When visiting an oral and maxillofacial surgeon for wisdom tooth removal, they’ll walk you through the entire process, including the procedure, associated risks and complications and alternative forms of treatment.  I had a patient who inquired about the need for a bone graft after having their third molars removed.  Is it really necessary?.  In 25 years of practice, I never had an indication to bone graft a third molar socket.

Understanding the Wisdom Tooth Removal Process

Is Bone Grafting Necessary After Wisdom Tooth Extraction?

Bone grafting is a common procedure oral surgeons perform to create a strong foundation within the jaw for a dental implant. But because implants don’t replace wisdom teeth, this procedure should not require bone grafting. The additional service would only increase your bill. If an oral surgeon recommends bone grafting after routine wisdom tooth removal, get a second opinion to avoid a costly out-of-pocket expense.

Under What Circumstances Would You Need a Bone Graft?

While most patients who go in for wisdom tooth removal don’t need bone grafting, there may be exceptions. Poor surgical technique may create iatrogenic bone loss.  If X-rays show your wisdom tooth impacted against your second molar, bone loss may occur where the two teeth meet.  But that still may not be an indication for a bone graft.  If a PATHOLOGIC periodontal pocket develops it may benefit from a bone graft however reattachment to the tooth must occur for the graft to be beneficial. 

Lyle C. Yanagihara, DDS, MS, based in the heart of Honolulu, HI, has earned the trust of patients throughout Oahu for exemplary dental care and honest recommendations when it comes to wisdom tooth removal and the need for bone grafting. If you’re looking for an experienced oral surgeon who combines state-of-the-art equipment and skill with a friendly, laid-back approach that puts patients at ease, call his office today at (808) 973-1433 to discuss your oral health needs. Learn more about the procedures this practice specializes in on the website.