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Case Reports
, 22 (5), 451-455

The Socket-Shield Technique and Immediate Implant Placement

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Case Reports

The Socket-Shield Technique and Immediate Implant Placement

Manjunath Mundoor Dayakar et al. J Indian Soc Periodontol.

Abstract

Healing of extraction socket leads to the dimensional changes which will affect the placement of the implant and its emergence profile. Atraumatic extraction, socket preservation technique, and immediate implant placement decrease the alveolar bone resorption by maintaining the postextraction socket. Hürzeler et al. introduced socket-shield technique by keeping a buccal fragment of the tooth to prevent the buccal cortical bone from resorption. This case report represents a 40-year-old male patient with grossly decayed maxillary left lateral incisor indicated for extraction replaced with an immediate implant. While examining cone-beam computed tomography, thin buccal cortical plate was noticed which may get fracture during extraction. Socket-shield technique was designed for implant placement to protect buccal bone and to get the proper esthetic form. Two millimeters buccal fragment of the tooth was kept attached and the implant was placed in contact with tooth fragment. Three-month follow-up shows proper healing, and healthy peri-implant tissue shows that socket-shield technique with immediate implant placement will be a good alternative to preserve buccal cortical plate and implant placement, especially in the esthetic area.

Keywords: Anterior implant; immediate implant; ridge preservation; socket-shield technique.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Socket-shield technique
Figure 2
Figure 2
Preoperative view shows grossly decayed 22
Figure 3
Figure 3
Radiograph shows root canal treated 22
Figure 4
Figure 4
Cone-beam computed tomography scan of 22
Figure 5
Figure 5
Direction of implant placement
Figure 6
Figure 6
Mesiodistal position
Figure 7
Figure 7
Sectioning of root
Figure 8
Figure 8
Extraction of palatal segment
Figure 9
Figure 9
Preservation of buccal fragment of root
Figure 10
Figure 10
Placement of the implant
Figure 11
Figure 11
Immediate postoperative radiograph
Figure 12
Figure 12
Closure of the flap
Figure 13
Figure 13
Two-month postoperative
Figure 14
Figure 14
Two-month postoperative radiograph
Figure 15
Figure 15
Placement of healing cap
Figure 16
Figure 16
Final restoration

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References

    1. Amler MH, Johnson PL, Salman I. Histological and histochemical investigation of human alveolar socket healing in undisturbed extraction wounds. J Am Dent Assoc. 1960;61:32–44. - PubMed
    1. Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S, et al. The socket-shield technique: A proof-of-principle report. J Clin Periodontol. 2010;37:855–62. - PubMed
    1. Salama M, Ishikawa T, Salama H, Funato A, Garber D. Advantages of the root submergence technique for pontic site development in esthetic implant therapy. Int J Periodontics Restorative Dent. 2007;27:521–7. - PubMed
    1. Kan JY, Rungcharassaeng K. Proximal socket shield for interimplant papilla preservation in the esthetic zone. Int J Periodontics Restorative Dent. 2013;33:e24–31. - PubMed
    1. Resnik RR, Misch C. Prophylactic antibiotic regimens in oral implantology: Rationale and protocol. Implant Dent. 2008;17:142–50. - PubMed

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