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Treatment · Preparing the site

Bone grafting before or during implant treatment

After a tooth is lost, the jawbone shrinks. If there is not enough bone to hold an implant, it can be rebuilt with a bone graft, sometimes at the same time as the implant.

In short
  • Can add months to treatment.
  • Alternatives: shorter, narrower, tilted or zygomatic implants.1

Alternatives to discuss

Systematic review

A systematic review of randomised trials compared short (≤6 mm) implants with ≥10 mm implants across different clinical scenarios. 1

See the review for scenario-specific results and the quality-of-evidence grading.

Systematic review

A meta-analysis of 44 publications found no overall difference in failure rates between tilted and straight (axial) implants, although in studies of the upper jaw only, tilted implants failed more often. 2

Clinical review pending. Facts on this page are checked against the sources listed below (regulatory records, manufacturer documents, peer-reviewed research). A named clinician will review it before we call it medically reviewed.
Last updated 28 Sep 2026 · How we review

Sources

  1. Systematic reviewRavidà A et al. Short (≤6 mm) compared with ≥10 mm implants: systematic review of RCTs — J Clin Periodontol, 2024. Accessed 28 Sep 2026.
  2. Systematic reviewChrcanovic BR et al. Tilted versus axially placed dental implants: a meta-analysis. J Dent 2015 — J Dent, 2015. Accessed 28 Sep 2026.

Educational information only. The choice of implant system depends on your anatomy, restorative plan, bone quality and the clinician's assessment. This website does not recommend a specific implant for you.

Clinical assessment

Find out whether implant treatment suits you

Send a few details and, if you have one, a recent x-ray. A dentist from our clinical partner reviews your case and replies with next steps. Free and without obligation.

This website does not diagnose. Only an examination by a dentist can confirm a treatment plan.

Dentist explaining a panoramic x-ray to a couple
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