Ridge Preservation: Setting the stage for implant success

Better outcomes start at tooth extraction
by Geistlich · Switzerland · May 26, 2025
What if a single decision made at the time of tooth extraction could shape the entire course of a patient’s treatment journey? That was the central theme explored by three leading experts during the Geistlich Corporate Forum at EuroPerio11 in Vienna.

From Extraction to Transformation: A 25-Year Journey

Dr. Ronald Jung, Switzerland – University of Zurich

In a talk that blended clinical insight with personal passion, Prof. Ronald Jung took the audience on a journey from his first esthetic implant case in 2000 to today’s evidence-based protocols. He emphasized that Ridge Preservation isn’t just about managing bone, it’s about protecting patients’ future treatment options and quality of life.

“The only difference between two very different patient journeys is you—the clinician. You’re in the driver’s seat.”
Ronald Jung

Dr. Jung used compelling long-term cases to illustrate the cost of doing nothing at the time of extraction: more invasive procedures, higher patient stress, and limited options. He underlined the importance of asking one question before every extraction: 

“Can I place an implant within the next 0–2 months?” 

If the answer is no, Ridge Preservation should be the standard.

Key Takeaways

  • Ridge Preservation reduces bone loss by up to 80–85%.
  • Start with the end in mind: extraction is part of implant planning.
  • Ridge Preservation simplifies future treatments and reduces stress for both patient and dentist.
  • Geistlich biomaterials like Geistlich Bio-Oss® Collagen and Geistlich Mucograft® Seal are reliable options for maintaining ridge volume with minimal intervention.

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Bioregeneration and Earlier Implants: A New Clinical Pathway

Dr. Patricia Solano, Spain – Complutense University of Madrid

Can cutting-edge biologics accelerate healing and enable earlier implant placement? Dr. Patricia Solano’s presentation introduced the concept of Bioregeneration, a biologically enhanced healing process supported by REGENFAST®, a gel composed of polynucleotides, hyaluronic acid, and mannitol.

“We maintained volume, supported papilla, and achieved soft tissue healing that exceeded expectations—all within four months.”
Patricia Solano

Through clinical and histological evidence, Solano demonstrated how REGENFAST® supports fibroblast vitality, extracellular matrix formation, and faster healing. Combined with Geistlich Bio-Oss®, it creates a biologically active graft that efficiently promotes both hard and soft tissue healing. Her clinical cases showed how this synergy enables earlier re-entry without compromising stability or esthetics.

Key Takeaways:

  • REGENFAST® promotes faster wound healing and tissue regeneration.
  • Earlier implant placement (at 3–4 months) is possible—even in complex cases.
  • Geistlich Bio-Oss® combined with REGENFAST® ensures volume stability and excellent soft tissue outcomes.
  • Bioregeneration offers clinicians a way to reduce treatment time while maintaining control and predictability.

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Long-Term Stability: Doing the Simple Things Exceptionally Well

Dr. Mario Roccuzzo, Italy – University of Turin

Dr. Mario Roccuzzo delivered a refreshingly honest reminder: long-term success is not built on speed or showmanship but on sound judgment and respect for biology. He shared 10–22 year follow-ups showing that Alveolar Ridge Preservation, when done properly, results in stable soft tissues and simplified implant placement, even in compromised patients.

“Alveolar Ridge Preservation is a dentist- and patient-friendly technique with low risk of major complications.”
Mario Roccuzzo

Dr. Roccuzzo cautioned against overconfidence and rushed protocols. He emphasized careful socket cleaning, proper graft selection (not all bone substitutes behave like Geistlich Bio-Oss®), and gentle provisional restorations to avoid compression-related resorption. He also discussed when not to preserve, highlighting the importance of realistic case selection.

Key Takeaways

  • Ridge Preservation yields long-term stability with minimal recession (<0.5 mm over 10 years).
  • Careful case selection and meticulous debridement are essential.
  • Geistlich materials, especially Geistlich Bio-Oss® Collagen and Geistlich Mucograft® Seal, contribute to predictability.
  • Ridge Preservation simplifies re-entry and reduces risk in periodontally compromised patients.

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Final Thoughts

Together, the three lectures delivered a compelling clinical roadmap:

  1. Start planning before extraction—it changes everything.
  2. Use biologically driven materials to reduce healing time and surgical complexity.
  3. Aim for predictable long-term outcomes by respecting the biology, not rushing it.

Whether you’re new to Ridge Preservation or looking to refine your workflow, these insights can elevate your patient care and your peace of mind.