Socket management

Tooth out. What now?

How you manage the socket defines the clinical outcome. After extraction, ridge resorption begins immediately. Socket management protocols are critical to preserve bone volume and enable predictable implant placement.

Every socket presents a different clinical picture. The botiss Treatment Navigator walks you through a structured decision pathway, from socket assessment to the right regenerative approach, so you can move forward with confidence.

Assess the socket situation step by step
Get matched to a suggested treatment approach
Backed by proven botiss solutions like SHIELD and cerabone® +HyA

Open the Treatment Navigator

Endorsed by surgeons – backed by clinical evidence

Immediate implant placement using NOVAMag® SHIELD technique

Clinical case by Dr. Erick Mota demonstrating extraction socket management in the anterior maxilla with guided implant placement and simultaneous buccal plate reconstruction using NOVAMag® SHIELD, connective tissue graft, and maxgraft® for optimal aesthetics and tissue stability.

Learn more

NOVAMag® SHIELD with immediate implant and temporization

Clinical case by Dr. Ahmed Aljumili demonstrating flapless immediate implant placement in the aesthetic zone using NOVAMag® SHIELD with cerabone® +HyA and CTG to preserve buccal contour and support soft tissue stability.

Learn more

Delayed implant placement with NOVAMag® SHIELD and cerabone®

Clinical case by Dr. Alejandro Lanis illustrating socket management in the aesthetic zone using NOVAMag® SHIELD and cerabone® for buccal wall preservation and stable tissue outcomes, enabling predictable delayed implant placement.

Learn more

What leading clinicians say

"I find that connective tissue heals better with cerabone® +HyA. In a case of alveolar ridge preservation, the most coronally part of the socket was inflammation-free after two weeks."

Dr. Alberto Gómez Menchero Spain
"Reconstructing a type 3 socket predictably is not simple, NOVAMag® SHIELD makes it possible."

Dr. Alejandro Lanis Chile
"With permamem® in an open healing procedure I have an attractive approach to regenerating the alveolar socket while keeping the natural soft tissue architecture. I have experienced excellent tissue compatibility of this membrane with almost no plaque accumulation."

Dr. Marius Steigmann Germany
"I like permamem®, it’s the perfect membrane for socket preservation. Easy to handle, doesn’t require a flap elevation, can be safely left completely exposed, allows blood clot stabilization for accelerated healing and doesn’t need a second surgery for removal."

Prof. Piero Papi Italy
"I am sure that the Magnesium Shield Technique will become a new standard of care."

Dr. Massimo Frosecchi Italy
"The membrane provides the shape to the regenerated bone and adapts perfectly well to our defect."

Dr. Erick Mota Dominican Republic

Setting the standard in socket management

Choose the products for your solution.

collacone®

Minimally invasive, preservation made easy. Socket management, socket type 1.

View product
collprotect® membrane

Reliable collagen barrier for protected healing. Socket management and immediacy, socket type 2.

View product
collafleece®

Resorbable collagen support for hemostasis and healing. Socket management, socket type 1.

View product
mucoderm®

Soft tissue contour and long-term esthetics. Socket management and immediacy, socket type 1 and when soft tissue augmentation is needed.

View product
permamem®

Non-resorbable barrier for maximum control. Socket management, socket types 2 and 3.

View product
cerabone® +HyA

Volume-stable bone graft for enhanced regeneration. Socket management and immediacy, socket types 1, 2 and 3.

View product
maxgraft® +HyA

Allograft for natural bone remodeling. Socket management and immediacy, socket types 1 and 2.

View product

Clinicians’ most asked questions

Tooth out. What now?

After a tooth extraction, the surrounding bone naturally undergoes resorption if no intervention is performed. This physiological process can lead to a significant loss of volume, particularly on the buccal aspect, potentially compromising future implant placement and aesthetic outcomes. Socket management helps preserve the alveolar ridge, maintaining the necessary bone structure for predictable and successful rehabilitation.

What is the Treatment Navigator and what is its purpose for dental professionals?

The botiss Treatment Navigator is a guided tool that helps dental professionals work through socket management decisions. You answer a few structured questions about the socket situation, and it points you to a suggested treatment approach and the appropriate botiss solutions to use, giving you a clear, structured path to decide with confidence. Try it now.

What are the advantages of using NOVAMag® SHIELD in socket management?

NOVAMag® SHIELD offers several key advantages due to its unique combination of rigidity and resorbability. As a metallic shield, it provides structural stability that helps maintain the regenerative space and preserve the buccal contour, supporting predictable bone formation. Its rigidity also makes it easier to position, particularly when tunneling between the periosteum and the remaining bone.

In addition, it promotes angiogenesis, contributing to a favorable healing environment. The technique is minimally invasive, as it does not require flap elevation or fixation, simplifying the surgical procedure. Finally, because the material is resorbable, there is no need for a second surgery for removal, improving patient comfort and overall treatment efficiency.

Can an implant be placed immediately after extraction?

Yes, immediate implant placement is possible in selected cases with sufficient primary stability and absence of infection. However, in compromised sockets or when stability cannot be achieved, a staged approach with prior socket preservation is traditionally recommended.

Innovative solutions such as the NOVAMag® SHIELD are opening new possibilities, enabling immediate implant placement even in challenging or compromised sockets by providing additional stability and supporting hard tissue regeneration.

For predictable socket preservation with SHIELD, cerabone® +HyA and other dental regenerative solutions, ask botiss biomaterials Benelux or try the Treatment Navigator to find your suggested approach.

Ask your question

Try the Treatment Navigator