Call us for a consultation:

123 South 3rd Ave., Ste. 4
Sandpoint, ID 83864
208-255-5667 | fax 208-255-5665
1859 N Lakewood Dr., #101
Coeur d'Alene, ID 83814
208-667-5565 | fax 208-765-9633

Special Situations


In areas where teeth have been lost, the bone naturally shrinks and resorbs over time. There can be bone loss around an existing tooth, due to infection, fracture, gum disease or trauma. In the past, these patients have had few choices and were usually not candidates for dental implants. State-of-the-art techniques in bone grafting allow for placement of implants of proper length and width and the ability to restore functionality and esthetic appearance. Grafting to augment the site may be necessary prior to implant placement (in cases of severe bone loss) or often at the same time as implant placement. There are many bone grafting techniques and materials available, including minimally invasive treatment options. Some types of grafting may require a 4-6 month healing period Dr. Cullum will recommend the best technique and materials based on your specific needs.


In the upper jaw after tooth loss the sinus remodels lower which reduces the height of available bone for implant placement. This can vary significantly from patient to patient and with the length of time since tooth loss. Elevation of the sinus floor with grafting can allow for implant placement. Many minimally invasive treatment options allow the implant to be placed at the same time as elevation to reduce the healing period.


Ridge Expansion is a minimally invasive technique used to restore the lost bone dimension when the ridge gets too thin to place conventional implants. In this procedure, the ridge is sectioned and widened by progressive dilatation or expansion with Piezoelectric instruments and specialized instruments. This minimally invasive technique allows faster healing from within the bone cavity, just like a tooth extraction site. This allows less discomfort and usually does not require any grafting materials. Ridge expansion is a gentle and elegant technique.