OHI-S Socket Management

Ridge Preservation, Buccal Shield & NOVAMag® Techniques

2 Lessons + 1 Free | 57 Minutes | Giorgio Tabanella

Develop a biologically driven approach to post-extraction socket management, ridge preservation, and aesthetic implant-site development with OHI-S Socket Management: Ridge Preservation and Buccal Shield Techniques.

Presented by Giorgio Tabanella, this focused clinical program connects post-extraction tissue biology with practical treatment strategies for preserving hard and soft tissue architecture around future and immediate implant sites.

The course covers:

• Post-extraction socket remodeling
• Dimensional ridge changes
• Thin vs. thick tissue phenotypes
• Ridge preservation
• Socket preservation
• Soft-tissue management
• Atraumatic extraction
• Collagen-based grafting
• Emergence-profile development
• Horizontal ridge augmentation
• Peri-implant tissue stability
• Socket shield
• Buccal shield concepts
• NOVAMag® shield techniques
• Magnesium membrane applications
• Immediate implant scenarios
• Compromised alveolar bone
• Aesthetic-zone implant therapy

The central clinical pathway is:

Assess the Socket → Understand the Expected Remodeling → Define the Implant/Restorative Goal → Preserve or Reconstruct Tissue → Manage the Emergence Profile → Monitor Peri-Implant Stability

Course Details

• Course: Socket Management: Ridge Preservation and Buccal Shield Techniques
• Provider: OHI-S
• Instructor: Giorgio Tabanella
• Official Structure: 2 Lessons + 1 Free
• Total Presentations: 3
• Official Duration: 57 Minutes
• Language: English
• Official OHI-S CE: 0.5 CE Credits
• Primary Specialty: Implantology
• Additional Specialties: Periodontology / Oral & Maxillofacial Surgery
• Main Focus: Post-Extraction Socket & Ridge Management
• Advanced Topics: Socket Shield and NOVAMag® Techniques

Course Overview

Tooth extraction initiates biological remodeling of both hard and soft tissues.

For implant clinicians, the key question is not simply:

“How do I fill an extraction socket?”

but rather:

“What tissue changes should I expect, what anatomy needs to be preserved, and what treatment strategy best supports the planned restoration?”

The course approaches socket management through:

Biology → Phenotype → Extraction Strategy → Ridge Preservation → Soft-Tissue Management → Implant/Prosthetic Planning

Post-Extraction Remodeling

Following extraction, the alveolar ridge undergoes structural changes during healing.

The course reviews:

• Biological basis of socket remodeling
• Dimensional changes reported in the literature
• Hard-tissue remodeling
• Soft-tissue changes
• Differences associated with thin and thick phenotypes

Understanding this process is essential when planning:

• Delayed implants
• Early implants
• Immediate implants
• Pontic sites
• Aesthetic-zone rehabilitation

Thin vs. Thick Phenotype

The clinical phenotype can influence treatment planning.

Thin Phenotype

May require greater attention to:

• Buccal tissue support
• Soft-tissue stability
• Grafting strategy
• Emergence-profile design

Thick Phenotype

May provide different tissue behavior and treatment options.

The course uses phenotype assessment as part of a broader decision-making framework rather than treating all extraction sites identically.

Ridge Preservation

Ridge preservation aims to manage post-extraction dimensional change and maintain a more favorable site for future restorative or implant treatment.

The program reviews:

• Case selection
• Biological rationale
• Grafting concepts
• Soft-tissue management
• Aesthetic-zone applications
• Horizontal ridge preservation/augmentation concepts

The appropriate strategy depends on the anatomy and final treatment objective.

LESSON 1

Post-Extraction Tissue Remodeling and Ridge Preservation Protocols

Instructor: Giorgio Tabanella
Duration: 15 Minutes
Format: Free Clinical Video

This lesson establishes the biological foundation of the course.

Topics include:

• Biological basis of post-extraction remodeling
• Dimensional changes after extraction
• Evidence from the literature
• Bone remodeling
• Thin and thick phenotypes
• Healing after extraction
• Post-extraction tissue changes
• Factors influencing ridge preservation
• Soft-tissue management
• Socket preservation in the aesthetic zone
• Horizontal ridge augmentation using socket-preservation approaches

Biological Healing After Extraction

Extraction creates a healing environment involving:

• Blood clot formation
• Soft-tissue healing
• Bone remodeling
• Structural change of the ridge

The course emphasizes that clinicians should anticipate these changes before selecting the restorative timeline.

Dimensional Changes

Post-extraction remodeling can affect:

• Ridge width
• Ridge contour
• Buccal architecture
• Soft-tissue position

These changes are particularly important in the anterior aesthetic zone.

Soft-Tissue Management

Hard-tissue preservation alone does not determine an aesthetic implant result.

Treatment planning should also consider:

• Gingival architecture
• Tissue thickness
• Soft-tissue sealing
• Emergence profile
• Peri-implant stability

Aesthetic-Zone Socket Preservation

Aesthetic cases require coordination of:

Bone + Soft Tissue + Implant Position + Restoration

The treatment objective is to create an anatomical environment that can support the planned restorative outcome.

Horizontal Ridge Management

The official curriculum includes horizontal ridge augmentation using socket preservation techniques.

This is especially relevant when buccolingual ridge dimensions are at risk of becoming inadequate for the planned implant or prosthetic restoration.

LESSON 2

Advanced Protocols for Socket Preservation and Aesthetic Tissue Management

Instructor: Giorgio Tabanella
Duration: 22 Minutes

This lesson moves from biology into advanced aesthetic-zone protocols.

Topics include:

• Thin phenotype management
• Atraumatic tooth extraction
• Collagen-based grafts
• Emergence-profile shaping
• Pink–white aesthetic evaluation
• Socket-preservation protocols
• Bone augmentation demonstrations
• Soft-tissue sealing
• Peri-implant tissue stability
• Stem-cell-related socket-preservation protocols discussed by the instructor

Atraumatic Tooth Extraction

Preserving existing anatomy begins at extraction.

Atraumatic extraction strategies aim to minimize unnecessary trauma to:

• Buccal bone
• Interproximal bone
• Soft tissues

This can be especially important when implant placement or aesthetic rehabilitation is planned.

Collagen-Based Grafting

The course demonstrates the use of a collagen-based graft within selected thin-phenotype aesthetic-zone cases.

The clinical objective should be understood within the complete treatment plan rather than as a universal material recommendation.

Emergence Profile

The emergence profile influences the transition between:

Implant Restoration → Peri-Implant Soft Tissue

The course integrates emergence-profile development with soft-tissue management.

Important considerations can include:

• Tissue support
• Contour
• Cervical restoration shape
• Aesthetic integration

Pink–White Aesthetics

Successful implant therapy in the aesthetic zone involves both:

White Aesthetics

The restorative component.

Pink Aesthetics

The surrounding soft tissues.

The course evaluates the interaction between these components when reviewing final treatment results.

Soft-Tissue Sealing

The curriculum includes evaluation of soft-tissue sealing around the treated site.

This is relevant to:

• Peri-implant tissue stability
• Hygiene
• Aesthetic integration

Peri-Implant Tissue Stability

Long-term implant assessment should consider more than osseointegration alone.

Important tissue outcomes include:

• Soft-tissue stability
• Mucosal architecture
• Bone levels
• Restorative contour
• Maintenance access

Stem-Cell-Related Content

OHI-S specifically lists protocols for stem cell transplantation for socket preservation within this lesson.

For MedicalAmboss, this should be presented cautiously as:

“stem-cell-related socket-preservation protocols discussed in the course.”

It should not be marketed as a universally established standard of care or as guaranteeing bone regeneration.

LESSON 3

Socket Shield and NOVAMag® Techniques in Implant Dentistry: Advanced Clinical Protocols

Instructor: Giorgio Tabanella
Duration: 19 Minutes

The final module focuses on advanced partial-root/shield concepts and magnesium membrane applications.

Topics include:

• Socket shield technique
• Buccal shield
• Crestal shield
• Magnesium membrane
• NOVAMag® shield
• Compromised alveolar bone
• Immediate implant placement
• Step-by-step clinical demonstration
• Case analysis

Socket Shield Technique

The socket shield concept involves intentionally retaining a selected root fragment in carefully chosen implant cases.

The biological rationale is related to preservation of the facial periodontal attachment/buccal architecture associated with the retained root portion.

This is an advanced technique requiring:

• Careful case selection
• Detailed anatomical understanding
• Appropriate preparation of the retained fragment
• Implant-position planning
• Complication awareness

Buccal Shield

The buccal shield is designed around retaining a facial root component in selected situations.

The course discusses its use as part of advanced implant-site management.

It should not be described as appropriate for every immediate implant socket.

Socket Shield vs. Conventional Socket Preservation

These are different treatment concepts.

Conventional Ridge / Socket Preservation

Typically manages the extraction site using grafting and/or barrier approaches.

Socket Shield

Retains a selected dental root fragment as part of a partial extraction strategy.

Case selection determines which concept, if either, may be appropriate.

NOVAMag® Shield Technique

The official curriculum specifically includes the NOVAMag® shield technique.

Clinical scenarios include:

• Compromised alveolar bone with buccal and crestal shield
• Immediate implant placement
• Compromised alveolar bone with buccal shield

The course also provides a step-by-step video demonstration.

Magnesium Membrane

The lesson discusses a magnesium membrane in connection with shield-based implant protocols.

Material selection should be based on:

• Defect anatomy
• Treatment objective
• Product instructions
• Clinical experience
• Available evidence

rather than using the same membrane for every extraction defect.

Compromised Buccal Bone

Loss or compromise of the buccal plate can make aesthetic implant therapy substantially more challenging.

Treatment planning may require consideration of:

• Defect morphology
• Remaining bone
• Implant timing
• Grafting
• Barrier techniques
• Soft-tissue augmentation
• Restorative strategy

Immediate Implant Placement

The course includes NOVAMag® shield applications in immediate implant placement.

Immediate placement should be distinguished from:

Immediate Loading

because implant placement timing and prosthetic loading timing are separate clinical decisions.

SOCKET PRESERVATION vs. IMMEDIATE IMPLANT

A key clinical decision is whether the extraction site should receive:

Ridge Preservation

followed by later implant placement,

or:

Immediate Implant Placement

with appropriate site-management strategies.

The decision depends on factors such as:

• Socket anatomy
• Buccal plate status
• Infection
• Soft-tissue phenotype
• Implant stability
• Aesthetic risk

Aesthetic-Zone Treatment Framework

A useful conceptual workflow is:

Assess Tooth & Socket

↓

Perform Controlled Extraction

↓

Evaluate Buccal Bone and Phenotype

↓

Choose Ridge Preservation / Immediate Implant / Advanced Shield Strategy

↓

Manage Hard Tissue

↓

Manage Soft Tissue

↓

Develop the Emergence Profile

↓

Evaluate Peri-Implant Stability

Biological vs. Prosthetic Planning

The best surgical site is not necessarily the site with the greatest volume of regenerated tissue.

The final implant position should also support:

• Restorative emergence
• Cleanability
• Occlusion
• Aesthetics
• Long-term maintenance

Therefore:

Biological Planning + Prosthetic Planning

should occur together.

Major Topics Covered

• Socket Management
• Ridge Preservation
• Socket Preservation
• Alveolar Ridge Preservation
• Post-Extraction Remodeling
• Extraction Socket Healing
• Atraumatic Extraction
• Aesthetic-Zone Implants
• Thin Gingival Phenotype
• Collagen Graft
• Soft-Tissue Management
• Emergence Profile
• Pink Aesthetics
• Peri-Implant Tissue Stability
• Horizontal Ridge Augmentation
• Socket Shield
• Buccal Shield
• Partial Extraction Therapy
• NOVAMag
• NOVAMag Shield
• Magnesium Membrane
• Immediate Implant Placement
• Compromised Alveolar Bone
• Implantology
• Periodontology
• Regenerative Implant Dentistry

Who Should Take This Course?

The strongest target audience includes:

• Implantologists
• Periodontists
• Oral and Maxillofacial Surgeons
• Implant Dentistry Residents
• Periodontology Residents
• Advanced General Dentists performing implant surgery within their training and scope

The strongest primary audiences are:

Implantologists + Periodontists

because the course combines implant-site development with periodontal tissue biology.

Oral and maxillofacial surgeons are also highly relevant, particularly for advanced surgical socket management.

Why This Course Is Useful

The program connects three stages frequently taught separately.

1. Biology

• Post-extraction remodeling
• Thin vs. thick phenotype
• Healing

2. Preservation & Reconstruction

• Ridge preservation
• Collagen-based grafting
• Horizontal augmentation
• Soft-tissue management

3. Advanced Implant Strategies

• Socket shield
• Buccal shield
• NOVAMag®
• Immediate implant placement

This makes the course useful as a compact bridge between:

Extraction → Site Preservation → Implant Rehabilitation

Important Surgical Training Notice

Socket shield, advanced bone augmentation, immediate implant surgery, and related shield procedures are technique-sensitive surgical procedures.

Recorded education can support understanding of:

• Biological principles
• Case selection
• Surgical sequence
• Material concepts
• Complication awareness

but it does not replace:

• Formal implantology training
• Hands-on surgical instruction
• Supervised clinical experience
• Appropriate management of complications
• Legal scope and credentialing requirements

Evidence & Outcome Positioning

Avoid marketing statements such as:

“Guarantees stable peri-implant tissues”

or:

“Prevents all ridge resorption.”

More accurate wording is:

“The course presents strategies designed to manage post-extraction remodeling and support hard- and soft-tissue preservation in selected cases.”

Clinical results depend on:

• Anatomy
• Phenotype
• Patient factors
• Extraction technique
• Implant position
• Grafting
• Healing
• Restorative design
• Maintenance

Original OHI-S CE Information

The official OHI-S course is listed as:

2 Lessons + 1 Free

with:

57 Minutes

and:

0.5 CE Credits

Official CE eligibility applies to participation through OHI-S and completion of its applicable requirements.

An independently distributed MedicalAmboss recording package should not automatically be advertised as including:

• OHI-S CE Credits
• OHI-S Certificate

unless official participation and credit eligibility are specifically included.

Product Summary

• Product: Socket Management: Ridge Preservation and Buccal Shield Techniques
• Provider: OHI-S
• Instructor: Giorgio Tabanella
• Official Structure: 2 Lessons + 1 Free
• Total Presentations: 3
• Official Duration: 57min
• Language: English
• Official OHI-S CE: 0.5 Credits
• Primary Specialty: Implantology
• Secondary Specialty: Periodontology
• Additional Specialty: Oral & Maxillofacial Surgery
• Core Topics: Ridge Preservation, Socket Shield, NOVAMag® & Aesthetic Tissue Management

4. Short Description

OHI-S Socket Management: Ridge Preservation and Buccal Shield Techniques is a focused 57-minute implantology and periodontology course presented by Giorgio Tabanella, officially structured as 2 lessons + 1 free clinical video.

The program covers post-extraction tissue remodeling, dimensional ridge changes, thin and thick phenotypes, aesthetic-zone ridge preservation, atraumatic extraction, collagen-based grafting, emergence-profile development, horizontal ridge augmentation, peri-implant tissue stability, socket shield, buccal and crestal shield concepts, NOVAMag® protocols, magnesium membrane applications, and immediate implant scenarios.

Topics

Lesson 1. Post-Extraction Tissue Remodeling and Ridge Preservation Protocols

• The biological basis of post-extraction remodeling

• Dimensional changes: evidence from the literature

• Bone remodeling after extraction: thin and thick phenotypes

• Healing and post-extraction tissue changes

• Key factors influencing ridge preservation and long-term implant success

• Step-by-step protocols for soft-tissue management

• Socket preservation techniques in the aesthetic zone

• Horizontal ridge augmentation using socket preservation techniques

Lesson 2. Advanced Protocols for Socket Preservation and Aesthetic Tissue Management

• Management of thin phenotype in the aesthetic zone:

  • Atraumatic tooth extraction

  • Application of a collagen-based graft

  • Shaping the emergence profile

  • Evaluation of the final treatment results and pink–white aesthetics

• Protocols for stem cell transplantation for socket preservation

• Step-by-step video demonstration of bone augmentation and socket preservation techniques in the aesthetic zone

• Evaluation of soft tissue sealing

• Analysis of peri-implant tissue stability

Lesson 3. Socket Shield and NOVAMag® Techniques in Implant Dentistry: Advanced Clinical Protocols

• Application of the socket shield technique with a magnesium membrane

• NOVAMag® shield technique:

  • In compromised alveolar bone with buccal and crestal shield

  • In immediate implant placement

  • In compromised alveolar bone with buccal shield

• Step-by-step video demonstration of the NOVAMag® shield technique

• Analysis of clinical cases