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Information regarding the reaction of bone augmentation in terms to sinus mucosa thickness of periodontally compromised molar extraction sites is limited. This retrospective study aimed to analyze the effect of ridge preservation procedures following the extraction of molars with severe periodontitis on the healing pattern of adjacent maxillary sinus mucosal membranes. Thirty-one periodontally compromised maxillary molar teeth either receiving ridge preservation (test group, n = 2 or undergoing spontaneous healing (control group, n =