Quick answer
A minor socket preservation bone graft at the time of extraction costs £150–£400. A standalone bone augmentation graft (for significant bone deficiency) costs £400–£1,500. A sinus lift — needed for upper back implants when there is insufficient vertical bone — costs £800–£2,500 per side. Bone grafts are almost never available on the NHS for implant preparation.
Key takeaways
If you are planning a dental implant, your dentist or implant surgeon may tell you that you don't have enough bone — either because of the natural shrinkage that occurs after a tooth is lost, or because of bone destruction from periodontal disease or infection. A bone graft rebuilds the missing volume so the implant has sufficient support to integrate and function long-term.
Performed immediately after a tooth is removed, the socket is filled with graft material before suturing. This dramatically slows the natural bone resorption that occurs in the first 6 months after extraction, maintaining volume for a future implant.
| Location | Cost |
|---|---|
| UK average | £150–£400 |
| London | £200–£500 |
When: At the time of any extraction where an implant is planned. Even if implant timing is uncertain, socket preservation is usually worth the additional cost.
Used when the ridge of bone where the tooth was has already shrunk in width (horizontal deficiency). Graft material is applied to the outside of the ridge and held in place with a membrane. Healing takes 4–9 months before implant placement.
| Location | Cost |
|---|---|
| UK average | £500–£1,500 |
| London | £700–£2,000 |
More complex than lateral augmentation, this addresses insufficient bone height. Less commonly needed and technically demanding — typically performed by an oral surgeon or specialist implantologist.
| Location | Cost |
|---|---|
| UK average | £800–£2,500 |
| London | £1,200–£3,000 |
For upper back teeth (premolars and molars) where the maxillary sinus has expanded into the space left by missing teeth, reducing the vertical height of available bone. The sinus floor is gently lifted and bone graft material packed beneath it. Healing takes 6–12 months before implant placement. Two techniques exist: internal sinus lift (done through the implant socket — cheaper, less invasive) and external (lateral) sinus lift (for larger deficiencies).
| Type | UK average | London |
|---|---|---|
| Internal sinus lift | £400–£800 | £600–£1,200 |
| External (lateral) sinus lift | £800–£2,500 | £1,200–£3,000 |
Your implant surgeon will assess this using a CBCT (cone-beam CT) scan (£150–£350) that shows 3D bone dimensions. You are more likely to need a graft if you:
See our guide to the true cost of dental implants in the UK and our dental implant treatment page for full implant cost breakdowns.
A socket preservation graft costs £150–£400. A standalone bone augmentation procedure costs £400–£1,500. A sinus lift costs £800–£2,500. Central London prices are typically 30–50% higher.
No. Many implant patients have sufficient bone and do not need a graft. However, if you have been missing a tooth for more than 12–18 months, have had gum disease, or lost bone due to infection, a graft is likely needed.
The main types are: autograft (your own bone, most effective but requires a second surgical site), allograft (human donor bone — most common in the UK), xenograft (animal-derived, usually bovine — widely used) and synthetic (alloplastic — no biological material).
The procedure is done under local anaesthetic, so you should feel minimal discomfort. Soreness for 3–5 days afterwards is normal; swelling and minor bruising may occur. Most patients manage with standard over-the-counter pain relief.