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General Dentistry

What Are The Signs Of A Failed Bone Graft?

There have been incredible advances in

3 min readNovember 15, 2020Dr. Sahil Patel, DDS

There have been incredible advances in

technology in recent years, including bone grafts. A bone graft is a highly effective treatment for several dental problems; however, the procedure can fail occasionally. Understanding the signs of a failed dental bone graft helps you promptly correct the issue.

What Is a Dental Bone Graft?

Bone graft procedures are minor surgical procedures used by dental specialists to stimulate the growth of new bone cells within the jawline. An incision is made into the gum to expose the bone. Grafting material, created from natural or synthetic bone minerals, is inserted into the bone, most commonly through a syringe. The minerals are typically mixed with collagen, which encourages bone growth. These materials serve as a foundation for your body to naturally create new bone cells.

Common Signs of a Failed Dental Bone Graft

Persistent or Worsening Pain

Some level of pain can be expected and is managed with over-the-counter pain relief. That said,  long-lasting, increasing, or severe pain can signify bone graft failure.

Swelling That Doesn’t Go Down

Some swelling is normal after a bone graft, and usually subsides within a few days. If extended swelling persists after 3–5 days, it may indicate inflammation or infection.

Pus or Discharge From the Site

Foul-smelling fluid or pus from the incision site suggests infection and potential graft failure.

Gum Recession or Bone Loss at the Site

Visible changes in gum height or a sinking appearance in the incision area could mean the graft didn’t take, which can result in loose dental implants.

Implant Mobility (If Placed)

If an implant was placed with the graft and feels loose, the bone not support it properly.

Report any signs of a failed dental bone graft to your dentist immediately.

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Causes of Bone Graft Failure

Poor post-surgery aftercare is the most common cause of bone graft failure, so follow your dentist's instructions carefully. Disturbing the graft site increases the risk of failure. Insufficient blood flow to the region can also cause a failed bone graft. Sometimes, the grafted material simply fails to properly integrate with the jawbone.

💡Pro Tip

Insufficient blood flow to the region can also cause a failed bone graft.

Poor oral hygiene increases the risk of infection, which can cause bone graft failure. In addition, smokers and people with certain medical conditions, such as diabetes, have a greater risk of graft complications and failure.

When to Contact Your Dentist

Watch for signs of a failed dental bone graft after the procedure, and contact your dentist if you experience any of the following symptoms:

  • Persistent bad taste in your mouth
  • Bad breath
  • A fever or increased body temperature.
  • Persistent and painful throbbing in the area of the bone graft that lasts longer than a few days
  • Pus leaking from the infected area
  • Bleeding when brushing around the dental implant

While grafts occasionally fail, early intervention helps preserve oral health and increases the chance of a successful outcome.

How to Prevent Dental Bone Graft Complications

Following your dentist's aftercare recommendations is the best way to prevent dental bone graft failure. You can further reduce your risk of complications by not smoking, maintaining good oral hygiene, and attending all follow-up appointments. Most dental grafts succeed, but it’s important to be on the lookout for signs of possible failure. If you have any concerns or require professional guidance, don’t hesitate to contact the experienced team at

Rodeo Dental & Orthodontics

Dr. Sahil Patel, DDS

Medically Reviewed By

Dr. Sahil Patel, DDS

General Dentist

Compassionate dentist focused on preventive care and patient education.

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