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[Clinical application and evaluation of socket shield technique].

Z Tan1, G Fu2, J R Wen1

  • 1Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Chengdu 610041, China.

Zhonghua Kou Qiang Yi Xue Za Zhi = Zhonghua Kouqiang Yixue Zazhi = Chinese Journal of Stomatology
|November 10, 2020
PubMed
Summary
This summary is machine-generated.

Socket shield technique for immediate implants shows good esthetic outcomes in Asian patients. Maintaining root fragment thickness and careful case selection are crucial for successful results and minimizing bone loss.

Keywords:
Dental implantationEsthetics, dentalImmediate implantSocket shield technique

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Area of Science:

  • Dental Implantology
  • Periodontology
  • Oral Surgery

Background:

  • The socket shield technique is an advanced method for immediate dental implant placement.
  • Optimizing this technique is essential for predictable treatment outcomes, especially in diverse populations.

Purpose of the Study:

  • To evaluate the treatment outcomes of the socket shield technique in an Asian population.
  • To identify key factors influencing outcomes, including root fragment dimensions and alveolar bone changes.

Main Methods:

  • A retrospective study of 21 implants placed using the socket shield technique in 18 patients.
  • Analysis of root fragment thickness and height, and buccal alveolar bone dimensional changes over 6 months.
  • Evaluation of esthetic outcomes and recording of complications.

Main Results:

  • A negative correlation was found between root fragment height and buccal crest reduction (r=-0.458, P=0.037).
  • Root fragment thickness correlated negatively with vertical (r=-0.574, P=0.007) and horizontal (r=-0.619, P=0.003) alveolar bone changes.
  • Satisfying esthetic outcomes were achieved with minimal complications, though three cases had internal exposure.

Conclusions:

  • Rigorous patient selection is vital for the socket shield technique.
  • Precise surgical execution and adequate root fragment thickness are critical for successful esthetic implant outcomes.
  • The socket shield technique demonstrates efficacy in achieving favorable esthetic results in immediate implant placement.