.”

C.K. Google

Great people, Dr Johnson is very good, informative, very efficient, assistants are great, office staff great. I highly recommend this office. This is from someone who has had way too many dentist visits over the years!

C. Google

Office staff was helpful and friendly . I was seen by Dr Johnson at my appointed time. Very thorough and knowledgeable about my particular condition! I appreciated Dr Johnson’s reassuring manner. When I checked out the staff was helpful with my specific insurance plan. Overall it was an excellent visit! Thank you all for your help!

C.G. Google

Courteous and professional.

G.B. Google

First visit since the last time I had a wisdom tooth pulled in 2009. Dr. Johnson and his staff are very friendly and answered all questions. First visit is a consultation.6-2026 update. Just had to have another wisdom tooth extracted. Again Dr Johnson was great. I was impressed when I arrived 15 minutes early and they immediately went to work without my having to wait.

M.K. Google

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