Maintaining soft and hard tissues around dental implants after tooth extraction is one of the major challenges in implant dentistry. After tooth extraction, the subsequent loss of bone and soft tissue is inevitable due to the partial resorption of the buccal bone plate. The recently described socket shield technique addresses the problem by maintaining the buccal piece of the tooth in the extraction socket in order to preserve the buccal bone. As with every new technique, specific complications, like infection of the buccal piece of the tooth, can occur. Herein, the authors present a clinical case that developed a complication with the socket shield technique and the consequential surgical management.
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http://dx.doi.org/10.11607/prd.4648 | DOI Listing |
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).
Int J Oral Maxillofac Surg
December 2024
Department of Periodontology, Faculty of Dentistry, Kutahya Health Sciences University, Kutahya, Turkey. Electronic address:
The aim of this randomized clinical trial was to compare a non-grafted socket shield technique (SST) with simultaneous guided bone regeneration (GBR) in immediate implant placement in terms of clinical, aesthetic, and radiographic parameters. Patients with an unrestorable tooth in the maxillary aesthetic region were included. The patients were randomized to SST and GBR groups.
View Article and Find Full Text PDFACS Appl Mater Interfaces
November 2024
School of Mechanical Electronic and Information Engineering, China University of Mining and Technology-Beijing, Beijing 100083, China.
Cureus
September 2024
Periodontology, Vidarbha Youth Welfare Society Dental College and Hospital, Amravati, IND.
Implants have become the first treatment option in the anterior esthetic region. Buccal bone loss is the sequalae of tooth extraction compromising osseointegration and cosmetic goals. The present case report is of a 47-year-old female who requested to have her fractured central incisor replaced with fixed restoration supported by an implant; the tooth had already undergone a root canal and lacked a sufficient structure for crown prosthesis placement.
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