Immediate Implant Placement Using the Socket Shield Technique. Clinical, Radiographic and Volumetric Results Using 3D Digital Techniques. A Case Series

Int J Periodontics Restorative Dent. 2023 Nov 8;0(0):1-19. doi: 10.11607/prd.6531. Online ahead of print.ABSTRACTExtraction-site alveolar remodeling is a major concern due to negative volumetric hard and soft tissue changes that inevitably limit rehabilitation options and diminish esthetic outcomes. Surgical techniques employed to minimize alveolar dimensional changes are not always predictable. Utilizing socket-shield with immediate implant surgical procedure provides maintenance of a thin portion of the root in the vestibular area that minimizes bone resorption especially at the coronal cortical aspect. This case series assesses the dimensional changes in peri-alveolar structures via superimposition of the pre-operative and six-month post-operative 3D digital quantification of soft tissue. Fifty patients with 50 sites fulfilled the inclusion criteria. Implant survival was 100%, with no incidence of complications. Tissue changes were mesial papilla (-0.85mm), distal papilla (-0.95mm), vertical central margin (-0.7mm), horizontal central margin (-0.7mm), 4mm from the margin (-0.21mm), palatal central margin (-0.64mm). Clinically, the buccal contour was convex in 100% of the cases. The site with highest frequency to lose more than 1mm was the distal papilla, with 42% sites losing more than 1mm. The site with lowest frequency to lose more than 1mm was the point 4mm from the mid-facial margin, with 0% sites losing more than 1mm.PMID:37939278 | DOI:10.11607/prd.6531
Source: International Journal of Periodontics and Restorative Dentistry - Category: Dentistry Authors: Source Type: research