Facing patients who need dental implants with little bone, we understand how disheartening it can be to hear “there’s not enough bone structure.” Moreover, by combining a nasal fossa lift with autologous bone grafting, Bio-Oss® granules and a collagen membrane fixed with pins, we can achieve predictable bone regeneration and support for six implants. Therefore, even those initially deemed unsuitable for dental implants with little bone can enjoy a fixed, immediate-loading prosthesis.

Furthermore, proper diagnosis—using panoramic X-rays and CBCT scans—allows us to plan the nasal lift accurately. And when you opt for dental implants with little bone, this technique raises the sinus floor safely, creating sufficient volume for implant stability. In addition, the blend of your own bone and Bio-Oss® promotes osteoinduction, while the collagen membrane prevents soft-tissue ingrowth and stabilizes the graft.

In addition to surgical excellence, success hinges on meticulous post-operative care. Although dental implants with little bone can be restored immediately, patients must maintain excellent oral hygiene to avoid peri-implantitis. Therefore, we schedule regular check-ups and reinforce home care instructions, ensuring bleeding and plaque levels stay under control.

Although systemic factors—such as diabetes or smoking—can affect healing, our multidisciplinary approach addresses these challenges head-on. First, we coordinate with your physician to optimize blood sugar control. Then, we provide cessation support for smokers, since smoking significantly impairs graft integration. By tackling these issues, candidates for dental implants with little bone achieve more predictable, long-lasting outcomes.

Finally, thanks to the nasal fossa lift with autologous bone, Bio-Oss® and a fixed collagen membrane, many patients overcome the barrier of deficient bone. Therefore, if you’ve been told you lack sufficient bone for dental implants with little bone, don’t give up hope: this advanced protocol can restore both function and smile in as little as four months.

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O.P.G before surgery

O.P.G after removing dental implants infected

 Photos of the surgery

Diagnosis

1. Atrophic in the anterior maxillary zone(Prato et al., 2004).

2. Active periimplantitis(Caton et al., 2018) localised in the mandible with the influence of diabetes, stadium 4 grade C.

3. Bruxism.

 Differential fixed treatments

1. Quad zygoma rehabilitation with dental implants.
2. Two anterior zygomas and two pterygoids.
3. Four Straumann implants of 4mm, augmentation of the maxillary ridge doing a regeneration with Bio-Oss and collage membrane plus Pins in the anterior maxilla. Two pterygoid implants with a multiunit of 30º. They were discarded because the patient had that kind of Treatment with small implants and failed.
4. Regeneration with Gore-Tex or metal membrane, wait nine months and put six short implants(Ravidà et al., 2019). Discarded, it is too expensive, and it is complicated to get regeneration in the palatal bone zone (Khoury and Hanser, 2019).
5. After removing all implants from the mandibular jaw, bone regeneration would be done; after four months of regeneration, “All on four” rehabilitation with acrylic material will be realised.

The patient ruled it out because he did not want to wear a complete denture for eight months until the dentist fixed his lower teeth.

 Ct scan post six months of treatment

O.P.G after eight months of surgery

 Photos of a complete prosthesis readapted to the implants

 Contact Us
If you’re considering dental implants with little bone, visit our clinic in Silla, Valencia:
Avenida Reyes Católicos 3, 46460 Silla, Valencia
☎️ +34 636 688 886

We’ll be happy to evaluate your case and explain how our nasal fossa lift and bone regeneration technique can secure your fixed, non-removable teeth.