The placement of dental implants to support prosthetic tooth replacements has increasing become a more important part of contemporary dental practice. Adequate alveolar bone is necessary to ensure appropriate osteointegration of the implant fixture and long-term success. While “atraumatic” tooth extraction techniques greatly assist in maintaining adequate bone volume following healing of an extraction site, clinical conditions may necessitate the use of a bone graft to ensure adequate alveolar bone is present to receive an implant. The fourth edition of this Quality Resource Guide (QRG) provides an in-depth discussion of the healing that takes place following tooth extraction, the indications and evidence for the use of alveolar ridge preservation procedures, and expected clinical outcomes following their use. It also provides a clinical protocol, augmented by images, of a ridge preservation grafting procedure. This QRG is an important reference for the dental office that is assessing the role ridge preservation techniques may play in available therapy options. In addition, it provides background for the clinician to answer patients’ questions regarding the role of implants in their dental care.