Jawbone is shaped around tooth roots. When a tooth comes out, the bone that held it slowly reshapes, and most of that change happens in the first few months. Years later the gap can look fine from outside but be too narrow or too short underneath for an implant to sit fully in bone.
A bone graft adds bone material to that spot. It works as a scaffold: over the following months your body grows its own bone into it, so the implant ends up held by living bone. Grafting is not a treatment on its own. It is the step that makes an implant possible, or makes it sit better, when the bone is short.
At The Smile Super Speciality Dental Clinic, in Kondapur, Hyderabad and in Maharani Peta, Visakhapatnam, every graft is planned on a CBCT scan, a 3D X-ray that measures the bone in millimetres. Often the answer is good news: enough bone already, or a small graft placed at the same visit as the implant. For the full picture of what a scan can show, read our guide on not enough bone for a dental implant.
What patients tell us when they first come in
- "Another dentist said I have no bone for an implant. Is that the end of it?"
- "I lost this tooth in 2018. Is it too late now?"
- "My tooth has to come out next week. Can you do something now so an implant is easier later?"
- "They said I need a sinus lift for my upper back tooth. What does that even mean?"
- "I have worn a denture for years and it keeps getting loose."
Get Your General Answers
A bone graft may be part of your plan if
- You want an implant and a scan shows the bone is too thin or too short at that spot
- A tooth came out months or years ago and the gum in that area has sunk in
- A tooth is coming out now and you would like an implant there later (socket preservation keeps the shape of the ridge)
- An upper back tooth is missing and the sinus sits low above the gap (sinus lift)
- Long denture wear has flattened the ridge and you are thinking about implants to steady the teeth
Many people who are told they need a graft need only a small one, placed at the same time as the implant. Some need none at all. The scan decides, not a guess.
When grafting is not the right first step
- Gum disease is active. The gums are treated first (see our gum treatment), then the graft goes into a clean, healthy site.
- Diabetes or another condition is not under control. Healing is slower, so we plan around your reports and your doctor's advice, and sometimes wait.
- You smoke and cannot stop for the healing weeks. Smoking slows bone healing. We will talk through what that means for your case before anything is done.
- You need a full arch of teeth. An All-on-4 plan tilts the back implants into denser bone further forward and often avoids grafting altogether.
- A shorter or narrower implant fits. In some single sites that is simpler than adding bone, and we will say so.
- An implant is not what you want. A bridge or a denture needs no graft. Grafting only makes sense when it leads somewhere you want to go.
We do not offer grafting on its own as a product. If the scan shows you have enough bone, the plan says so.
Step 1: Consultation and scans (₹500 consultation)
- Dr. Rajesh Kumar Y or Dr. Varsha Reddy looks at the gap, your gums, your bite and your medical history
- A CBCT 3D X-ray measures the height, width and density of the bone where the implant would go
- An iTero 3D scan of the teeth, radiation free and with no putty moulds, shows how the new tooth will line up with your bite
Step 2: Written plan
- Which of four routes fits you: no graft, a small graft with the implant, a graft first and the implant later, or a route that avoids grafting
- The graft type, the material, the timeline and the exact price, in writing. Nothing has to be booked that day
Step 3: The graft (30 to 90 minutes)
- Local anaesthetic, so the area is numb throughout
- Graft material placed where the bone is short, usually covered with a thin protective membrane
- Stitches close the gum; a temporary tooth can be fitted if the gap shows when you smile
Step 4: Healing (about 3 to 6 months when the graft is done first)
- Your own bone grows into the graft
- A review at about 1 to 2 weeks, then a scan before the implant to confirm the new bone is ready
Step 5: The implant and crown
- The implant goes into the new bone, then the crown follows once it has fused, as on our dental implants in Kondapur and Vizag page. See also how long dental implants take.
During the procedure
You are numb, so you feel pressure but not pain. Most people say it feels much like having a tooth taken out. Sedation can be arranged if you are very anxious; tell us at the consultation.
The first 2 to 3 days
Some swelling is normal and is usually at its most on day 2 or 3. Prescribed painkillers keep it comfortable. Soft, cool food, no spitting or rinsing hard on the first day, and leave the site alone so the graft can settle.
The first 2 weeks
Swelling goes down, the stitches dissolve or are taken out at the review, and you go back to normal food, chewing on the other side for a while.
While the bone heals
Brush gently around the area and use any mouthwash we prescribe. Keep off the site when chewing, especially with a separate graft. If you smoke, stopping for these weeks helps the graft heal well. Come to every review; each one is short.
Call us if
- Swelling is getting bigger after day 3 instead of smaller
- You notice graft granules or the membrane coming through the gum
- Pain is rising rather than settling, or you have a fever
After healing
A scan confirms the new bone before the implant goes in. Grafted bone is your own bone by then, and the implant is looked after the same way as any other: brushing, cleaning between the teeth and a check every six months.
Bone grafting: ₹10,000 to ₹50,000
| Type | Price | When it is used |
|---|---|---|
| Socket preservation | ₹10,000 to ₹15,000 | At the time a tooth is taken out, to keep the shape of the ridge for a later implant |
| Ridge graft (ridge augmentation) | ₹15,000 to ₹35,000 | Rebuilds the width or height of a ridge that has thinned, often at the same visit as the implant |
| Sinus lift | ₹25,000 to ₹50,000 | Gently raises the sinus floor to add height for an upper back implant |
What moves the price
- How much bone is needed and at how many sites
- The material: processed mineral from a tissue bank, a processed animal source, a synthetic substitute, or a little of your own bone from nearby
- Whether a membrane is needed, and whether the graft is done with the implant or as a separate visit
The consultation is ₹500 and the implant and crown are priced separately: from ₹25,000 for the implant, ₹35,000 to ₹88,000 with the crown. Our guides on dental implant cost in Hyderabad and dental implant cost in Vizag show how the totals add up, and what to check in a cheap implant quote explains how to compare quotes that include or leave out grafting.
The simplest bone graft is the one done on the day the tooth comes out
Keeping bone is easier than rebuilding it. If a tooth has to come out and an implant is likely later, a socket preservation graft (₹10,000 to ₹15,000) at that same visit keeps the ridge close to its natural shape. When the implant goes in a few months later, the site is usually ready without a bigger ridge graft. So before any extraction, including wisdom tooth removal near a gap, ask whether socket preservation makes sense for you. Sometimes it does not, for example when you plan a bridge, and we will tell you.
Bone grafting at our clinics is led by Dr. Rajesh Kumar Y, MDS Orthodontics, Facial Orthopedist and Fellow of Implantology (Germany), with Dr. Varsha Reddy, Dental Surgeon and life member of the Indian Society of Oral Implantologists. The clinic has served families since 1997 and is ISO 9001 certified. Every plan is written down with its price before you decide, and there is no pressure to book.
Bone grafting on an India visit
A graft changes how the trips are planned, so send a recent OPG or CBCT on WhatsApp before you book flights. We will tell you which pattern fits.
- No graft or a small graft with the implant: trip 1 for the scan and implant, trip 2 about 3 to 4 months later for the crown
- A graft first: trip 1 for the scan and graft (about a week), trip 2 about 3 to 6 months later for the implant, trip 3 for the crown
- Socket preservation: done at the extraction visit, no extra trip
Our guide to dental treatment on an India visit covers timing, reports to bring and how to plan around work leave.
Live outside India? See how to plan your treatment from home →
How much does a bone graft cost in Kondapur and Vizag?
At The Smile Super Speciality Dental Clinic a bone graft costs ₹10,000 to ₹50,000: socket preservation ₹10,000 to ₹15,000, a ridge graft ₹15,000 to ₹35,000 and a sinus lift ₹25,000 to ₹50,000. The ₹500 consultation, the implant and the crown are separate. The exact price is in your written plan.
Do I need a bone graft for a dental implant?
Not always. Many people have enough bone, and others need only a small graft placed at the same visit as the implant. A CBCT scan measures the bone at the exact spot, and the written plan tells you which route fits.
Is it too late for an implant if I lost the tooth years ago?
Usually not. Bone changes most in the first few months after a tooth comes out and much more slowly after that. A scan shows whether you need a graft, a small one, or none.
Is bone grafting painful?
The area is numb during the procedure, so you feel pressure, not pain. Afterwards most people have soreness and some swelling for a few days, much like after a tooth is taken out, and prescribed painkillers keep it comfortable.
Where does the graft material come from?
Usually processed mineral from a tissue bank, a processed animal source or a synthetic substitute, and sometimes a little of your own bone from nearby. Over the months your body replaces it with its own bone. The doctor explains which suits your case.
How long after a bone graft can I get an implant?
If the graft is placed with the implant, there is usually no extra wait. If the site is built up first, allow about 3 to 6 months of healing, confirmed by a scan, before the implant goes in.
What is a sinus lift?
In the upper back jaw the sinus can sit close above the gap. A sinus lift gently raises the sinus floor and places graft material beneath it, so there is enough height for an implant. It costs ₹25,000 to ₹50,000 at our clinics.
Who does bone grafting, and where?
Dr. Rajesh Kumar Y, MDS Orthodontics, Facial Orthopedist and Fellow of Implantology (Germany), leads implant and grafting work at both branches, with Dr. Varsha Reddy, Dental Surgeon. You can visit Smile Dental Clinic Kondapur on Masjid Banda Road, Hyderabad, or Smile Dental Clinic Vizag at SLN Towers, Maharani Peta, Visakhapatnam.
