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Extraction Socket Management

Following tooth extraction, the alveolar ridge undergoes horizontal and vertical dimensional changes. It is common to see approximately 50% of the alveolar width and height resorbed1,2 within the first three months3. This can lead to ridge deformation and other complications.

Problems associated with ridge resorption for crown and bridge restorations include: 

  • Gap between the pontic and the soft tissue of the ridge
  • Impaired phonetics
  • Impaired esthetics
  • Hygiene complications


Problems associated with ridge resorption for implant placement procedures include:

  • Insufficient bone for implant placement
  • Need for subsequent invasive Guided Bone Regeneration treatment

“Socket grafting with Geistlich Combi-Kit Collagen promotes the maintenance of the ridge profile.”
Prof. Maurício Araújo, Maringá, Brazil


Ridge preservation with Geistlich biomaterials 

The use of scientifically documented biomaterials such as Geistlich Bio-Oss Collagen® and Geistlich Bio-Gide® in ridge preservation procedures can provide new bone formation and restore the  hard tissue2,3.  Regenerative treatment also may result in:

  • Reduced number of secondary augmentations at implant placement2.
  • Superior volume preservation under pontics4.

A regenerative approach with Geistlich Bio-Oss Collagen® and Geistlich Bio-Gide® to prevent hard tissue loss following a tooth extraction.


Sealing an extraction socket with Geistlich Mucograft® Seal can further improve soft-tissue parameters in extraction sockets with preserved buccal walls5

These cases illustrate approaches for ridge preservation with Geistlich Biomaterials.


  1. Weng D, et al.: Eur J Oral Implantol 2011; 4(Suppl): S59-S66.
  2. Jung RE, et al.: J Clin Periodontol 2013, Jan; 40(1): 90-98.
  3. Schropp L: International Journal of Periodontics & Restorative Dentistry 2003; 23: 313-23.
  4. Schlee M, et al.: Eur J Oral Implantol 2009; 2(3): 209-17.
  5. Geistlich Mucograft Seal Advisory Board Meeting Report, 2013. Data on file Geistlich Pharma AG, Wolhusen, Switzerland.

CAUTION: Federal law restricts these devices to sale by or on the order of a dentist or physician.



  • Which Geistlich biomaterials do you recommend for the treatment of extraction sockets?
  • Can Geistlich Bio-Gide® be used in extraction socket management for open healing? How?
  • What is bundle bone?
  • Is it possible to regenerate bundle bone with Geistlich biomaterials?
  • I treat extraction sockets. If I use your products - when can I expect bone?
  • Can Geistlich Bio-Oss® and Geistlich Bio-Oss Collagen® be used in an extraction socket if inflammation is present at the time of placement?
  • At what time point does the literature recommend re-entry or implant placement in extraction sockets?