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Case Reports
, 22 (3), 266-272

Shield the Socket: Procedure, Case Report and Classification

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Case Reports

Shield the Socket: Procedure, Case Report and Classification

Payal Rajender Kumar et al. J Indian Soc Periodontol.

Abstract

The extraction of a tooth leads to a cascade of events which results in resorption of the alveolar bone around the socket. The buccal bone loss that occurs postextraction leads to vertical and horizontal bone loss. It requires complex hard and soft-tissue reconstruction to achieve esthetically pleasing results in such cases. In the socket-shield technique (SST) the root is bisected, and the buccal two-third of the root is preserved in the socket so that the periodontium along with the bundle bone and the buccal bone remains intact. A classification of SST technique is proposed depending on the position of the shield in the socket. This classification is required so as to help in understanding the preparation design and the role of shield and in maximizing the usage of the shield to achieve best possible esthetics in immediate implant placement sites.

Keywords: Alveolar bone preservation; extraction socket; immediate implant placement; socket shield; tooth retention.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Horizontally section of the crown at gingival level
Figure 2
Figure 2
Vertical bisection of the root
Figure 3
Figure 3
Implant placement
Figure 4
Figure 4
Preoperative condition
Figure 5
Figure 5
Preoperative X-ray
Figure 6
Figure 6
Horizontal cut till gingival level
Figure 7
Figure 7
Vertical sectioning of root
Figure 8
Figure 8
Atraumatic extraction of palatal half
Figure 9
Figure 9
Implant placement
Figure 10
Figure 10
Implant placed
Figure 11
Figure 11
Chair side temporary crown fabricated
Figure 12
Figure 12
Postoperative same day
Figure 13
Figure 13
Postoperative X-ray
Figure 14
Figure 14
Emergence profile 3 months' postoperative
Figure 15
Figure 15
Zirconia abutment
Figure 16
Figure 16
E-Max crown
Figure 17
Figure 17
Labial soft-tissue contour is maintained
Figure 18
Figure 18
One-year postoperative follow-up X-ray
Figure 19
Figure 19
Type 1 buccal
Figure 20
Figure 20
Type II Full C buccal
Figure 21
Figure 21
Type III Half C buccal
Figure 22
Figure 22
Type IV interproximal
Figure 23
Figure 23
Type V lingual/palatal
Figure 24
Figure 24
Type VI multiple buccal shields

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References

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