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.
The Socket-Shield Technique and Immediate Implant PlacementMM Dayakar et al. J Indian Soc Periodontol 22 (5), 451-455. PMID 30210197. - Case ReportsHealing of extraction socket leads to the dimensional changes which will affect the placement of the implant and its emergence profile. Atraumatic extraction, socket pres …
The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations After Separation of the Buccal Tooth Segment – A Pilot StudyD Bäumer et al. Clin Implant Dent Relat Res 17 (1), 71-82. PMID 23631704.The applied modification seems not to interfere with implant osseointegration and may still preserve the buccal plate. It may offer a feasible treatment option for vertic …
Open Flap Socket Shield in the Esthetic ZoneA Jones. Int J Esthet Dent 14 (3), 334-344. PMID 31312818. - Case ReportsImplants in the esthetic zone can be challenging due to the buccal plate resorption that occurs after tooth extraction. The socket shield technique has proven to maintain …
Evaluating Extraction Sockets in the Esthetic Zone for Immediate Implant PlacementCI Evian et al. Compend Contin Educ Dent 32 (3), e58-65. PMID 23738860. - ReviewWith the increasing demands of patients and the profession to maximize esthetic outcomes and minimize the number of procedures, clinicians must consider the use of immedi …
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