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Prosthetic management of implants placed with the socket-shield technique.
Howard Gluckman1, Katalin Nagy2, Jonathan Du Toit3
1Specialist in Periodontics, Implantology and Oral Medicine, Private practice, Cape Town, South Africa; Director, The Implant Clinic, The Implant & Aesthetics Academy, Cape Town, South Africa.
The Journal of Prosthetic Dentistry
|December 18, 2018
Summary
The socket-shield technique preserves alveolar bone after tooth extraction. Modifications to preparation and prosthetic design can improve soft tissue infill and reduce complications.
Area of Science:
- Dental Implantology
- Periodontology
- Prosthodontics
Background:
- Partial extraction therapies, including the socket-shield technique, aim to preserve the alveolar ridge and minimize postextraction bone resorption using patient tissues.
- Internal exposure of the shield through peri-implant mucosa is a frequent complication, indicating a need for technique refinement.
Purpose of the Study:
- To describe prosthetic management modifications for the socket-shield technique.
- To detail methods for enhancing soft tissue volume and improving esthetic outcomes.
Main Methods:
- Preparation of the socket-shield precisely to the bone crest.
- Creation of an S-shaped prosthetic emergence profile.
- Focus on prosthetic management to achieve maximal soft tissue infill.
Main Results:
- The described modifications aim to mitigate complications associated with the socket-shield technique.
- The S-shaped emergence profile is designed to support and enhance soft tissue volume.
- Improved prosthetic management can lead to better esthetic results and patient satisfaction.
Conclusions:
- Refined prosthetic management of the socket-shield technique can improve outcomes.
- Careful preparation of the socket-shield and prosthetic emergence profile are crucial for soft tissue support.
- This approach offers a potential solution for reducing complications and enhancing esthetics in postextraction ridge preservation.
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