Removal of teeth is sometimes necessary because of pain, infection, periodontal disease or tooth fracture.  Tooth extraction procedures today should be painless thanks to local anesthetic and sedation techniques.

In the past, conventional tooth extraction often resulted in esthetic and functional deficiency due to loss of hard and soft tissue volume.  Newer surgical protocols and instrumentation have changed extraction techniques.  Ridge preservation procedures carried out at the time of extraction can reduce the bone loss that inevitably follows.  Patients undergoing this procedure benefit from a ridge form that allows for better esthetics, prosthesis contour and implant placement.

Several techniques can be used to preserve the bone and minimize bone loss after extraction.  Most commonly, after the tooth is removed, the socket is filled with bone or bone substitute.  This is then covered with gum, collagen membrane, or other tissue stimulating protein material.  This socket heals with less shrinkage and collapse of gum.  The newly formed bone provides a foundation for tooth implant replacement.