S.M.A.R.T.™ minimally invasive bone grafting technique

SMART Minimally Invasive Bone Grafting Technique

The Future of Bone Grafting is Here!

The S.M.A.R.T. Bone Grafting Technique is a novel minimally invasive bone grafting method developed by Dr. Ernesto Lee. It provides superior bone regeneration outcomes with less pain, less swelling and fewer complications than traditional bone grafting procedures.

Only a small incision is required, with no flap elevation, no tenting screws, and no membranes. Complex, high-risk scenarios can now be treated with minimal risk of complications.

The S.M.A.R.T.™ bone graft represents a disruptive technology that will dramatically impact the future of bone grafting. The S.M.A.R.T.™ method was initially developed to provide a more predictable esthetic alternative to challenging clinical scenarios in the anterior region.

Traditional GBR flap-based approaches all too often result in membrane exposure, infection, and soft tissue dehiscences. These complications lead to loss of papillae, recession, and gingival defects; with catastrophic consequences in the esthetic zone. After achieving successful early results, the S.M.A.R.T. method has been utilized in an expanding range of clinical applications including horizontal augmentation, buccal plate regeneration on natural teeth and implants, and vertical augmentation.

S.M.A.R.T.™- a minimally invasive, less painful bone grafting procedure

Dr. Sierakowski is one of the few doctors trained in this cutting-edge technique. Call us today to learn more!

Call us: 610-558-8283

Advanced Training & Experience You Can Trust

SMART Minimally Invasive Bone Grafting Technique teamDr. Sierakowski is one of few doctors in the United States offering the breakthrough S.M.A.R.T.™ Minimally Invasive Bone Grafting Technique as a treatment for dental alveolar bone loss and atrophy.

Special training and instrumentation are required to perform the theS.M.A.R.T.™ bone graft procedure. The method was recently made available by its inventor, Dr. Ernesto Lee, to a select number of experienced and qualified dentists.

As a periodontist, Dr. Sierakowski is fully trained and very knowledgeable in bone grafting procedures, and he offers the S.M.A.R.T.™ bone graft technique to his patients as a revolutionary alternative to more invasive, traditional bone augmentation techniques.

How the S.M.A.R.T.™ Bone Grafting Technique Works

The S.M.A.R.T™ (Subperiosteal, Minimally Invasive, Aesthetic, Ridge Augmentation Technique) bone grafting method requires only a small incision, with no flap elevation, no tenting screws and no membranes. It delivers a xenograft/growth factor mixture to the site, using specially designed instruments and laparoscopic techniques.

Bone augmentation can be performed predictably and with minimal risk of complications. Complex scenarios in the esthetic zone can be treated with fewer procedures, and less risk of soft tissue deformities.

SMART Minimally Invasive Bone Grafting Technique after SMART Minimally Invasive Bone Grafting Technique before


The S.M.A.R.T.™ technique was published for the first time in the March/April 2017 issue of the International Journal of Periodontics and Restorative Dentistry. This article presents the results from a prospective case series including 60 sites and five treatment categories, with a follow up period ranging from 4 to 30 months. Human histology was included providing proof of concept. The mean horizontal augmentation reported was 6.47 mm. The average augmentation for all treatment categories was 5.11 mm. SMART Minimally Invasive Bone Grafting Technique xray images