Immediate Implant Placement in the Esthetic Zone using the “Socket-Shield Technique”: A clinical Report

Document Type : Original Article

Authors

1 Clinical Instructor, Department of Oral Surgical Sciences, Faculty of Dentistry, Beirut Arab University. Beirut, Lebanon

2 Professor, Department of Prosthodontics, Faculty of Dentistry, Sinai University. Sinai, Egypt

3 Fixed Prosthodontics, faculty of dentistry, Sinai university Qantra Bransh, Egypt

4 Graduate Student, Department of Oral Surgical Sciences, Faculty of Dentistry, Beirut Arab University

Abstract

The replacement of maxillary anterior teeth with an implant-supported prosthesis presents a challenging esthetic dilemma for both the surgeon and prosthodontist. This is due to the cascade of events that follow tooth extraction in incisor area, including bone resorption and soft tissue retraction. The maxillary anterior area of buccal plate being most often very thin, shows significant dimensional changes during the immediate post-extraction period These events could interfere with optimal implant positioning and jeopardize the esthetic outcome of final restoration. It is challenging to achieve an esthetic emergence profile for the implant-supported restoration in such a compromised site. Various approaches have been devised to overcome the challenges, one of which is resecting the tooth crown and leaving a section of the root submerged in bone to act as a shield to the socket and prevent subsequent bone resorption and tissue loss. The following is a clinical case report on the socket shield technique. The current study aimed to evaluate the effect of immediate implant placement using SST in maintaining the hard and soft tissue architecture on anterior maxillary region as well as to report any complications associated with the technique.

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