Aim: (a) to investigate the effect of Alveolar Ridge Preservation (ARP) on subsequent implant placement (IP) procedures and (b) to identify prognostic factors for ARP in relation to future IP. Material and Methods: Electronic and paper records of patients receiving one or more extractions with or without ARP followed by IP were reviewed in this study. Any sites with previously missing teeth, those that received immediate IP, growth factors, records with inadequate information or missing data were excluded. The need for additional grafting at IP, additional grafting prior to IP and sinus augmentation were the primary outcome measures. Statistical analyses were performed. Results: Out of a total of 1640 records reviewed, 829 patients with 1416 implants were included in the data analysis. There were no statistically significant differences between the sites that received ARP following extraction and the naturally healing sites on the need for grafting at IP, grafting prior to IP and sinus augmentation. The type of operator (general dentist or periodontist), smoking status, use of membrane at the time of ARP, loss of socket wall at the time of extraction and history for periodontal disease were confounding variables. Conclusions: Within the limitations of this study, ARP procedure used of implant site preparation did not show addition benefit on the future implant related outcome.