Socket Shield Technique Used in Conjunction With Immediate Implant Placement in the Anterior Maxilla: A Case Series

Abstract

Introduction Bone remodeling after tooth extraction and immediate implant placement will occur nonetheless and as a result, additional hard and soft tissue augmentations are often necessary to compensate for the loss of alveolar ridge dimension. The socket shield (SS) technique has shown encouraging clinical results in maintaining original ridge morphology, and thus, may be used as an alternative protocol for the conventional immediate implant placement in the esthetic zone. Case Series The authors report three cases of SS technique used in conjunction with immediate implant placement in an anterior maxilla. The patients were followed for a period of 2 to 6 years, and the evolution of the soft and hard tissue surrounding the implants was documented. Conclusions The SS technique produces virtually no change in the hard and soft tissue dimensions with relatively minimal invasive surgical interventions and shorter treatment time.

Comparison of the soft and hard peri‐implant tissue dimensional changes around single immediate implants in the esthetic zone with socket shield technique versus using xenograft: A randomized controlled clinical trial

“…Similarly, Guo and colleagues 35 reported vertical and horizontal bone resorption of 0.4 mm after 18 months post‐loading in a case report who received an immediate implant with the socket shield. Also, Nguyen and colleagues 36 observed minimal horizontal ridge alterations of 0.1 mm in a case series of 3 patients after 2–6 years following immediate implant placement with the socket shield technique. Moreover, Sun and colleagues 29 demonstrated buccal vertical and horizontal bone resorption of 0.28 mm and 0.22 mm respectively 6 months following implant placement.…”

Effect of CAD/CAM Guide Plate Combined With Socket-Shield Technique in Immediate Implantation of Anterior Teeth Aesthetic Area and Its Influence on Aesthetics

“…In addition, during the implementation of SST, the surgeon divides the root of the tooth, extracts the root of the palatal tooth, and retains the dental slice shield, which is beneficial to enhance the resistance of the labial bone plate to external forces and maintain the blood supply of periodontal ligament to the labial bone plate ( 13 ). SST is a simple surgical procedure, which can preserve as many periodontal ligament cells as possible, reduce trauma of soft tissue and bone plate, reduce the risk of alveolar bone absorption and collapse, and play a positive role in increasing the stability of implants ( 14 ).…”

The socket shield technique for immediate implant placement: A systematic review and meta‐analysis

“…11 Treatment outcomes with dental implants immediately placed using the SST have been reported in several retrospective, case series studies and reviews. 13,[15][16][17][18][19] Acceptable survival rates were reported but with considerable risk of complications. 13,16,17,19 These studies, however, did not include control groups with traditional immediate implant placement protocols for objective comparison of outcomes.…”

“…13,[15][16][17][18][19] Acceptable survival rates were reported but with considerable risk of complications. 13,16,17,19 These studies, however, did not include control groups with traditional immediate implant placement protocols for objective comparison of outcomes. Hence, the true impacts of the SST on implant survival and esthetic outcomes remain to be objectively assessed.…”