Immediate implant of immediate load in esthetic zone: Technique Socket Shield

Authors

  • Esteban M Brenna Asociación Odontológica de Córdoba
  • José A D´itria Asociación Odontológica Córdoba

Keywords:

socket, shield, tooth implant, loading, rehability

Abstract

Numerous publications have proved the dimensional changes alveolar ridges suffer after a tooth extraction. These changes lead, in most of the cases, to a width’s reduction close to 50%. Trying to minimize this physiological process which occurs after the extraction, different complementary techniques have been implemented in relation to dental implants placing. Many studies have tested how the dental root’s permanency in the alveolar bone attains to conserve the tissue dimensions to achieve esthetic restorations. Socket Shield technique, based on these criteria, is applied to avoid structural changes on the buccal bone plate, conserving a dental root portion which remains intact (the vestibular-buccal third), alongside with its periodontium. The dental implant is placed simultaneously to the dental extraction, behind the root remain.The stability and maintenance results of the alveolar bone volume are optimal, being this technique the only one which can achieve that. These results can be translated not only at the gingival margins, but also in the papilla architecture, a very important factor in the fixed prosthesis contours.

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References

Araújo MG & Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. Journal of Clinical Periodontology 2005; 32, 212–218.

Andersson L, Emami-Kristiansen Z, Hogstrom J. Single-tooth implant treatment in the anterior region of the maxilla for treatment of tooth loss after trauma: a retrospective clinical and interview study. Dent Traumatol. 2003; 19(3):126-31.

Björn H. Free transplantation of gingival propria. Sven Tandlak Tidskr 1963; 22: 684.

Reames RL, Nickel J S, Patterson SS, Boone M, el-Kafrawy AH. Clinical, radio-graphic, and histological study of endodontically treated retained roots to preserve alveolar bone. Journal of Endodontics. 1975; 1, 367–373.

Salama M, Ishikawa I, Salama H, Funato A, Garber DA. Advantages of the Root Submergence technique for Pontic Site Develop- ment in esthetic implant therapy. International Journal of Periodontics & Restorative Dentistry. 2007; 27, 521–527.

Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: a proof-of-principle report. J Clin Periodontol. 2010; 37(9):855-62.

Bäumer D, Zuhr O, Rebele S, Hürzeler M. Socket Shield Technique for immediate implant placement - clinical, radiographic and volumetric data after 5 years. Clin Oral Implants Res. 2017; 28(11):1450-1458.

Published

2018-12-19

Issue

Section

RESEARCH