A ridge augmentation is accomplished by placing bone graft material in the tooth socket. It is often done immediately after the tooth is removed to avoid the need for a second procedure later. Next, the gum tissue is placed over the socket and secured with sutures. Dr. Malan may choose to use a space-maintaining product over the top of the graft to facilitate new bone growth. Once the socket has healed, the alveolar ridge can be prepared for dental implant placement.nnA ridge augmentation procedure is typically performed in Dr. Malan, Dr. Ballenger, Dr. Hurst and Dr. Kilkuts’s office under local anesthesia. Some patients may also request sedative medication.