Not every patient needs bone grafting with an extraction. If you are considering having a dental implant placed after your tooth is removed then a bone graft is usually recommended to be done simultaneously. Our staff will always discuss the risks and benefits of dental implants with bone grafts as it pertains to your unique situation. If you had a tooth extracted years ago and the tissue around it was lost, a surgeon may need to do a bone graft prior to or at the same time as implant placement. There are also other situations that exist where bone grafting is done by a specialist to help achieve the best esthetic treatment results for certain teeth.