Background and objectives: Socket augmentation at the time of extraction is an attempt to reduce crestal bone loss, encourage socket fill, minimize horizontal ridge resorption, and ultimately reduce or eliminate the need for further ridge augmentation. The aim of this study is to evaluate the efficacy of naturally derived bovine hydroxyapatite, resorbable collagen membrane and collagen plug in ridge preservation as compared to an unassisted naturally healing extraction site. Methods: Twenty-two systemically healthy patients participated in the study. Seventeen completed the study and were included for analysis. One site in each patient was treated as control site and only received an atraumatic extraction procedure while the other site was subjected to a ridge preservation procedure following atraumatic extraction. Parameters, such as loss of ridge width, loss of ridge height were measured clinically, with the help of occlusal stents on pre- and postoperative models and radiographically with the help of AutoCAD software. These measurements were made at baseline as well as 6 months post-operative. Results: The treatment modality resulted in significant reduction in the amount of loss of ridge width and loss of ridge height in the test sites when compared to the control sites. The mean loss of ridge width was found to be 1.68 mm at the control sites and 1.07 mm at the test sites. The mean loss of ridge height was found to be 2.43 mm at the control sites and 1.45 mm at the test sites. All these differences were found to be statistically significant. Interpretation and conclusion: The results of this study suggest that a ridge preservation procedure carried out at the time of extraction is a reliable and predictable method to minimize the resorption of the alveolar bone that takes place postextraction and offers the patients a relatively easy, cost effective method that spares them the discomfort of further ridge augmentation procedures that might be necessary for an esthetic rehabilitation or implant placement.