Bone Grafting for Dental ImplantsDo You Really Need It?
- At Stunning Dentistry, most patients who were told they need bone grafting in New Zealand can avoid it entirely - through tilted implant protocols, zygomatic implants, or pterygoid implants that use existing dense bone.
When grafting is required, it's included in our all-inclusive pricing.
What Is Bone Grafting?
Bone grafting is a surgical procedure that adds volume to areas where bone has resorbed (deteriorated), creating sufficient support for dental implants.
Each material has different healing timelines, cost, and clinical indications. Autogenous bone is most predictable but requires a second surgical site. Allografts and xenografts avoid additional surgery but may have slower incorporation.
Questions about this procedure?
When Can Bone Grafting Be Avoided?
- All-on-4 tilted implant protocol: posterior implants are tilted 30–45° to use available bone, bypassing areas of atrophy - eliminating need for grafting in ~80% of cases
- Zygomatic implants: completely bypass maxillary bone, anchoring in cheekbone - no grafting needed regardless of jaw bone loss
- Pterygoid implants: use dense pterygoid bone at posterior maxilla - posterior grafting avoided
- Basal implants: engage cortical bone below resorbed alveolar layer - primary implant layer remains stable
- Strategic implant positioning: careful 3D planning often identifies existing bone that conventional assessment might miss
Ready to discuss your options?

When Bone Grafting Is Necessary
- Single implant sites with localized bone deficiency unsuitable for alternative implant protocols
- Ridge augmentation in aesthetic zones where bone shape affects tooth emergence and appearance
- Sinus floor elevation (sinus grafting) when upper posterior bone height is <4mm below sinus
- Vertical ridge augmentation where jaw width is critical for implant support
- Socket grafting after extraction to preserve ridge volume for later implant placement
Curious about costs and timelines?

Bone Graft Types Comparison
| Material | Source | Cost | Healing Time | Predictability |
|---|---|---|---|---|
| Autogenous | Patient's jaw/hip | Highest (extra surgery) | 4–6 months | Excellent |
| Allograft | Tissue bank (donor) | Moderate | 4–6 months | Good |
| Xenograft | Bovine/porcine | Lower | 4–6 months | Good |
| Synthetic | Lab-made (TCP, HA) | Lowest | 6–9 months | Fair–Good |
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Cost and Timeline at Stunning Dentistry
Bone grafting when required is included in our all-inclusive pricing - no additional charge.
Your CBCT assessment at initial consultation determines if grafting is truly necessary vs. alternative protocols that avoid it.
Questions about this procedure?
Specialist-only treatment planning
- Remote file review before travel
- Evidence-led treatment checkpoints
No waiting list for eligible cases
- Remote file review before travel
- Evidence-led treatment checkpoints
Trip coordinated with care timeline
- Remote file review before travel
- Evidence-led treatment checkpoints
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Why Us
Frequently Asked Questions
Why was I told I need bone grafting in New Zealand but might not at Stunning Dentistry?
Different surgical philosophies. Some New Zealand clinics routinely recommend grafting as safer/more predictable. At SD, Dr. Sethi uses tilted implants, zygomatic/pterygoid protocols, and basal implants to avoid grafting when clinically viable. Both approaches are valid - SD's approach emphasizes speed and avoiding multiple surgeries.
Is avoiding bone grafting less safe than doing the graft?
No. Tilted All-on-4 implants have 20+ years of evidence (98.2% success at 18 years). Zygomatic implants have 95–98% success. Basal implants show 95%+ success. When clinically indicated, these alternatives are safe and effective as grafting.
If I have bone grafting, can I still complete treatment in one trip?
Not immediately. Bone grafts require 4–6 months healing before implants can be safely placed. You would need a second trip after healing. This is why SD emphasizes avoiding grafts - to keep everything within one efficient 7–10 day trip.
What if my local dentist says I need grafting?
Get a second opinion from a specialist experienced in alternative protocols (tilted implants, zygomatic implants). If both opinions suggest grafting is necessary, proceed. If one says yes and another says no, discuss the rationale - one may be using alternative techniques you weren't aware of.
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This tool will help you understand potential structural and aesthetic changes before finalizing treatment decisions.










