Reviewed by Dr. Matthew Young, DDS
Reading time: three minutes.
A tooth extraction triggers immediate changes beneath the surface of the jaw and within the alveolar bone. As soon as a tooth is removed from the socket, the surrounding bone begins to shrink, altering the shape of the jaw. Socket preservation helps to slow bone loss and protect the foundation needed for strong, long-lasting restorations, including future dental implant placement.
Table of Contents
- What Socket Preservation Is and Why It Matters
- How Socket Preservation Supports Future Dental Implants
- How Fast Does The Bone Shrink After Extraction?
- Socket Preservation vs. Waiting and Grafting Later
- Socket Preservation and Bone Grafting in San Francisco
- FAQs
What Socket Preservation Is and Why It Matters
Socket preservation is a dental procedure performed immediately after a tooth extraction to protect the alveolar bone left behind. This procedure involves placing bone graft material into the tooth socket to stabilize the area, support gum tissue, and guide natural bone healing.
When a tooth is removed, the jaw no longer receives stimulation in that area. Without intervention, bone resorption begins as the body reabsorbs the bone, often within weeks, leading to progressive bone loss that affects oral health.
Socket preservation helps by addressing bone resorption at the extraction site:
- Reducing bone loss: It slows the natural resorption process that follows extraction.
- Maintaining jaw shape: It preserves the natural contours of the bone and gums.
- Protecting future options: It keeps the site ready for dental implants, bridges, or other restorations.
When Socket Preservation Should Be Done
The best time to perform a socket preservation procedure is immediately after tooth extraction. This is the easiest, and most convenient way to protect that healing tooth socket.
Socket preservation is recommended when:
- A dental implant is planned in the future
- The extracted tooth sits in a visible area of the smile
- The surrounding bone is already thin or fragile
- Multiple teeth are being removed over time
How Socket Preservation Supports Future Dental Implants
Dental implants rely on healthy bone for long-term stability. A dental implant is anchored directly into the jaw through oral surgery, so insufficient bone volume or density can lead to compromised placement or failure.
Socket preservation creates a stable environment that allows the bone to heal with enough volume and density to support an implant later. This often reduces the need for more invasive grafting procedures down the road and improves implant success rates.
How Fast Does The Bone Shrink After Extraction?
Bone loss begins almost immediately after a tooth is removed. The most significant bone resorption typically occurs within the first three to six months following extraction.
During this period:
- The socket becomes narrower
- The height of the surrounding bone decreases
- The gum tissue collapses inward
Without socket preservation, some patients lose up to half of the original bone width within the first year. This loss can delay treatment and limit future restorative options.
Socket Preservation vs. Waiting and Grafting Later
Some patients assume bone grafting can always be done later if needed. While that is sometimes possible, delayed grafting often requires larger procedures and longer healing times.
Socket preservation offers a simpler procedure at the time of extraction, faster overall treatment timelines, and better preservation of natural anatomy.
Waiting often leads to more complex surgeries and less predictable outcomes.
Socket Preservation and Bone Grafting in San Francisco
If you are planning a tooth extraction or considering dental implants, schedule a visit to discuss whether socket preservation is right for you.
To book an appointment at our dental office in San Francisco, CA, call (415)-392-8611. Visit us at 490 Post Street Suite 830, San Francisco, CA.
FAQs
Socket preservation adds an additional step to the extraction process and involves the use of bone graft material, which can increase overall treatment cost.
The cost of socket preservation varies based on the complexity of the tooth extraction, the type of bone grafting material used, and whether additional materials such as a collagen membrane are required.
Yes, it is still possible to get a dental implant without socket preservation, but additional treatment may be required. When bone loss occurs after extraction, a separate bone grafting procedure is often needed to rebuild enough bone to support the implant.