Sometimes, an increase in bone volume is required before dental implants can be placed. This may be due to long-term tooth loss, trauma, inflammatory processes, or the unique anatomy of the jaw. In such cases, bone grafting (osteoplasty) is performed — a surgical service aimed at restoring bone volume and density to ensure the secure fixation of implants.

At the Doctor Dent clinic (Astana), our experienced implant surgeons develop personalized treatment plans, while digital diagnostics and the 3D Dental artificial intelligence system ensure that bone grafting and subsequent implantation are performed with maximum precision and safety.

Bone tissue is a living structure that maintains its volume only when under functional load. After a tooth is lost, this load disappears, and gradual bone atrophy begins. The more time passes after an extraction, the more pronounced the bone deficiency becomes.

In such situations, reliable implant installation is impossible without first restoring the bone volume. Therefore, bone grafting becomes a vital preparatory step before dental implantation.

A surgeon may recommend bone grafting in the following cases:

• Significant reduction in the height or width of the bone tissue;
• Close proximity of the maxillary sinus to the roots of the upper teeth.

Osteoplasty is not required for every patient. The decision is made following diagnostics and CBCT analysis.

Indications for bone volume increase:

• Bone atrophy following the loss of one or more teeth;
• Bone defects resulting from trauma or prior surgical interventions.

Relative Contraindications (Temporary):

• Acute inflammatory processes in the oral cavity;
• Exacerbation of chronic diseases;
• Taking medications that affect blood clotting;
• Pregnancy and lactation;
• Blood clotting disorders;
• Systemic connective tissue diseases.

Absolute Contraindications:

• Active-stage oncological diseases;
• Severe immunodeficiency states.

If restrictions are present, the doctors at Doctor Dent will offer alternative solutions or conduct preparatory treatment.

Modern surgical dentistry offers several effective methods for bone restoration.

• Sinus Lift: Used for upper jaw implantation. If the bone height is insufficient due to the proximity of the maxillary sinus, its floor is gently lifted, and bone material is placed in the resulting space.
• Guided Bone Regeneration (GBR): One of the most common methods. A protective membrane is placed over the area of deficiency, under which new bone tissue forms. Ideal for moderate defects.
• Khoury Bone Grafting: Used for severe atrophy of the lower jaw. This method focuses on forming new bone volume using the patient’s own autogenous material.

Depending on the clinical situation, various bone substitutes are used:

Autograft (Patient’s own bone): Considered the “gold standard” due to its high biocompatibility and excellent integration.

Xenograft: Material of animal origin (most commonly bovine), widely used in dentistry for its reliability and safety.

Synthetic Bone Materials: Modern artificial substitutes that create a scaffold for the growth of the patient’s own bone. Their advantages include safety, no risk of infection transmission, and ease of use.

Pre-operative preparation: Mandatory diagnostics including CBCT with 3D Dental analysis are performed. A 3D model of the jaw is created to determine the extent of the deficiency and plan the surgery in detail.

Main stages of the operation:

• Anesthesia (local, sedation, or “sleep dentistry”);
• Creating access to the bone tissue;
• Filling the defect with the chosen bone material;
• Installing a protective membrane;
• Suturing the site.

After the procedure, the patient receives recommendations and a schedule for follow-up visits.

Proper recovery is a crucial part of successful implantation.

Healing Timelines: The regeneration process takes 2 to 8 months, depending on the scope of the intervention and individual characteristics.

Post-operative Recommendations:

• Limit physical activity for the first 1–2 weeks;
• Avoid hot and hard foods;
• Quit smoking for at least 2–3 weeks;
• Do not use alcohol-based mouthwashes;
• Take all prescribed medications;
• Visit the doctor for scheduled healing checks.

When can implants be installed? The timing for implantation is determined individually.

Is immediate implantation possible? In some cases, the implant is placed immediately after the bone graft if sufficient primary stability is achieved.

How many months until implantation? Most often, implants are placed several months after the bone tissue has fully formed. The decision is based on a follow-up CBCT scan.

The price depends on the complexity of the clinical case, the scope of the surgery, the materials used, and the type of anesthesia. After diagnostics, the Doctor Dent specialist will provide a detailed financial treatment plan.

1. Advanced Digital Diagnostics: We use CBCT with 3D Dental analysis for precise surgical planning and safe implantation.
2. Experienced Implant Surgeons: Our specialists regularly upgrade their qualifications and perform bone grafting of any complexity.
3. High-Quality and Safe Materials: We use proven bone substitutes with high biocompatibility and predictable results.
4. Maximum Comfort: We offer various types of anesthesia, including sedation and sleep dentistry, ensuring surgical services are conducted without pain or stress.

How long does healing take? Between 2 and 8 months, depending on the scope of the intervention and individual tissue regeneration.

Are complications possible? As with any surgical intervention, there are risks of inflammation or delayed healing. However, with precise diagnostics and adherence to recommendations, these situations are extremely rare.

How durable is the result? When performed correctly, the bone tissue remains stable for decades. Installed implants further support bone volume through physiological loading.

Bone grafting is a vital service before dental implantation when bone volume is insufficient. At the Doctor Dent clinic in Astana, the procedure is performed using modern technology, 3D Dental analysis, and a professional approach, ensuring a reliable foundation for implants and long-term treatment success.