Every patient’s condition and goals are different, And there are many options depending on the situation. Often the most advantageous time to do bone grafting is at the time of extraction. This allows the most predictable result and is often the most comfortable and fastest recovery for the patient. If this is not possible and you have already had extractions in the past, the sites can be evaluated and may not require bone grafting. If after careful examination, it does require bone grafting, procedures exist to acquire bone for a future implant. Generally after bone grafting, time is required to allow the bone to mature prior to placing of the implant. Sometimes however, the implant and bone grafting material can be placed simultaneously. Dr Richard Schell would be happy to discuss you options with you.