Another dentist said I can't have implants. Is a second opinion worth it?

Yes. A 3D scan shows exactly how much bone you have, and Dr. Mann has advanced training in rebuilding bone when it's thin. Sometimes the scan confirms an implant isn't the right choice, and when it does, he'll tell you honestly and help you find another good option.

Will I be sent to an oral surgeon for my graft?

No. Dr. Mann does bone grafting and sinus lifts himself at our Manchester dental office, a short drive from Bedford, so you stay with the doctor who planned your implant, from your first 3D scan all the way to your finished smile.

Will a bone graft make my treatment take longer?

Sometimes. When Dr. Mann grafts during your implant surgery, there's no separate visit for it, but a larger rebuild, like a sinus lift, needs to heal before your implant goes in. He lays out every step and its timing in your plan before anything begins.

What if the gums around my implant need help too?

Dr. Mann does gum grafting too. When the tissue around an implant isn't quite where he wants it, he can add a little gum tissue to protect it, and he often catches the need early at your regular checkups in Manchester.

My tooth has been gone for years. Is it too late to rebuild the bone?

Usually not. A sinus lift was made for exactly that, when upper back teeth have been missing a long time, and bone grafting can often rebuild other areas too. Your 3D scan will show Dr. Mann what's possible for you, and he'll walk you through it.

Bone Grafting in Manchester, NH | Mann Family Dental

Rebuilding the support your new smile needs

Taking a second look at your bone

If you've been told there isn't enough bone for an implant, it can feel like a door closing on the smile you were hoping for — and Dr. Mann hears that often. He always wants a true look before anyone decides, which means a 3D scan of your jaw: "nobody knows, and you don't know until you take a three dimensional Cone Beam scan and look at it," he says. That's why every new patient at our Manchester dental office gets a 3D scan, and why some people who were told no learn that, with a little rebuilding, an implant is still within reach.

Seeing your own bone on the screen

At your visit, Dr. Mann uses your 3D scan to place an implant virtually, so you can see exactly where it would go and the bone it would rest in, and if there isn't quite enough, he'll show you that area too — along with how a graft would change it: "if we bone grafted that area, you would have enough bone," as he explains to patients. Seeing it for yourself turns a confusing answer into a clear plan, so you leave knowing what your bone can support today and what it would take to get where you'd like to be.

Rebuilding the bone your implant needs

A bone graft adds bone-building material where your jaw has thinned, and as it heals, your body fills in new bone that can hold an implant securely. For upper back teeth missing a long time, the sinus above them can drop down and leave little bone height, so Dr. Mann performs a sinus lift — lifting the thin lining of the sinus and placing bone beneath it so there's room for your implant. "You're generally going to have an oral surgeon do it, or someone like myself that's trained," he says, and he added that training to what he knew, including time learning from oral surgeon Dr. Michael Pikos.

What is a dental bone graft?

A dental bone graft is a procedure that adds bone where your jaw has become too thin or too short to hold an implant, giving your body a framework to rebuild on. Dr. Mann plans each graft on your 3D scan at our Manchester dental office, so he knows exactly where the bone needs help and how much, and he explains it to you on the screen before anything begins.

How much does bone grafting cost in Manchester, NH?

The cost of bone grafting depends on how much bone needs rebuilding, whether you need a sinus lift, and whether the graft happens during your implant visit or on its own, so Dr. Mann gives you a clear plan and cost before anything starts. We offer financing through Cherry and CareCredit, and our Manchester dental office is out of network but files your claims, so any reimbursement comes straight to you.

Why would I need a bone graft before an implant?

When a tooth has been missing for a while, the bone that once held it can shrink, and an implant needs enough bone around it to stay secure for years to come. Dr. Mann can see this clearly on your 3D scan, and grafting gives your implant the solid support it needs — which, for many people, is the very step that makes an implant possible at all.

Can bone grafting happen during the same visit as my implant?

Sometimes, yes: in full-mouth implant cases, Dr. Mann does the bone grafting during the same surgery, right as your implants go in, so there's no separate visit for it. For a larger rebuild, such as a sinus lift for upper back teeth, he places the bone first and comes back to place your implant once it has healed, and he'll lay out that timing with you before you begin.

Will I be comfortable during my bone graft?

Yes, and that's Dr. Mann's first priority: he makes sure you're thoroughly numb before he begins, and if you're nervous, he offers nitrous oxide or IV sedation, which he gives himself. You'll go home with clear instructions for the days that follow, and we'll check in with you afterward to make sure you're healing comfortably.

Being honest about what your bone can do

Sometimes a 3D scan confirms there truly isn't enough bone, and Dr. Mann will tell you so — "Sometimes you take a cone beam and they don't," he says — because he believes caring for implants well means knowing when to rebuild and when another path serves you better. "You have to have the skill and the knowledge to be able to do that," he says of grafting bone and gum, and when a graft isn't the right answer for you, he'll help you find the option that is, whether that's a bridge, a denture, or a different plan that fits your health and your life.

Bone Grafting in Manchester, NH