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Oral health isn’t “just” about healthy teeth and gums. The supporting bone must retain its strength. After all, both hard and soft tissues rely on the bone in the jaw that surrounds and encases the teeth and gums. Fortunately, if the bone has deteriorated due to conditions such as tooth loss, at Liberty Oral & Facial Surgery in Spokane Valley, Washington and Post Falls, Idaho, we can rebuild that tissue. We do so with a variety of grafting techniques.

Also, grafting procedures are not limited to treating bone. Our oral and maxillofacial surgeon, Dr Bryan McLelland, also restore the soft tissues vital to the teeth and mouth’s structure, function, and health. As an OMS or OMFS, our specialists have the advanced training and knowledge of oral anatomy, function, and surgical techniques to safely and predictably augment, reshape, and otherwise restore these tissues. Likewise, our specialty center has invested in precision technologies that support safety, comfort, and optimal treatment outcomes.


“Grafting” refers to the process of taking bone from one part of a person’s body and transferring it to the treatment site in the mouth, face, or jaw. When autologous tissue from the patient’s body is used, it is derived from areas with good bone quality or volume (such as the lower jawbone, front or rear hip, or tibia). The bone graft may also be obtained from another human, animal, or synthetic source.

The idea is to use these materials to shape, build, and encourage the regrowth of bony tissue. We may introduce advanced materials to promote healing and protect the site. The length and nature of the healing process depend on several factors, including your overall health and the locations of the donor and recipient tissues.

Generally, you may be a good candidate for a bone graft procedure if:

  • You have sustained bone loss in the jaw due to missing teeth.
  • The jawbone must be “prepared” for dental implants, which are placed in the jaw and designed to function like tooth roots. Healthy, strong bone is required to support implants and reduce the risk of implant failures.
  • You sustained facial trauma or injury as the result of an accident.
  • Reconstructive treatment is required following the removal of a cyst, tumor, or other growths.


Grafts to rebuild soft tissues may also be sourced from another part of your body, such as nearby gum tissue or the palate (roof of the mouth). These grafts are commonly used to rebuild gummy tissue among those patients who are being fitted for dentures. Additionally, the need for more gum tissue may be apparent among patients with advanced gum disease or other trauma to the gums. While not as common as gum grafting, other soft tissues may also be augmented (including the floor of the mouth and the cheeks).

Patients and other dentists alike from throughout the Inland Northwest trust our specialists’ extraordinary level of skill and focus on exceptional care. You deserve not only optimal results from our treatments but also a comfortable experience throughout the process of restoring oral health, facial structure, and healthy function.

We welcome your questions and encourage you to call us at 509-922-2273 or schedule your appointment today.


  • The staff was great here. Both professional and fun to be around. I had all 4 wisdom teeth pulled and my normal dentist said that the surgery was going to... read more

    James Story Avatar James Story
    January 29, 2020

    Dr. McClellan was great. His staff was so friendly and comforting. Kris and Justin took such great care of my son. I would highly recommend them!!!

    Hope Harper Avatar Hope Harper
    December 16, 2019
  • Had a tooth pulled Monday. Having no issues . Staff is very professional and helpful. Had a implant put in on 11/13/19. No pain what so ever staff very... read more

    Brent Lewis Avatar Brent Lewis
    December 16, 2019

    I felt very comfortable here. Staff are very nice and knowledgeable. They definitely made sure that I was aware all risk and care for before and after post surgery on... read more

    Saundra Bergquist Avatar Saundra Bergquist
    December 7, 2019
  • I felt very comfortable here. Staff are very nice and knowledgeable. They definitely made sure that I was aware all risk and care for before and after post surgery on... read more

    Saundra Bergquist Avatar Saundra Bergquist
    December 7, 2019

    Excellent service. Staff is amazing. I understood exactlly what was being done and everything went beyond my expectations. The Exparel pain relief is amazing no soreness in my mouth... read more

    Paul Carroll Avatar Paul Carroll
    December 6, 2019
  • Great hospitality. Super quick procedure for my wisdom teeth. In and out in less than an hour!

    Marvin Reyes Avatar Marvin Reyes
    November 22, 2019

    I love the doctors. Made the pre and post surgery easy and little to no pain. Also loved the helpful email reminders after my surgery

    Kaela DuChesne Avatar Kaela DuChesne
    November 16, 2019
  • Such a nice environment! Just had my wisdom teeth pulled out and it was such a good experience! They even called me later in the day to make sure I... read more

    November 10, 2019

    Had number 9 pulled. No pain no swelling, staff was very caring and pleasant.

    Jim Oxford Avatar Jim Oxford
    October 22, 2019
  • It was an amazing experience! Dr. McLelland made it very quick and there was hardly any pain. I was nervous about it being painful, but it hardly hurt at all!... read more

    Abi Michaelis Avatar Abi Michaelis
    August 16, 2019

    Went in for a FREE consultation and then I was told when leaving that I owed $127.00 for an X-ray that I did not ask for. I paid said bill and... read more

    Jeffrey Long Avatar Jeffrey Long
    July 19, 2019
  • I had an oral implant in May 2019, and from my original consult to pre-op to the actual procedure and post-op, I can say I am highly satisfied and impressed!... read more

    Vickie Dawson Avatar Vickie Dawson
    May 17, 2019

    Dr. McLelland and his staff are the best in the business. Dr. McLelland talks you through all the procedures. His staff is very attentive, kind and friendly

    Douglas Stewart Avatar Douglas Stewart
    April 11, 2019
  • I just love this place! Dr. Moody is awesome! And all the staff are friendly and caring. I have and will continue to recommend liberty to anyone seeking dental care.

    bridgette terrell Avatar bridgette terrell
    April 2, 2019

    I had 3 teeth extracted here, one being an impacted wisdom tooth. Dr. Moody did an amazing job. It was painless during the procedure and the procedure didn't take much... read more

    Kati Doney Avatar Kati Doney
    March 27, 2019
  • Amazing staff Bryan Mclelland was great would not go anywhere else. They got it down.

    Michael Phillips Avatar Michael Phillips
    March 18, 2019

    Dr. Jones pulled my wisdom tooth 4 days ago and it's healing perfectly. He forewarned me that my tooth was sitting close to a nerve that might result in facial... read more

    Becca B Avatar Becca B
    January 29, 2019
  • Wonderful caregivers. Make sure you are well educated on everything going on. Dr Mclelland is a very skilled surgeon and called later the day of to check up on my... read more

    Laura Wright Avatar Laura Wright
    January 25, 2019

    This was such a positive experience for me!...the staff at Liberty are absolutely attentive, concerned and wonderful...Thank you, Liberty Oral Surgery, for the comfort and speed of my tooth extraction!!

    Laineyrose7 Avatar Laineyrose7
    December 31, 2018