{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T10:28:07Z","timestamp":1786530487121,"version":"build-2736575974"},"reference-count":91,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oral Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Tooth extraction inevitably initiates alveolar socket remodeling and resorption, particularly of the buccal bone, which may compromise future implant placement and esthetic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This narrative review synthesized current evidence on post-extraction socket healing, alveolar ridge preservation, and minimally invasive tooth extraction techniques aimed at reducing surgical trauma and maintaining hard and soft tissue integrity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The literature demonstrates that significant dimensional changes occur following tooth extraction, with the greatest bone loss occurring in the buccal aspect during the early healing phase. Minimally invasive approaches, including periotomes, piezotomes, magnetic mallets, sonic instruments, physics forceps, vertical extraction systems, vestibular root extraction, enzymatically assisted extraction, socket-shield techniques, and root sectioning methods, have shown varying degrees of effectiveness in preserving alveolar bone, reducing postoperative pain and complications, and facilitating immediate implant placement. Adjunctive socket preservation strategies, such as alveolar ridge preservation and soft tissue grafting, further enhance maintenance of ridge dimensions and esthetic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Atraumatic extraction is a critical component of socket preservation and successful implant therapy. While several minimally invasive techniques have demonstrated promising clinical benefits in reducing tissue trauma and preserving alveolar architecture, the quality and quantity of evidence vary among techniques. Further well-designed clinical studies are required to establish standardized protocols and strengthen evidence-based clinical decision-making for minimally invasive extraction and socket preservation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/froh.2026.1834419","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T09:32:15Z","timestamp":1786527135000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimally invasive tooth extraction: the science and clinical strategies of socket preservation: a comprehensive review"],"prefix":"10.3389","volume":"7","author":[{"given":"Patr","family":"Pujarern","sequence":"first","affiliation":[{"name":"Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University","place":["Bangkok, Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiphu","family":"Srisawan","sequence":"additional","affiliation":[{"name":"Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University","place":["Bangkok, Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boontharika","family":"Chuenjitkuntaworn","sequence":"additional","affiliation":[{"name":"Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University","place":["Bangkok, Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasipa","family":"Thiradilok","sequence":"additional","affiliation":[{"name":"Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University","place":["Bangkok, Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Rokaya","sequence":"additional","affiliation":[{"name":"Clinical Sciences Department, College of Dentistry, Ajman University","place":["Ajman, United Arab Emirates"]},{"name":"Center of Medical and Bio-Allied Health Sciences Research, Ajman University","place":["Ajman, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suphachai","family":"Suphangul","sequence":"additional","affiliation":[{"name":"Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University","place":["Bangkok, Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.identj.2021.01.011","article-title":"Reasons for tooth removal in adults: a systematic review","volume":"72","author":"Broers","year":"2022","journal-title":"Int Dent J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1048","DOI":"10.1111\/j.1600-051X.2009.01482.x","article-title":"Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review","volume":"36","author":"Van der Weijden","year":"2009","journal-title":"J Clin Periodontol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"204","DOI":"10.5125\/jkaoms.2017.43.3.204","article-title":"Use of elevator instruments when luxating and extracting teeth in dentistry: clinical techniques","volume":"43","author":"Mamoun","year":"2017","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e187421062307240","DOI":"10.2174\/18742106-v17-20230815-2023-9","article-title":"Tooth extraction using vertical, conventional, and surgical techniques in sebha dental college: a descriptive \u201cCross-sectional study\u201d","volume":"17","author":"Mohamed","year":"2023","journal-title":"Open Dent J"},{"key":"B5","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1016\/j.coms.2020.06.001","article-title":"Principles of exodontia","volume":"32","author":"McKenzie","year":"2020","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e278","DOI":"10.4317\/jced.56887","article-title":"Indications of the extraction of symptomatic impacted third molars. 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