Implants with little bone, in Fortuny
"You have no bone" stopped being a final answer years ago.
What having no bone actually means
When a tooth is lost, the bone that held its root stops receiving load and resorbs. The process is fastest in the first months and carries on for years, so an old gap nearly always has less volume than it once did. To understand what can be done with the available bone, read Dental implants without bone grafting: is it possible? Options and treatments; on the regeneration technique, When is a dental bone graft needed and how should you care for it after surgery?.
What can be rebuilt
Grafts, membranes and growth factors recover enough volume in most cases. At the back of the upper jaw, a sinus lift additionally gains height where an implant used to be ruled out on the spot.
How much bone is available is only known from a CT scan. A verdict given years ago may well be out of date.
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Cases other clinics rule out
Severe bone loss has a solution with the right technique and planning.
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Decided on the 3D scan
First, the amount of bone that is really there is measured; only then is a technique considered.
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Without giving up aesthetics
Bone reconstruction influences the final aesthetics of the treatment, which is why it is designed with them in mind.
At this clinic
Cases with little bone at Fortuny
We regularly see patients who were told long ago that an implant was out of the question. Reviewing the case on a current CT changes the prognosis for a good number of them.
The regeneration is planned digitally alongside the final implant position, so no bone is rebuilt where it will not be needed.
- A recent CT scan is done before any case is considered unviable.
- Regeneration is planned together with the final implant position.
How we work when there is little bone
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Volumetric diagnosis
The CBCT study measures the available bone position by position and, based on it, it is decided whether to regenerate, elevate or change the anchorage.
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Planning the technique
Then the technique is selected and the outcome is recreated digitally, including where the prosthesis will finally be placed.
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Surgery and follow-up
Surgery is guided and more post-operative checks are scheduled than usual, since regeneration requires follow-up.
Who carries it out
The team performing implants with bone loss in Madrid
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Eduardo Crooke
Cirujano implantólogo
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Francis Coachman
Dentista Asociado · Implantólogo
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Sergio Toledano Gil
Dentista asociado · Implantólogo
Registration no. 28014764
Common questions
Frequently asked questions about this treatment
01 What happens when there isn't enough bone to place implants?
Either the bone is regenerated, or a different anchorage is sought. Techniques include guided bone regeneration, maxillary sinus lift, grafting and zygomatic implants (anchored in the malar bone); which one is used depends on the real bone available, measured in the 3D study.
02 Another clinic ruled me out as a candidate: does it make sense to ask for a second opinion?
Yes. It is the most common reason for consultation in this area. Frequently the case was ruled out because the other clinic did not perform the technique needed, not because the case had no solution.
03 What are zygomatic implants?
These are longer implants, anchored in the cheekbone (malar bone) and not in the maxilla. They are used to rehabilitate upper arches where very little bone remains, avoiding extensive grafts and reducing timeframes.
04 Can bone regeneration lengthen the treatment?
It varies with the defect. In some cases regeneration is done in the same surgical procedure as the implant; in others, a phase of several months is needed first. The treatment plan states this from the outset.
05 Is surgery more painful when it includes regeneration?
The post-operative period tends to bring more swelling than that of a simple implant; the prescribed medication makes it possible to control it. The use of PRGF, obtained from the patient's own blood, helps healing be faster and more comfortable.
Other treatments you may be interested in
First assessment
Request your implants with bone loss assessment in Madrid
- We call you to understand your case before proposing anything.
- Diagnosis with digital planning and a fixed written quote.
- No obligation: if you do not need treatment, we will tell you.
Prefer to talk to us directly? 919 464 044 · WhatsApp