I have several damaged and missing teeth, and I have been told that I have bone loss around some of my remaining teeth.
I would like to restore my smile with dental implants and zirconia crowns, but I am concerned about whether my bone condition will affect the treatment.
Can I still have fixed teeth with implants, and would I need bone grafting before the restorations are placed?
Answers (1)
From our board-certified dentists and trusted medical professionals
Eda T.
Dentist
Answered on Oct 8, 2026
ANSWER
Based on the initial assessment, there is significant bone loss around several teeth, which may affect their long-term stability and the available bone support for dental implants.
Some teeth appear to have a poor prognosis and may need to be extracted before proceeding with implant-supported restorations.
To restore both the function and appearance of your smile, a combination of dental extractions, implant placement, bone grafting, and zirconia restorations may be considered.
Proposed Treatment Plan
Extraction of 10 teeth: 16, 26, 27, 31, 32, 36, 41, 42, 44, and 47
8 dental implants in the regions of teeth 16, 17, 26, 27, 36, 44, 45, and 47
Bilateral sinus lift procedures in the upper jaw
Bone grafting to improve the available bone support for implant placement
28 zirconia restorations covering teeth 17–27 and 31–37, 41–47
Professional dental cleaning
A custom night guard to help protect the final restorations from excessive bite forces, clenching, or grinding during sleep
Because you have bone loss, the sinus lift and bone grafting procedures may be necessary to create sufficient support for implants in the upper posterior jaw.
The treatment may need to be completed in stages, allowing adequate time for bone healing and implant integration before the final zirconia restorations are placed.
Important Consideration – Possible Full-Mouth Implant Treatment
During the clinical examination, we will carefully assess the stability of your remaining natural teeth.
If additional teeth are found to have significant mobility or insufficient bone support, preserving them with individual crowns may not be a predictable long-term solution.
In that situation, the treatment plan may need to be changed to a full-mouth implant-supported rehabilitation, depending on the condition of the remaining teeth and surrounding bone.
The final number of extractions, implants, and zirconia restorations will therefore be confirmed after a detailed intraoral examination, assessment of tooth mobility and gum health, and three-dimensional CBCT evaluation.
Our priority is to establish a stable foundation for your restorations and provide a functional, natural-looking smile with the best possible long-term outcome.