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References

MacBeth N, Trullenque-Eriksson A, Donos N, Mardas N Hard and soft tissue changes following alveolar ridge preservation: a systematic review. Clin Oral Implants Res. 2017; 28:982-1004 https://doi.org/10.1111/clr.12911
MacBeth ND, Donos N, Mardas N Alveolar ridge preservation with guided bone regeneration or socket seal technique. A randomised, single-blind controlled clinical trial. Clin Oral Implants Res. 2022; 33:681-699 https://doi.org/10.1111/clr.13933
Araújo MG, Hämmerle CH, Simion M Extraction sockets: biology and treatment options. Preface. Clin Oral Implants Res. 2012; 23 https://doi.org/10.1111/j.1600-0501.2011.02403.x
Martins JR, Wagner TP, Vallim AC Comparison of the efficacy of different techniques to seal the alveolus during alveolar ridge preservation: meta-regression and network meta-analysis. J Clin Periodontol. 2022; 49:694-705 https://doi.org/10.1111/jcpe.13628
Avila-Ortiz G, Chambrone L, Vignoletti F Effect of alveolar ridge preservation interventions following tooth extraction: a systematic review and meta-analysis. J Clin Periodontol. 2019; 46:195-223 https://doi.org/10.1111/jcpe.13057
Canullo L, Pesce P, Antonacci D Soft tissue dimensional changes after alveolar ridge preservation using different sealing materials: a systematic review and network meta-analysis. Clin Oral Investig. 2022; 26:13-39 https://doi.org/10.1007/s00784-021-04192-0
Mardas N, Macbeth N, Donos N Is alveolar ridge preservation an overtreatment?. Periodontol 2000. 2023; 93:289-308 https://doi.org/10.1111/prd.12508

Preservation order

From Volume 52, Issue 3, March 2025 | Pages 161-162

Authors

Neil MacBeth

BDS, MSc, PhD, Dip MFGDP, MGDS RCS, MFDS RCS, Dip FFGDP (UK), FCGDent, FDS RCS (Rest Dent), DDR, CDLM, RAF, Group Captain, Defence Primary Healthcare (Dental)

Articles by Neil MacBeth

Ewen McColl

BSc(Hons), BDS, MFDS, FDS RCPS, MCGDent, MRD RCS Ed, MClinDent, FDS RCS(Rest Dent), FHEA, FDTF(Ed), , BSc (Hons), FCGDent, FDTFEd, FFD RCSI

BSc (Hons), BDS, FDS RCPS, FCGDent, MRD RCS Ed, MClinDent, FDS RCS(Rest Dent), FDTFEd, FFD RCSI, FHEA, Head of School, Director of Clinical Dentistry, Peninsula Dental School, University of Plymouth

Articles by Ewen McColl

Email Ewen McColl

Article

There cannot be many clinicians who, in the heat of the moment, while extracting a challenging tooth, have been less than gentle with both the soft tissues and the surrounding alveolar bone. The urgency of extracting the tooth is perhaps understandable in the heat of the moment, with less concern given to future replacement options. This approach can, however, have significant longer-term impact. The day will inevitably arrive where the clinician is faced with residual defects in the bone or soft tissue, which may limit treatment options and leave a complex reconstructive challenge, often leading to a compromise functionally and aesthetically.

Over the past two decades, patients (where they can access oral health care) have increasingly sought a reliable and aesthetic option for tooth replacement, with dental implants being seen by many patients and clinicians alike, as the gold standard for tooth replacement.

Effective implant treatment does rely on a healthy tissue foundation, leading to an increased awareness of the need for careful soft and hard tissue management at the time of extraction, and the investigation and use of a range of extraction instruments and grafting techniques to promote a favourable tissue profile. Research is also important to discover whether such techniques have significant benefits.1,2

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