Bone Grafting

Rebuilding the Foundation for Your Smile

Bone Grafting: The First Step in Rebuilding your Smile

Bone grafting is the process of rebuilding bone where deterioration has occurred. Through the implantation of donor bone into the jaw to the body to grow new bone on its own. This procedure is typically done to prepare the jaw for a dental implant, but can be performed for other structural needs as well.

Why Bone Loss Occurs

The jawbone depends on regular stimulation from natural teeth. When a tooth is lost, the alveolar bone (which supports the tooth) begins to resorb. Over time, this can lead to:

Types of Bone Grafting

Minor Bone Grafting

There are a variety of types of bone grafting – most of which are considered “minor bone grafting” and are typically done by Drs. Lonergan, Nalley, Huizinga, Klooster, Kirby, Houle, DeYoung and Grinzinger in preparation for a dental implant. Dental implants require that there is adequate bone in the jaw. Often, there is not, and that is where bone grafting comes in – to build up bone in preparation for an implant.

Major Bone Grafting

When a significant amount of bone loss has occurred due to trauma, cysts, tumors or a defect, major bone grafting is often required. This advanced process often requires additional materials and technologies and sometimes several specialists.

Where Does the New Bone Come From?

The bone used in grafting can come from a variety of places: your chin, hip, leg and skull are all common donor sites. In addition to that, bone-grafting materials are sometimes used from bovine (cow) sources, as well as human cadavers. There are pros and cons to each, which will be discussed with you as we determine the best course of action.

What is Bone Grafting Recovery Like?

You will be adequately anesthetized during the procedure. However, as with any dental surgery, you may experience some soreness as the anesthesia wears off. Typically, our patients are able to control the pain with over-the-counter medications, and any necessary prescriptions will be discussed at your appointment prior to the procedure. After the procedure, the bone is left alone to heal and grow for three to six months before implants can be placed.

Is Bone Grafting Safe?

Yes. Bone grafting is a well-established, predictable procedure performed routinely in our practice. Our team uses advanced technology and years of surgical experience to ensure your safety and success.

Meet Dr. Keith Nalley

Dr. Nalley moved to Grand Haven, MI at 9 years of age after his father was stationed here by the U.S. Coast Guard. This has been his hometown ever since. He graduated from Grand Haven High School.  His undergraduate studies were completed at Hope College in Holland, MI. He received his dental training at the University of Michigan where he received the Chalmers J Lyons Award which is given to the top oral surgery student of the graduating dental class.

He then completed his residency in Oral and Maxillofacial Surgery at The Detroit Medical Center (DMC) / Wayne State Medical School.  In addition to his time spent treating patients, Dr. Nalley has also been very involved in various surgical organizations and committees.

He is a member of the Michigan Society of Oral and Maxillofacial Surgeons and was past president of the Great Lakes Society of Oral and Maxillofacial Surgeons.  He is board certified by the American Board of Oral and Maxillofacial Surgeons and The National Dental Board of Anesthesiology. He is also a fellow of the American Association of Oral and Maxillofacial Surgery.

Education

  • College: Hope College
  • Dental School: University of Michigan School of Dentistry
  • Residency: Detroit Receiving Hospital/Wayne State Medical School

Professional Memberships

  • Great Lakes Society of Oral and Maxillofacial Surgeons – Former President
  • Michigan Society of Oral and Maxillofacial Surgeons
  • American Board of Oral and Maxillofacial Surgeons
  • National Dental Board of Anesthesiology
  • American Association of Oral and Maxillofacial Surgery