A bone graft is done to rebuild the bone foundation so you can replace a missing tooth with an implant. The best time to do a bone graft is during tooth extraction. When a tooth is extracted, and without a bone graft, the jawbone begins to shrink. A patient may not have enough bone to place an implant. If you lose multiple teeth, your bone will shrink, aging your facial appearance. Bone grafts are used to repair implant sites where a previous extraction has taken place, or severe bone deterioration has resulted from injury or gum disease. Special membranes are sometimes used. The membrane seals and protects the bone graft, dissolves under the gum, and encourages tissue regeneration.