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How much time I have to wait after an alveolar ridge preservation

Francisco Teixeira Barbosa
Francisco Teixeira BarbosaFounder & Editor
Aug 4, 20153 min read
How much time I have to wait after an alveolar ridge preservation

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We all know that unavoidable ridge resorption occurs after an extraction (I´m not going to mention the bibliography because I´m sure you all know those articles from Amler to Araujo & Lindhe), and among all the therapeutic options we have after an extraction, the most reliable approach in an aesthetic demanding case is performing an alveolar ridge preservation, and then place the implant.

Video 1 - Video representing bone remodeling after an extraction

But that´s the easy stuff. The answer always is when should I place the implant?, and even more important what should I explain to the patient about the waiting time till he will go out of my office with his shiny smile again?

I try to make it simple, hence I created this infographic with some information based on the latest systematic review and meta-analysis (De Risi 2013). Some of you will not like me to treat this topic in such a simple way, but from a clinical point of view it works for me and my time-line is crystal-clear when I have to explain the treatment plan to my patient.

Socket Preservation Case Sequence

Extraction showing damaged tooth root
Step 1: Pre-operative view showing compromised tooth
Immediate post-extraction socket view
Step 2: Immediate post-extraction view showing socket morphology
Socket preparation for grafting
Step 3: Socket debridement and preparation for grafting
Socket filled with bone graft material
Step 4: Socket filled with bone graft material
Initial soft tissue closure
Step 5: Initial soft tissue closure over grafted socket
Soft tissue healing showing ridge contour
Step 6: Soft tissue healing showing preserved ridge contour
Early healing progression
Step 7: Early follow-up showing soft tissue healing progression
Final healed ridge ready for implant
Step 8: Preserved alveolar ridge ready for implant placement
Socket preservation timeline infographic
Alveolar Ridge Preservation Timeline Infographic

Zuhr & Hürzeler Plastic-Esthetic Periodontal and Implant Surgery
Plastic-Esthetic Periodontal and Implant Surgery by Zuhr & Hürzeler

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Francisco Teixeira Barbosa

Francisco Teixeira Barbosa

Founder & Editor

Implant & Digital Dentistry specialist. Periospot founder and managing editor. Executive Director at FOR.

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