Preserving alveolar ridge anatomy following tooth removal in conjunction with delayed implant placement

1. Prior to placing implants, the health of the adjacent teeth and supporting tissues should be good. The presence of acute infection (exudate, granulation tissue, gingival hyperplasia), poor oral hygiene, or active chronic periodontal disease are associated with an increased incidence of infection or tissue breakdown. 2. Avoid excessive dissection of papilla. 3. Stabilize membranes with apical tacks and secure the coronal portion to the implant with the cover screw. 4. Relieve the periosteum to allow for a tension-free closure. 5. Avoid postoperative trauma on the surgical site.