Bone Augmentation & Sinus Lifts

Bone Augmentation & Grafting in Austin - Sinus Lifts - Inadequate Jaw Bone Volume

Real-Life Scenarios When Bone Grafting May Be Needed

  1. Tooth extractions and future restorations. Ridge Preservation.

    Bone Augmentation & Grafting in AustinWhen you undergo a tooth extraction, often you are left with the space in the tooth socket. In most cases it is appropriate to fill it either with a variety of regenerative and biomaterials as well as bone depending on your individual situation.

    Sometimes leaving it alone is appropriate when you are older and have no plans to ever try to restore the area with a dental implant or it is not a large enough defect in the bone to worry about it affecting the health and integrity of jaw bone overall or affecting adjacent teeth. In this cases Dr.Gotun would use collagen material to fill the space and aid the healing by promoting coagulation. It is particularly beneficial if the patient is medically compromised or is on a variety of medications that may interfere with a normal healing process or puts you in a high risk group for excessive bleeding ( please report to your dentist if you are taking any blood thinners).

    In cases when the patient is considering restoring the newly missing tooth with a dental implant, there are different grafting options that are available to you depending on the location of the socket, the amount of bone remaining, the size of the bone defect, its proximity to the sinuses, the health and quality of the bone overall. The simplest case of bone grafting you are facing is ridge preservation - bone grafting for preserving the bone in the alveolar ridge for future restorations. Collagen materials and Platelet-Rich-Plasma and  Platelet-Rich-Growth-Factors can be used together with the bone to stimulate healing and regeneration and often it can be done in one appointment. Sometimes if there is no infection in the tooth socket the bone graft can be done at the time of tooth extraction.

  2. The bone defect is very large after an extraction, or bone has been lost over a long period of time. Bone Augmentation.

    If the defect in the jaw bone is larger - a more complicated bone grafting - bone augmentation may be an appropriate solution, as new bone needs to be built to create a new alveolar ridge to enable placement of a dental implant of appropriate length and width. It is often a two-stage surgery which involves placement of a titanium mesh with screws  ( or other non-resorbable barrier) which will hold a large bone graft in place, in addition to collagen membranes and other regenerative materials that will drape the bone graft and assist in healing. These regenerative materials are made from the patient’s own blood and when used with bone grafting increase the quality of generated bone and improve the success and longevity of the future implant.
  3. There is a large bone defect in the upper jaw close to maxillary sinuses. Sinus lift.

    If a bone defect is in the upper arch and close to your sinuses - a sinus lift may be needed to enable future restoration with implant. A sinus lift is a procedure similar to the bone augmentation but it also involves building up bone vertically to increase the dimension of bone available and “pushing up” of the sinus to create enough space for the future implant screw. It is necessary so the tip of the implant will not perforate the sinus or will not be in close contact with it. Ensuring this prevents any potential infections that may be caused by the sinus or by the implant and therefore affect each other and the patient’s health in an adverse way. This is a critical factor in the longevity and health of the implants.

    No matter the situation - there is always an appropriate solution. At Austin Smile Creations Dr. Gotun has performed a multitude of all imaginable oral surgeries for decades and has been directly involved in the evolution of the art of oral surgery and regenerative dentistry. Experience and expertise is the most important factor a patient can rely on when dealing with complex dental problems.

    Digital Dental Implant Planning

    It is important that the patients do not take dental implant and bone grafting procedures too lightly and explore various options while educating themselves on the subject. Choose your doctor carefully. Make sure treatment options are based on thorough diagnostics (x-rays for diagnostics are now being replaced by Cone Beam Computer Tomography which gives the doctor a 3D representation of the patient’s head, which allows for much more accurate evaluation of bone, sinuses and so much more. It is also used in virtual planning of implant placement to ensure extreme precision during the procedure). Ask a lot of questions and ask about alternatives.

    Dr. Gotun uses only the most advanced technology in assessing if the patient is a good candidate for dental implants and bone grafting. If that is the case- all the treatment planning and all procedures are done using virtual technology to ensure maximum precision and predictability of the outcome. This ensures that the patient's investment will be worth it for many years to come. 

    We understand that it is not easy to make a decision about your implants and bone grafts and it does require an investment of time and money no matter what. However, keep in mind that if you choose “discounted” dental services that is exactly what you get.

    Please contact us for more information about dental implants and bone grafting at (512) 329-5555.


Read what people are saying about us.

read more


If you are reading this testimonial, I assume you are looking to alleviate pain in one or more of your teeth or to improve your smile cosmetically. Either way you can save yourself some time, stop right now and go make an initial evaluation appointment with Dr.Gotun and his staff at their cozy, comfortable office with a relaxing peaceful view of Eanes Creek. You can search the 1200 or more listings in the Austin area and the BEST you could hope for would be to find another dentist equally as skilled and talented as Dr.Gotun. I do NOT think it is possible to get BETTER quality dental work than what you will get at this office.

The one thing that made everything so simple for me was the photographs. During the initial exam Dr.Gotun takes a series of photographs of your teeth along with x-rays. You then get to see your teeth on a laptop screen, in color, up close and larger than life. If you can live with what you see then you can count your blessings and Dr.Gotun will let you be on your way, unless of course you would like to schedule a cleaning!

In my case I could see the damage, decay and buildup from many years of poor oral hygiene and neglect. In addition to the problem teeth that brought me to the dental office I could easily see that most of my teeth were in need of some type of restoration work. Dr. Gotun has my permission to show all of my records to anyone interested in seeing them. I am sure you will be as amazed as I still am at what Dr. Gotun was able to accomplish considering the very poor condition my teeth were in at the start of the process.

The cost was substantial in my case due to amount of work that was required. However, the work was spaced out over several years which made the cost much easier to budget. Dr.Gotun was not on my dental insurance plan, so I accessed some savings and my credit to finance the work and paid it off like any other significant asset I have purchased. My teeth are the most rewarding investment I have ever made.

If I could give anyone one bit of advice other than my story, it would be “do NOT let dental insurance be the major factor that guides your decision-making”. I was never happy with any of the experiences or results I had when I tried to use the dentists that were covered under my plan. I am proof that 12 years on with regular flossing and brushing, the investment in your restoration work done by Dr.Gotun can still be yielding satisfaction and compliments from friends and random strangers.

I have never gone to bed without flossing and brushing after seeing those photographs in my initial visit. Good luck and I hope to be reading your success story here sometime in the future.

Chuck M. Austin, TX

Dr. Tor Gotun probably saved my life and he's added some years to it. You don't usually say that about your dentist, but I believe it in my case.

More than 10 years ago, after many years of neglecting my teeth and an unhealthy life style, I went to Tor, my neighborhood dentist, even though he wasn't on my State of Texas dental insurance network.

I soon learned of the challenges to getting my gums and teeth back to a healthy status. The way Tor explained it, I knew it was complex and that Tor had the skills and vision to get me there, as long as I did my part. I also knew it would take time and not be cheap.

Now, years later, I still have most of my original teeth and only a few very nice, state-of-the art crowns. I am following Tor's advice for taking care of my teeth and gums, including his regular cleaning schedule. What my dental insurance didn't cover, I was able to use Austin Smile Creations' association with Care Credit to finance the costs without any interest charges as long as I pay off balances within a year of each charge.

By the way, we had only one procedure that didn't work out as planned, but Tor made good on it and the solution turned out as good or better.

As a bonus, all of Tor's top flight members are both professional and personable, always considerate of my needs, interests, and schedule.

Bottom line, Tor is better than my expectations. He pays attention to more than just how my mouth looks; he's concerned about my overall health and how my life-style affects, and is affected by, the health of my teeth and gums.

Bill H. Austin, TX

I have been going to Dr. Gotun since he used to have his practice on William Cannon Drive ( 20 years now). Now he is located in Bee Caves. He is an excellent dentist.

The thing I like best about Tor Gotun is he is relatively pain free when administering his shots to numb your mouth. Dentists I have had before always seemed to be a bit heavy handed in this activity.

He is very up to date with modern dental technology. He can make a crown or cap in his office at the moment of your appointment and have you leave with a fully functioning mouth. I have friends who use other dentists who must wander the city of Austin for at least a week with a hollowed out molar stuffed with gauze as they await their topping to arrive by mail to their dentist's office.

The staff is very friendly, and Dr. Gotun will never talk down to you. He is very good at explaining why he is doing something or why he wants to do a procedure. He may have gotten two of my wisdom teeth, but I will still try to hold onto the remaining two regardless of his explaining the safety factors of hanging on to them as you get older.

Randy S. Austin, TX

View More

Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.