Bone Grafting

Major & Minor Bone Grafting

Missing teeth over a period of time can cause your jaw bone to atrophy, or resorb. This often results in poor quality and quantity of bone suitable for the placement of dental implants as well as long term shifting of remaining teeth and changes to facial structure. Most patients, in these situations, are not candidates for dental implants.

Fortunately, today we have the ability to grow bone where it is needed. This not only gives us the opportunity to place implants of proper length and width, but it also gives us a chance to restore functionality and aesthetic appearance.

Major Bone Grafting

Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee). Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum to protect the bone graft, as well as encourage bone regeneration. This is called guided bone regeneration, or guided tissue regeneration.

Major bone grafts are typically performed to repair defects of the jaws. These defects may arise as a result of traumatic injuries, tumor surgery, or congenital defects. Large defects are repaired using the patient’s own bone. This bone is harvested from a number of different areas depending on the size needed. The skull (cranium), hip (iliac crest), and lateral knee (tibia), are common donor sites. These procedures are routinely performed in an operating room and require a hospital stay.

Cortland Oral Surgery

5 out of 5 stars based on 528 reviews

Our Latest Patient Testimonial

I would recommend Cortland Oral Surgery to anyone who needs procedures done. They have very friendly staff and the work is performed quickly but with great care and attention to detail.

- Hunter S

5 out of 5 stars by Hunter S on

Our Latest Patient Testimonial

Everyone was so nice and friendly. Very pleasant experience. Wonderful Dr. and Staff!

- Cynthia R

5 out of 5 stars by Cynthia R on

Our Latest Patient Testimonial

We were happy with the quality of service received for this medical procedure. We were pleasantly surprised by a family discount due to another sibling having the procedure done previously.

- Erin B

5 out of 5 stars by Erin B on

Our Latest Patient Testimonial

Wonderful service. Made me feel comfortable. Pretty much painless surgical extraction. Professional staff. Highly recommend this doctor.

- John E

5 out of 5 stars by John E on

Our Latest Patient Testimonial

Excellent service and fast

- Richard C

5 out of 5 stars by Richard C on

Our Latest Patient Testimonial

These people made a stressful, normally uncomfortable procedure all most fun! Very appreciative.

- JOHN A

5 out of 5 stars by JOHN A on

Our Latest Patient Testimonial

Wonderful staff, the dentist was very gentle, and funny too! I went in anxious as ever, but was soon at ease. Very little pain and swelling the days following 3 teeth extractions.

- Adajean W

5 out of 5 stars by Adajean W on

Our Latest Patient Testimonial

Very good experience everyone was very professional and friendly. If I ever need an oral surgeon again I would definitely go back.

- Cindy C

5 out of 5 stars by Cindy C on

Our Latest Patient Testimonial

Everyone in the office is wonderful! They've exceeded my expectations and made the process as easy and affordable as possible. I would (and have) highly recommend Dr. SanGiacomo to anyone who needs work done.

- Raechel A

5 out of 5 stars by Raechel A on

Our Latest Patient Testimonial

very pleased

- Ronald B

5 out of 5 stars by Ronald B on

Our Latest Patient Testimonial

Great experience with a difficult procedure! Thank you!

- Carter F

5 out of 5 stars by Carter F on

Our Latest Patient Testimonial

I would absolutely recommend friends and family to this practice. Thank you!

- Kevin T

5 out of 5 stars by Kevin T on

Our Latest Patient Testimonial

Excellent service!!

- Debbie R

5 out of 5 stars by Debbie R on

Our Latest Patient Testimonial

I am an Anesthesiologist practicing in town. I have tried to have 2 back molar implants placed since my medical residency in the early 90's. I have been to multiple specialist, which all had said, because of the bone erosion there is not enough bone to place an implant. Everyone from colleagues I perform anesthesia for to Clear Choice shown on TV, none where able to even try. I did not know Thomas R. SanGiacomo, DMD, but thought I would give it one more try. To my surprise I had a 3-D CT scan in his office and he said he believed he could use a specialized implant called a Fatboy. Well, after less the a year I have 2 permanent excellent chewing surfaces. The whole experience was exceptional, he and his office staff out like a real hidden treasure here in Cortland and I have been all over the U.S. and world trying to have this performed. I can not say enough about the experience and end result. I had tried a partial before and there is no comparison between wearing a partial and having solid permanent teeth. If you or someone you know are missing teeth I highly recommend you visit this outstanding Specialist. He has clean ultra modern equipment, a wondering pleasant staff, and a tremendous skill. His prices are absolutely the best and he accepted my insurance, which was an added bonus. I highly recommend if you are reading this you take the first step and make an initial appointment.

- Rob S

5 out of 5 stars by Rob S on

Our Latest Patient Testimonial

I was very anxious about getting these extractions. The staff were very encouraging and put me at ease. Dr SanGiacomo was very professional and has a great sense of humor,which I really appreciated!

- Patricia M

5 out of 5 stars by Patricia M on

Our Latest Patient Testimonial

Everything went very smooth, the tooth extraction was actually easier than I thought

- Timothy T

5 out of 5 stars by Timothy T on

Our Latest Patient Testimonial

Had a bad tooth ache, called and got me right in. Great service and great result as I have not had any issues. Staff was very friendly and helpful. Doc is the best.

- Gary H

5 out of 5 stars by Gary H on

Our Latest Patient Testimonial

Great place and amazing staff

- Nicole S

5 out of 5 stars by Nicole S on

Our Latest Patient Testimonial

Very efficient, I felt very comfortable.

- Mike K

5 out of 5 stars by Mike K on

Our Latest Patient Testimonial

friendly staff that makes you feel very comfortable. made sure i was not in pain during the procedure. explained everything clearly

- tim f

5 out of 5 stars by tim f on