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The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model
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The Modified Socket Shield Technique.

Chang-Hun Han1, Kwang-Bum Park2, Francesco Guido Mangano3

  • 1EasyPlant Dental Clinic, Seo-Gu, Gwangju.

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|March 22, 2018
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Summary
This summary is machine-generated.

The modified socket shield technique preserves buccal bone for immediate implants, showing 100% survival and excellent stability after one year. This approach enhances esthetics by preventing bone resorption.

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Area of Science:

  • Dental Implantology
  • Periodontology
  • Oral Surgery

Background:

  • Buccal bone resorption after tooth extraction in anterior regions causes soft tissue contraction, leading to esthetic issues, especially with immediate implant placement.
  • The socket shield technique retains a portion of the buccal root to preserve buccal bone for immediate implant placement.

Purpose of the Study:

  • To evaluate the survival, stability, and complication rates of dental implants placed using a modified socket shield technique in anterior regions.
  • To assess the efficacy of preserving buccal bone using a root fragment during immediate implant procedures.

Main Methods:

  • A prospective study included adult patients with nonrestorable anterior teeth and intact buccal periodontal tissues.
  • A modified socket shield technique involved retaining a 1.5mm thick buccal root portion at the bone crest level, followed by immediate implant placement and restoration.
  • Implants were monitored for 1 year, assessing survival, stability (Implant Stability Quotient), and biologic/prosthetic complications.

Main Results:

  • All 40 immediate implants in 30 patients demonstrated 100% survival after 1 year.
  • Excellent implant stability was observed, with mean Implant Stability Quotient values remaining high from placement (72.9) to 1 year (74.6).
  • No biologic complications occurred, and prosthetic complications were minimal (2.5%).

Conclusions:

  • The modified socket shield technique is a successful procedure for immediate implant placement in anterior regions.
  • Retaining the root fragment supports buccal bone, aids esthetics, and does not impede osseointegration.
  • This technique offers a viable solution to mitigate esthetic concerns associated with post-extraction bone resorption.