Ridge Preservation Comparing Simultaneous vs. Delayed Grafting

Inclusion Criteria: * Have one non-molar maxillary tooth requiring extraction that will be replaced by a dental implant. The site must be bordered by 2 teeth. * Healthy persons at least 18 years old. * Patients must sign an informed consent approved by the University of Louisville Human Studies Committee. Exclusion Criteria: * Patients with debilitating systemic disease, or diseases that have a clinically significant effect on the periodontium. * Exclude any molar tooth. * Presence of or history of osteonecrosis of jaws. * Patients with current or previous history of IV bisphosphonates, irrespective of duration. * Patients taking oral bisphosphonates for ≥ 3 years. * Pregnant women. * Allergy to any material or medication used in the study. * Patients who need prophylactic antibiotics prior to dental procedures. * Previous head and neck radiation therapy. * Chemotherapy in the previous 12 months.