Tonetti M S, Jung R E, Avila-Ortiz G et al. Management of the extraction socket and timing of implant placement: Consensus report and clinical recommendations of group 3 of the XV European Workshop in Periodontology. J Clin Periodontol 2019; 46: 183-194.

A substantial and expanding evidence base is available to assist clinicians with clinical decision-making related to the transition from a tooth requiring extraction to its replacement with an implant.

The transition from a tooth requiring extraction to its replacement with a dental implant requires a series of clinical decisions related to timing, approach, materials, cost-effectiveness and the assessment of potential harm and patient preference. This paper summarises evidence-based consensus statements and clinical recommendations from a recent European Periodontology workshop. Four systematic reviews covering the areas of alveolar ridge preservation/bone grafting, immediate early and delayed implant placement and alveolar bone augmentation at the time of implant placement in a healed ridge formed the basis of the deliberations. The evidence base was summarised in 23 consensus statements and 12 specific clinical recommendations. The key six considerations identified to assist clinicians in clinical decision-making included: presence of infection; inability to achieve primary stability in the restoratively driven position; presence of a damaged alveolus; periodontal phenotype; aesthetic demands; and systemic conditions.