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The healing of an extraction socket is characterized by a sequence of histologic events in distinct stages

Biological events after tooth extraction

author: Nikos Mardas | publisher: drg. Andreas Tjandra, Sp. Perio, FISID
Histologic sequence of healing
Figure 21. Histologic sequence of healing

The healing of an extraction socket is characterized by a sequence of histologic events taking place in four distinct stages: inflammation, fibroplasia, mineralization, and remodeling. This cascade of events in the extraction socket is similar to intramembranous bone formation in other types of osseous defects and begins with the inflammation stage. During this stage, the blood coagulum in the socket matures into granulation tissue. In the second stage, the granulation tissue is replaced by a provisional connective tissue matrix, which, following a mineralization process, becomes woven bone. The newly formed woven bone, following a remodeling process, becomes trabecular bone in the last stage of this healing process.

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