Reviewed by Dr. Thao Le, DDS, MD

Reading time: five minutes.

Bone grafting is a surgical procedure performed by oral surgeons. Patients who are preparing for dental implants may need a bone graft if they have bone loss due to periodontal disease or tooth loss. 

Healing times can vary based on several factors, including the type of bone graft material used and the patient’s overall oral health.

In this blog you’ll learn about the healing stages of a bone graft. We’ll explain what’s normal (and what’s not!) and how to ensure a successful bone graft.

Table of Contents

Key Takeaway

The first stage of healing involves the soft tissues, or surgical healing. The second stage is initial bone healing where the graft starts to integrate with the bone (2-6 weeks). The third stage is bone remodeling, where your body replaces the graft material with natural bone (3-6 months).

What Is a Bone Graft?

A bone graft procedure involves transplanting bone tissue to support or stimulate bone growth in areas with insufficient bone mass. 

It is commonly performed in cases where jaw bone deterioration has occurred due to tooth loss, gum disease, or other factors. 

The graft material can come from different sources, including human bone, animal bone, or synthetic materials.

Types of Bone Grafts

The three main types of grafts are: autogenous, allografts, and xenografts.

  1. Autogenous: Taken from the patient’s own body. It is considered the gold standard due to its excellent biocompatibility and ability to promote new bone growth.
  2. Allograft: Taken from a donor. It is readily available and does not require a second surgical site for the patient.
  3. Xenograft: Taken from an animal. The downside of this graft is that it may not integrate well with the patient’s bone as other types of grafts. This type is rarely used. 

Who May Need a Bone Graft?

  • Patients undergoing dental implant surgery: Adequate bone mass is important for the stability of dental implants.
  • Individuals with significant bone loss: Conditions like periodontal disease can lead to jawbone deterioration.
  • Patients requiring tooth extraction: This is done to prepare the site for a future dental implant.

Bone Graft Healing Stages

The healing process typically unfolds in the following stages:

Stage 1: Post-Operative (1-2 weeks)

This healing phase involves the healing of the soft tissues, or surgical healing. You can expect some swelling and bruising, which should gradually subside over the first week.

Do not smoke for four weeks and refrain from using straws, as these can hinder the healing process. Follow a soft food diet and be gentle when cleaning around the graft site. 

Before your surgery, we will give you detailed aftercare instructions and will go over them with you after your surgery.  

Stage 2: Initial Bone Healing (2-6 weeks)

In this stage, your grafted bone starts to integrate with your jawbone. You may still feel slight discomfort in your mouth, but it should be minimal by now. Continue following the post-operative care instructions given by your dental team, and avoid any activities or foods that could disrupt the healing process.

Stage 3: Bone Remodeling (3-6 months)

During bone remodeling, your body replaces the graft material with natural bone. This stage can last from three to six months, depending on the extent of the graft and your healing abilities.

Maintain good oral hygiene and follow your dental team’s recommendations during this period. This ensures your graft site stays healthy and free from infection.

Stage 4: Dental Implant Placement (3-6 months)

Once your healing process is complete, your dental team will evaluate the graft site to see if it can support a dental implant. If the site has healed well, they will proceed with the dental implant process, which can take an additional three to six months to complete.

⚠️Red Flags To Watch For

If you experience any of the following symptoms, it may indicate that the graft is failing. Contact your oral surgeon if you experience any of these symptoms:

  • Pain that continues to worsen: This could be a sign of infection or graft failure.
  • Swelling that persists after two weeks: It could indicate an allergic reaction to the graft material.
  • Foul odor or discharge from the graft site: This can be a sign of infection.

Post-Surgery Care for Successful Healing

  • Follow a soft foods diet: Avoid hard or crunchy items that can disturb the healing graft.
  • Use ice packs: Apply them intermittently for the first 48 hours to reduce swelling.
  • Practice good oral hygiene: Brush and floss, being careful around the surgical site. Do not use a Waterpik in the area of the graft. 
  • Gently rinse with warm salt water: This will help keep the area clean and free of infection.
  • Avoid smoking and alcohol: Do not smoke for at least 4 weeks after dental bone graft surgery. Avoid alcohol for at least one week. .
  • Limit physical activity: Avoid strenuous exercises for at least two weeks. This includes exercise and heavy lifting. 
  • Attend follow-up appointments: Attend scheduled check-ups to ensure the healing process is on track.

Dental Bone Grafting in Boulder, CO

If you require a dental bone graft, our team of experienced surgeons can help. At Foley & Le Oral Surgery we provide a wide range of oral surgery services, including dental bone grafting, to ensure optimal oral health for our patients.

If you are searching for ‘oral surgeon near me’ or an ‘oral surgeon in Boulder, CO’, we can help. Call (303) 444-2255 to book an appointment or complete the online inquiry form. 

FAQ about Dental Bone Graft

How long does a dental bone graft last without an implant?

The ultimate goal of a bone graft is to provide enough bone structure for a future dental implant. If the tooth isn’t replaced with a dental implant, the bone will eventually deteriorate due to a lack of stimulation. 

What not to do after bone grafting?

After a bone graft, do not eat hard, crunchy, or sticky foods. Do not smoke or drink alcohol. Refrain from engaging in strenuous physical activities, and avoid poking or prodding the graft area with your tongue, finger, or any objects, as disturbing the area can interfere with the healing process.

When should bone graft stop hurting?

It’s normal to experience some discomfort and swelling for the first few days following a bone graft. Generally, any pain should start to subside within a week to ten days. If you continue to experience significant pain beyond this period or if the pain worsens, it could indicate an issue such as infection or graft failure.

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