In contemporary implant dentistry, there is a growing trend toward minimizing the need for extensive bone grafting procedures through the adoption of less grafting or bone-preserving solutions. Conventional bone augmentation techniques, while effective, often increase treatment complexity, duration, and morbidity. Advances in surgical protocols, implant design, and digital planning have facilitated the development of approaches that optimize existing bone anatomy, reducing or eliminating the need for major grafts. Techniques such as ridge preservation, socket shield and partial extraction therapies, ridge-splitting, and the use of bone condensation or guided bone regeneration (GBR) with biomaterials of limited volume allow for localized enhancement of bone support while maintaining native structures. Additionally, the use of short, narrowdiameter, and tilted implants in anatomically favorable positions minimizes the need for sinus lifts or vertical ridge augmentation. These “less grafting” strategies offer predictable clinical outcomes with reduced surgical morbidity, faster healing, and improved patient comfort. The integration of digital workflows, CBCT-based planning, and minimally invasive surgical guides further enhances precision and treatment predictability. Overall, less grafting solutions represent a balanced, biologically respectful approach that aligns with modern concepts of minimally invasive and patient-centered implant therapy.
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