Open flap strategies in socket-shield therapy

Area of Science:

• Dentistry
• Oral Surgery
• Implantology

Background:

• The socket-shield technique is a promising method for preserving the buccal plate after tooth extraction, crucial for esthetic outcomes.
• This technique, while effective, presents technical challenges and requires meticulous handling for successful immediate implant placement.

Purpose of the Study:

• To describe a modified surgical approach for the socket-shield technique, enhancing visualization and management.
• To detail the application of this technique in a case involving a long root requiring specific sectioning and apical access.

Main Methods:

• A case report detailing the socket-shield technique with a small crestal approach and a buccal semilunar flap.
• This approach facilitates visualization of the root and buccal plate, aiding in root sectioning and apical management.
• The technique is particularly useful for long roots where conventional drilling may be insufficient.

Main Results:

• The described surgical management allowed for precise control during root sectioning and apex removal.
• Successful preservation of the buccal plate and avoidance of tissue collapse were achieved.
• The approach facilitated immediate implant placement in the esthetic zone.

Conclusions:

• The modified socket-shield technique, incorporating a crestal and semilunar flap approach, is a viable option for immediate implant placement.
• This method is especially beneficial in complex cases with long roots, ensuring accurate implant positioning and esthetic results.
• Meticulous shield preparation and flap management are critical for minimizing complications and achieving predictable outcomes.