640 Lincoln Avenue
Pittsburgh, PA 15202

Special Surgical Procedures
If your mouth is not ideal for dental implants because of extensive bone loss, there are reconstructive procedures that can be performed to accommodate implant placement. They include:

• Bone Graft
Bone grafting can increase the jaw height and width. The bone needed can be taken
from other donor sites in your mouth. Alternatively, allogenic bone can be used.

• Tissue Regeneration
To encourage proper healing after a bone graft, an artificial membrane may be placed
along the bone edge. This membrane slows soft-tissue growth, giving the new bone
time to fuse with your jaw.

• Sinus Lift
If your upper jaw ridge is deficient in height because of sinus cavity enlargement,
bone can be added to the floor of the sinus to increase the height and thereby provide
anchorage for the implants.

• Advanced Extraction Therapy
Immediately after an extraction, the socket is filled with synthetic bone. This graft
enhances new bone growth in this area thereby preserving the integrity of the site
for potential future implant placement.


All procedures can be accomplished with local anesthesia or IV Sedation. Because the patient’s comfort is of utmost importance to the doctor, he generally recommends in office IV Sedation as the preferred anesthetic for more difficult surgery procedures. When the patient’s health history is rather extensive and warrants special precautions be taken for anesthesia, the hospital setting is recommended (generally as an out-patient procedure). Dr. DeFrancesco is on staff at Allegheny General Hospital, so these surgeries would be performed at their out-patient surgery center.
For all in office IV Sedation cases, the anesthesia is administered by a group of certified Anesthesiologists who carefully monitor the administration of all sleep medications.