The socket-shield technique: a step-by-step protocol after 12 years of experience

Area of Science:

• Dentistry
• Implantology
• Periodontology

Background:

• The socket-shield technique, introduced in 2010, is widely accepted in implant dentistry.
• Refinements are needed to address potential complications and enhance esthetic outcomes.

Purpose of the Study:

• To provide a comprehensive, step-by-step protocol for the socket-shield technique.
• To incorporate a decade of learnings to improve the innovative approach.

Main Methods:

• Initial decoronation of the tooth followed by implant bed preparation through the root.
• Extraction of palatal root fragments and shield preparation using mechanical or biologic locking principles.
• Concave shaping of the shield, implant insertion, and fabrication of an individualized healing cap.

Main Results:

• The mechanical locking involves direct contact between the implant and shield.
• The biologic approach utilizes shield ankylosis to prevent coronal displacement.
• The technique, when principles are followed, yields highly esthetic and predictable results.

Conclusions:

• The socket-shield technique, with this refined protocol, offers a reliable method for esthetic implant dentistry.
• Adherence to biologic and mechanical principles ensures successful and predictable outcomes.
• This updated protocol aims to minimize complications and maximize esthetic results in implant placement.