Does Ridge Preservation at the Time of Tooth Extraction Improve Soft Tissue Volume and/or Implant Esthetics? A Review of Current Evidence

Clinical Advances in Periodontics
Maria L GeisingerMichael S Reddy

Abstract

Focused Clinical Question In patients with a hopeless tooth who receive dental implant therapy for tooth replacement, does extraction socket bone grafting, ridge preservation, or socket conversion at the time of tooth extraction result in improved gingival contours and/or peri-implant esthetics? Clinical Scenario A 54-year-old male presents for extraction of a restoratively hopeless tooth #10 (Figs. 1 and 2). He is systemically healthy and has no contraindications to routine dental care. He is interested in tooth replacement with an implant and has high esthetic demands. He asks whether there is a treatment sequence that will improve the quality and/or quantity of gingiva at the future implant site. After explanation, he opts for a delayed treatment approach with extraction and ridge preservation at tooth site #10 (Fig. 3). After initial healing, the local volume of keratinized gingiva at the site of future implant placement was adequate and the patient was satisfied with the final implant esthetic outcome after two years in function (Figs. 4 and 5).

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