Ridge Preservation: Protecting Bone Volume at the Moment of Extraction

Dental Implants · 8 min read

Ridge Preservation: Protecting Bone Volume at the Moment of Extraction

Reviewed January 14, 2025
Written by
1PleasantonDentist Editorial Team, Editorial team
Reviewed by
Editorial team

Image: Zypcu · BY-SA 3.0 · Source

Placing bone graft material into a socket right when a tooth comes out can prevent significant future bone loss, keeping future implant options open.

What Is Ridge Preservation?

Ridge preservation is a procedure performed at the time of a tooth extraction, placing bone graft material directly into the empty socket to help minimize the natural bone loss that otherwise occurs during the healing process.

Why Does Bone Loss Happen After Extraction in the First Place?

The jawbone in that specific area was previously stimulated and maintained by the presence of the tooth root, and once that stimulation is removed through extraction, the bone naturally begins to gradually shrink and remodel, a process that's most significant during the initial months after extraction.

How Much Bone Volume Can Be Lost Without Ridge Preservation?

This varies by individual and by the specific location, but meaningful, sometimes substantial bone volume loss, both in width and height, can occur within the first several months following an extraction without any intervention to help minimize this process.

Why Does This Bone Loss Matter for Future Treatment Planning?

If a dental implant is being considered for that site, whether immediately or at some point in the future, adequate bone volume is necessary to properly support the implant, meaning significant bone loss could mean needing more extensive bone grafting later, or in some cases, could limit implant options entirely without that additional grafting.

How Is Ridge Preservation Actually Performed?

Immediately following the extraction, your dentist or oral surgeon places bone graft material into the now-empty socket, often covering it with a membrane, helping to support and guide the socket's healing in a way that better preserves the original bone volume and shape.

Does Ridge Preservation Guarantee No Bone Loss at All?

No, some degree of natural remodeling still occurs even with ridge preservation, but the procedure significantly reduces the extent of bone loss compared to allowing the socket to heal entirely without this intervention.

Does Ridge Preservation Add Significant Time to the Extraction Appointment?

Generally, no, this can typically be performed as part of the same extraction appointment, adding a relatively modest amount of additional time compared to a standard extraction alone.

Is Ridge Preservation the Same as a Sinus Lift?

No, these are different procedures for different purposes — ridge preservation addresses the socket immediately after extraction, generally applicable throughout the jaw, while a sinus lift specifically addresses limited bone height in the upper back jaw related to the sinus's proximity, a different anatomical consideration entirely.

How Long After Ridge Preservation Can an Implant Be Placed?

This varies by individual healing, but generally follows a similar timeline to standard socket healing before implant placement, often several months, allowing the graft material to properly integrate and support adequate bone for the subsequent implant.

Does Insurance Cover Ridge Preservation?

Coverage varies by specific plan, and given this is often considered a preventive measure supporting future treatment options, it's worth confirming your specific coverage details, particularly if implant placement is anticipated at that site.

Frequently asked questions