The Ultimate Guide to Choosing Dental Implants Amid Bone Loss Concerns

Heather E. Martinson, DDS • July 28, 2025

Dental implants are one of the most common treatments for missing teeth. In fact, according to the Cleveland Clinic, more than 3 million people in the U.S. have them, and thousands more get them each year.

If you have lost a tooth and also have bone loss, it can make choosing the proper treatment feel overwhelming. But do not worry, you have options.

At Heather Martinson, DDS in Arlington, TX, we believe everyone deserves a strong, healthy smile, even when bone loss is a concern. This guide will help you understand your options for dental implants with bone loss and learn what to expect from the process.

Understanding Dental Implants With Bone Loss

Dental implants with bone loss are still possible, but they often require a different approach than a standard implant. When the bone in the jaw is too weak or thin, it cannot hold the implant in place. That is where additional steps, such as bone grafting or mini implants, may be necessary.

Even with these additional steps, implants can still provide a long-lasting solution that looks and feels natural. With a success rate of over 94% at 15 years, according to the National Library of Medicine, they are one of the most dependable choices in modern dentistry.

Why Bone Loss Happens

When you lose a tooth, the bone underneath no longer gets the pressure it needs to stay strong. Over time, the bone starts to shrink. Gum disease, infections, or injuries can also lead to bone loss.

If you experience bone loss in your jaw, it does not always mean you are out of options. It just means you will need the right plan in place to rebuild or work around the weakened bone.

Can You Still Get Implants if You Have Bone Loss?

The short answer is yes, many people with bone loss can still get implants. Thanks to modern techniques in implant dentistry, your dentist may recommend several approaches to ensure your implant remains securely in place.

Bone Graft for Implants

One of the most common solutions is a bone graft for implants. This is where your dentist adds new bone to the jaw to rebuild it. Over time, this bone fuses with your existing jaw, making it strong enough to support an implant.

It may sound intense, but bone grafts are a routine part of many dental procedures. They are often performed in-office with minimal discomfort, and they significantly enhance the success of the implant.

Mini Dental Implants

If a bone graft is not the best option, your dentist may suggest mini-implants. These are smaller in size and need less bone to stay in place. While not right for everyone, they often work well for people with mild to moderate bone loss.

Zygomatic Implants

In rare cases of severe bone loss in the upper jaw, zygomatic implants are used. These attach to the cheekbone instead of the jaw. They are more complex and are typically performed only by dentists with advanced training and expertise.

Dental Bone Restoration

Dental bone restoration is the process of strengthening or regrowing the jawbone before placing implants. This step is often needed if you have had missing teeth for a long time or have suffered from gum disease.

Dr. Martinson utilizes advanced tools and scanning technology to determine if a bone graft is necessary and to identify the most suitable type. Whether using your own bone or synthetic material, the goal is to rebuild a strong foundation for your smile.

What to Expect During a Bone Graft

The process can be completed in a single appointment. In many cases, healing occurs over several months before the implant is placed. You may be given special instructions to follow during this time to help the graft fuse properly.

While it may delay the final placement, bone restoration ensures your implants last longer and stay stronger.

The Step-By-Step Dental Implant Process

The implant process involves several key steps, and each is designed to help ensure your implant is secure and long-lasting. Dr. Martinson explains this process in full detail on this page. The dental implant process can vary, but this is a general outline of what most patients can expect:

1. Consultation and Imaging

Your journey starts with a full consultation. Dr. Martinson will take 3D X-rays to assess your jawbone and create a plan tailored just for you. This step is also where your bone loss will be evaluated.

2. Preparing the Jawbone

If needed, bone grafting or sinus lifts are performed to prepare the area for the implant. You will be given time to heal before the implant is placed.

3. Implant Placement

The dental implant (a small titanium post) is placed in the jaw. Over time, the bone fuses with the post in a process called osseointegration.

4. Attaching the Crown

Once healed, a crown is placed over the tooth. This crown is custom-made to match your surrounding teeth in size and color, creating a natural look and feel.

Complete Mouth Restoration: When You Need More Than One Implant

Some patients require multiple implants or a comprehensive smile makeover to achieve their desired results. This process is known as full mouth reconstruction, and it can transform both your smile and your overall oral health. You can read more about this option here.

Dr. Martinson offers comprehensive treatment plans that consider your bone health, implant needs, and cosmetic goals simultaneously. Every case is different, but the goal remains the same: to restore function and confidence.

What Happens if You Do Not Replace a Missing Tooth?

Missing teeth can cause more than just a gap in your smile. Without a replacement, you may experience problems like:

Shifting teeth that affect your bite
Jawbone loss that changes your facial shape
Difficulty chewing or speaking clearly
Increased risk of gum disease and more tooth loss

That is why acting early is key. Replacing a tooth with an implant helps stop these issues before they start.

Benefits of Implants vs. Other Tooth Replacement Options

If you have experienced bone loss, you may wonder if implants are worth it. The answer is yes. Compared to bridges and dentures, dental implants offer lasting strength and improved long-term oral health. They provide several implant dentistry benefits that extend far beyond simply filling a gap.

Preserves Jawbone Health

Implants replace the tooth root, which keeps the jawbone strong. Dentures and bridges do not do this, leading to bone loss over time. This makes implants the best option for maintaining long-term structure and stability.

Feels and Functions Like Real Teeth

Implants are secure and do not shift. You can eat, speak, and smile naturally. Dentures can move around, and bridges may feel less stable. Implants give you confidence in daily life.

Lasts Longer Than Other Options

Implants often last a lifetime with proper care and maintenance. Bridges usually need replacing within 10 to 15 years. Dentures wear out even faster. Although implants cost more upfront, they often save money in the long run.

Protects Healthy Teeth

Unlike bridges, implants do not depend on nearby teeth for support. This avoids damage to healthy teeth. The NIH also confirms implants carry a lower risk of decay and sensitivity in adjacent teeth.

Reduces Dental Problems Later

Implants help prevent future issues, such as shifting teeth or plaque buildup. They support a clean, balanced bite and make hygiene easier than with partial dentures or bridgework.

Improves Overall Oral Health

According to the FDA, implants can enhance speech, chewing, and bone maintenance, all of which contribute to improved long-term dental health. For patients needing dental implants with bone loss, they remain the most complete and lasting solution.

Choosing the Right Implant Dentist in Arlington, TX

When you have bone loss, experience matters. You want a dentist who understands how to handle complex implant cases. Here is what to look for when choosing an implant dentist:

Years of experience with implants and bone grafting
Advanced imaging and technology in the office
Personalized care, not one-size-fits-all treatment
Clear explanations and flexible appointment times

Dr. Heather Martinson is known for her attention to detail, advanced tools, and gentle approach. As a trusted name in Arlington dental services, she provides complete care for even the most complex cases.

Are Dental Implants Right for You?

Still deciding if dental implants with bone loss are your best option? This breakdown of tooth replacement options can help:

Dental Implants are long-lasting, stable, and natural-looking
Bridges are fixed, but may damage nearby teeth
Partial Dentures are removable and affordable, but less secure

Implants offer the strongest bite, the best appearance, and the healthiest long-term results. Especially for those with bone loss, they are worth the extra planning.

Start Your Journey to Better Oral Health

Choosing dental implants with bone loss can feel like a big step, but it pays off in comfort, confidence, and long-term health. With expert care, bone grafting, and modern technology, implants remain a strong option for many people, even when jawbone support is an issue.

At Heather Martinson, DDS, we offer advanced dental health solutions in a caring and welcoming environment. If you are ready to learn more or want a second opinion, our Arlington dental team is here for you.

Learn more about implant dentistry on our website and schedule your free consultation to take the first step toward a stronger, healthier smile.

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Dr. Heather E. Martinson

D.D.S

Dr. Martinson has been serving patients and improving smiles through her work for the past 25 years. She attended both Southern University in Tennessee and the University of Texas at Arlington before earning her Doctor of Dental Surgery at Loma Linda University School of Dentistry in Southern California. She is a graduate of The Dawson Academy in Florida and the Schuster Center in Arizona, and has completed several cosmetic, implant and restorative continuing education courses. Dr. Martinson has also earned certification in the American Academy of Facial Esthetics. This allows her to provide Botox and dermal fillers to her dental patients.

The favorite part of Dr. Martinson’s job is being able to work closely with so many wonderful people and help them become healthier! And also help them to avoid heart attacks and strokes!

Dr. Martinson is married to Captain Myron Martinson (formerly a pilot with American Airlines). Together they have several 4-legged kiddos. When she is not busy at work, she enjoys bicycling, gardening, cooking, entertaining and traveling with family.

Dr. Martinson maintains active membership in the following professional organizations:

A man is getting his teeth examined by a dentist

What to Expect During Your First Dental Crown Appointment

By Heather E. Martinson, DDS • June 17, 2025

Are you preparing for a dental crown appointment? Learn what to expect during the tooth crown procedure as you take the first step toward a renewed smile.

The Dental Implant Process Explained

By Heather E. Martinson, DDS • May 21, 2025

Undergoing a comprehensive surgical procedure, such as a dental implant, can be a big step. Still, studies like one by Tobias et al. (2025) report over a 97% success rate , even after five years. These show that it can offer significant long-term benefits with a reasonable guarantee of retention. So, if you are searching for a reliable solution to a dental issue, Dr. Heather Martinson, DDS, may be the one to choose for state-of-the-art implant surgery, but what does it entail? Below, our dental implants guide describes the dental implant process step-by-step to help you understand and feel more comfortable getting the smile you want. Explore each stage, from the initial consultation to attaching the crown. Then, discover what you might want to discuss with Dr. Heather Martinson, DDS, to ensure you get the desired results. Why Dental Implants are Our Best Fix for Missing Teeth Unlike crowns or fillings, dental implants are not a simple cap on an existing tooth . Nor are they intended to be temporary. Instead, they replace both the tooth's root and crown , preserving the jawbone and structure of the face by offering a complete prosthetic that the body should accept as its own. Titanium posts integrate with the bone and offer a very stable foundation for chewing. This is one of the reasons studies such as those by Kupka et al (2024) have found that dental implants often last for decades, with 80% continuing to last for over 20 years. With crowns, you will still need to be careful of what you bite into in case the prosthetic detaches from the tooth. However, implants can often restore the full force of your bite. For this reason, Dr. Heather Martinson, DDS , and her team prefer to use these prostheses, eliminating several difficulties one might encounter with other options. How Gaps Affect Function and Appearance We understand that it can sometimes be tempting to leave tooth gaps as they are due to the perceived hassle of installing a new implant. However, missing teeth can drastically impact the mouth beyond issues with appearance or speech patterns, as it can cause the jawbone itself to start "sagging" where the tooth no longer exists. Teeth may also begin to shift position, leading to bite issues. Early restoration via a professionally-implanted denture can prevent this loss and maintain the face's proportions. Perfect for maintaining a youthful visage. Why Implants Outperform Bridges and Dentures Bridges and dentures are critical parts of a high-quality dentistry offering . However, they do not tend to last as long as an implant due to how implants preserve the underlying bone. This fact may go a long way towards explaining why the NIDCR in the US has recently discussed a " fourfold increase " in the number of adults receiving dental implants over two decades. Still, that doesn't mean discounting these options. If you feel a bridge or denture may be best for you, you should discuss your options with our dental team . Discuss the pros and cons of each option. In some cases, implant-supported dentures are also available , allowing for a combination of both. Dental Implant Process Step-by-Step at Heather Martinson DDS Our implant procedure steps combine: Consultations 3D imaging Surgical planning Continual checks for precision Constant coordination with colleagues Using these, we can ensure that your results are accurate and efficient. Initial Consultation and 3D Scan The first step is always to take a detailed medical and dental history . Using this, we can determine if you have any risk factors, such as smoking habits, that we need to be aware of so we can help maintain your safety. Then, we will assess how your jaw aligns to ensure we do not interfere with this. Our advanced scanner can capture 3-dimensional images of every part of your mouth for precision-planning, including: Jawbones Sinuses Nerve canals Details of prior surgery We can even use this to preview the final outcome before surgery, allowing you to understand the most likely results and give a go-ahead from a position of knowledge. Precise Implant Placement Before the final crown "tooth" can be placed in the jaw, you will require surgery to install the implant itself. This implant is the structure that sits in your jawbone, maintaining the visible crown's position while preventing it from moving. This step involves local anesthesia or other forms of sedation to ensure your comfort. Then, the dentist will create a path for your implant to sit within your jaw. The implant is up to 5mm in diameter and up to 13mm in length, meaning it is robust enough to prevent damage due to torsion or other forces. After the placement, the dentist will use sutures and a protective cap to shield the site. During this healing phase, the implant undergoes "osseointegration," which is the growth of bone cells around the implant surface. This process takes up to six months to ensure it integrates with the body. Once the dentist is sure that your body has accepted the implant, they will reveal the site of the implant and perform a scan to ensure that an external lab can produce a perfect crown for the area, matching your prior teeth as closely as possible. After the final attachment, you can review the tooth , offering feedback such as colour adjustments or determining whether it needs minor alteration to match your bite. Long-Term Implant Care The Arlington, TX, dental care experts can offer advice and guidance on the best steps to ensure that the implant lasts as long as possible and remains comfortable. However, should you need anything else , their clinic will be available for you to follow up, so ask them for more details on how you need to schedule follow-up appointments to ensure you get the best results. Take the Next Step with One of the Best Dentists in Arlington After learning the dental implant process step-by-step , you should understand what it entails and be able to make better healthcare decisions. With over 25 years of experience in Arlington, TX, we can ensure your treatment focuses on improving your dental health and restoring your natural and healthy beauty using the latest techniques and advances. If you want to investigate the possibility of an implant, remember that you can always request a free consultation with Heather Martinson, DDS. Following that, you should be able to begin your journey to regain your full chewing ability and a confident smile.