{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T07:00:40Z","timestamp":1777014040131,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T00:00:00Z","timestamp":1692576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The physiologic bone remodeling accompanying tooth extraction is a phenomenon well described in the dental literature. Extraction sockets severely compromised by local infection, trauma, iatrogenesis, or other factors may exhibit enhanced reduction in alveolar dimensions during healing. The purpose of this report is to present an alveolar ridge preservation (ARP) protocol specifically intended for use at severely compromised sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seven patients presented to the Department of Periodontics, Army Postgraduate Dental School, Fort Gordon, Georgia, requiring extraction of teeth with partial or near\u2010complete loss of the facial\/buccal cortex. At each site, a cross\u2010linked bovine collagen membrane was used to prevent collapse of the facial\/buccal soft tissue and maintain space, a freeze\u2010dried bone allograft was applied in the socket, and a dense polytetrafluoroethylene membrane covered the occlusal aspect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All sites healed uneventfully and resulted in favorable alveolar ridge dimensions for implant placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Few authors have proposed specific ARP methods for managing severely deficient extraction sockets. The predominant recommendation has been staged reconstruction of the site applying hard and soft tissue augmentation. Observations reported herein suggest that staged reconstruction is avoidable at some extraction sockets exhibiting severe alveolar compromise. Controlled clinical investigation of this protocol appears warranted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key points<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Few authors have proposed alveolar ridge preservation (ARP) methods specifically intended for use at severely compromised extraction sockets.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The prevailing recommendation at such sites is a staged protocol involving tooth extraction with delayed hard and soft tissue augmentation.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The presented bilaminar ARP technique may eliminate the need for staged reconstruction at some severely compromised extraction sockets.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10263","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T07:59:30Z","timestamp":1691567970000},"page":"38-51","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Protocol for ridge preservation at severely compromised extraction sockets: Consecutive case series"],"prefix":"10.1002","volume":"14","author":[{"given":"Aaron N.","family":"Colamarino","sequence":"first","affiliation":[{"name":"Department of Periodontics Army Postgraduate Dental School Postgraduate Dental College Uniformed Services University  Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William E.","family":"Bane","sequence":"additional","affiliation":[{"name":"Department of Periodontics Army Postgraduate Dental School Postgraduate Dental College Uniformed Services University  Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary M.","family":"Blyleven","sequence":"additional","affiliation":[{"name":"Department of Periodontics Army Postgraduate Dental School Postgraduate Dental College Uniformed Services University  Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam R.","family":"Lincicum","sequence":"additional","affiliation":[{"name":"Department of Periodontics Army Postgraduate Dental School Postgraduate Dental College Uniformed Services University  Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian W.","family":"Stancoven","sequence":"additional","affiliation":[{"name":"Department of Periodontics Army Postgraduate Dental School Postgraduate Dental College Uniformed Services University  Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas M.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Periodontics Army Postgraduate Dental School Postgraduate Dental College Uniformed Services University  Fort Gordon Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u2010051X.2003.00366.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030\u20104220(69)90357\u20100"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2005.00642.x"},{"issue":"4","key":"e_1_2_8_5_1","first-page":"313","article-title":"Bone healing and soft tissue contour changes following single\u2010tooth extraction: a clinical and radiographic 12\u2010month prospective study","volume":"23","author":"Schropp L","year":"2003","journal-title":"Int J Periodontics Restorative 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