Tooth extraction is a common procedure in the field of dentistry. Although atraumatic extraction is always preferred, it is not always accomplished. In this course, we will cover topics such as how normal healing occurs and why atraumatic tooth extraction is desired, as well as how best to achieve this result. We will also discuss various techniques for socket augmentation and preservation, as well as when a particular technique is indicated. After taking this course, participants will be versed in the various grafting options available to practitioners and be able to discern what option may be most suitable for their clinical needs. The authors will also discuss the role of immediate implants in dentistry and how they can effect extraction sites.