Socket Shield Technique for immediate implant placement – clinical, radiographic and volumetric data after 5 years

Abstract

Volumetric analysis showed a low degree of contour changes from extraction and implant placement to the follow-ups. Mucosal recession at the implant restoration was comparable to that of the neighboring teeth. Within the limitations of this descriptive study, the socket shield technique offers reduced invasiveness at the time of surgery and high esthetic outcomes with effective preservation of facial tissue contours. This technique should not be used in routine clinical practice until a higher level evidence in the form of prospective clinical trials is available.

A retrospective evaluation of 128 socket‐shield cases in the esthetic zone and posterior sites: Partial extraction therapy with up to 4 years follow‐up

“…A multicenter prospective or retrospective study could address this. Data are now ever increasing reports on the potential for partial extraction therapies with long‐term clinical performance at 5 years in two studies, histological evidence of the tissue healed at the socket‐shield‐implant‐interface, indications/technique/risks/guidelines, numerous case reports, and this study of 128 cases with mid‐term follow‐up.…”

“…The socket‐shield case series reported here required preparation of the buccofacial root portion such that the canal contents (root canal filling material or neurovascular tissue) with the apex be removed. The purpose of retaining this carefully designed and prepared facial root section is to maintain the root's periodontal attachment to the facial bundle bone that is prone to collapse post‐extraction . The technique is not without failure, yet the survival rate of using the socket‐shield technique is consistent with implants placed into extraction sockets as well as healed ridges (97%).…”

Socket‐shield technique for implant placement to stabilize the facial gingival and osseous architecture: A systematic review

“…Detailed analysis of the included studies is presented in Table as clinical and animal studies on the SST and their outcome. Of the included studies, 11 were case reports, 6 case series, 1 clinical randomized control trial, 1 technical report and 2 animal randomized control trials …”

“…SST had maintained the vascular supply with the help of the remaining PDL and provided better results. Bäumer et al in a study with a follow up of 5 years found that all implants placed with SST healed without adverse events. Peri‐implant probing revealed healthy conditions and volumetric analysis showed a low degree of contour changes with effective preservation of facial tissue contours.…”

The (in)adequacy of translational research in dentistry

“…Figure 2 reports studies on the socket‐shield technique published in chronological order. It is interesting to note that 19 of the case reports and case series () were published having only three animal experiments () as data to support the decision of performing these clinical studies. Furthermore, a case series () on this technique, conducted in three private practices between January 2006 and December 2016, reported 10‐year follow‐up data.…”