It is fairly common to remove a severely compromised tooth and provide rehabilitation by means of an implant. Resorption of alveolar bone after extraction resulting in loss of bone height and width is an unpleasant sequelae causing difficulty in implant placement. Few procedures have been promoted to attain the required bone height and width, such as guided bone regeneration socket preservation with the use of various graft materials and barrier membranes. The disadvantages of these techniques are some amount of ridge height loss and loss of buccal/facial, ridge contour. The socket shield technique is a new method where a buccal segment of root is retained as a shield, which aids in retaining periodontal ligament on buccofacial aspect. The implant is placed (immediate placement) lingual to this shield. This maintains the alveolar ridge height and buccofacial contour, thus providing superior aesthetics. This case report shows placement of an implant in upper anterior region using this technique.
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http://dx.doi.org/10.4103/jpbs.JPBS_228_18 | DOI Listing |
Oper Orthop Traumatol
January 2025
AOFE Clinics Oosterbeek, Oosterbeek, The Netherlands.
Objective: Transcutaneous osseointegration prosthetic systems (TOPS) offer a stable skeletal attachment for artificial limbs post-extremity amputation, serving as an alternative to socket attachment. Press-fit osseointegration implants (OI) utilized in TOPS consistently enhance quality of life and mobility for amputees, particularly those experiencing socket-related issues. Despite notable benefits, late complications such as infection and implant loosening pose challenges unique to TOPS due to their percutaneous nature.
View Article and Find Full Text PDFMedicina (Kaunas)
November 2024
Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
The purpose of this case report is to examine the management of vestibular bone fenestration during alveolar socket preservation using the Periosteal Inhibition (PI) approach. Here, for the first time, the PI technique, which has been shown to be successful in maintaining intact cortical bone, is examined in the context of a bone defect. : After an atraumatic extraction of a damaged tooth, a vestibular bone fenestration was discovered in the 62-year-old male patient.
View Article and Find Full Text PDFJ Indian Soc Periodontol
December 2024
Department of Periodontics, MGV's KBH Dental College and Hospital, Nashik, Maharashtra, India.
Introduction: Following tooth extraction, there is comparatively more bone loss at the buccal aspect at 3 months of healing, which may result in 56% bone loss due to resorption of the bucco-facial ridge contour. In the socket shield technique, a tooth is planned for extraction in such a way that the tooth is sectioned in two halves, a palatal section is removed and the facial part is retained.
Materials And Methods: Twenty-six sites, i.
J Esthet Restor Dent
December 2024
Department of Periodontics, University of Washington, Seatte, WA, USA.
Objective: In the young and growing patient, tooth ankylosis impedes alveolar growth and presents a serious dilemma regarding the best treatment approach. Two common treatment approaches, extraction of the ankylosed tooth or a "wait and see" will result in a compromised alveolar ridge that can affect future prosthetic rehabilitation. The purpose of this article is to discuss five treatment strategies that can be utilized in the management of tooth ankylosis in the growing patient: (1) extraction, (2) decoronation or root submergence, (3) socket shield (partial extraction), (4) segmental osteotomy and (5) replacement with tooth autotransplantation.
View Article and Find Full Text PDFClin Cosmet Investig Dent
December 2024
Department of Periodontology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Purpose: The present study aimed to evaluate the appropriate protocol to be followed in the maxillary esthetic zone involving single dental implants by comparing three implant placement protocols: immediate implant placement (IIP) with and without the socket shield technique (SST) and delayed implant placement (DIP) in terms of dynamic alterations in hard and soft tissues and patient-related outcome measures (PROMS).
Materials And Methods: A total of 75 patients were recruited for the study and randomly allocated to the SST, IIP, and DIP groups (25 each). They were subjected to Cone Beam Computed Tomography (CBCT) assessment pre-operatively, 6 and 12 months post-operatively to evaluate changes in Crestal Bone Thickness (CBT).
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