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Inappropriate Socket Shield Protocol as a Probable Cause of Peri-Implant Bone Resorption: A Case Report
Yazad Gandhi1, Neel Bhatavadekar2,3
1Consultant Oral & Maxillofacial Surgeon, Saifee Hospital, Mumbai, India.
Journal of Maxillofacial and Oral Surgery
|August 18, 2020
Summary
Alveolar ridge remodeling can cause bone loss around dental implants. Improper socket shield technique may lead to buccal bone loss, necessitating standardized guidelines for this procedure.
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Alveolar ridge remodeling is a natural process following tooth extraction.
- This bone remodeling continues even after dental implant placement, altering peri-implant tissue contours over time.
- Various surgical techniques exist to manage bone resorption, including socket grafting and the socket shield technique (partial extraction therapy).
Observation:
- The socket shield technique, a newer procedure, aims to mitigate alveolar bone remodeling and preserve peri-implant tissues.
- This article examines a specific case where inadequate socket shield preparation potentially caused buccal bone loss around an integrated implant.
Findings:
- An inappropriately prepared socket shield may be a contributing factor to buccal bone loss around dental implants.
- This highlights potential complications associated with the socket shield technique when not executed correctly.
Implications:
- There is a need for evidence-based consensus on patient selection and precise execution of the socket shield technique.
- Standardized guidelines could minimize procedural errors by clinicians and improve patient outcomes in dental implantology.

