Socket-shield Technique: A Systematic (Scoping) Review of Case Series and Case Reports

Area of Science:

• Dental Implantology
• Periodontology
• Oral Surgery

Background:

• Immediate implant placement (IIP) is a common procedure following tooth extraction.
• The socket-shield technique (SST) aims to preserve the buccal bone wall and soft tissue envelope.
• Evaluating the efficacy of SST combined with IIP is crucial for optimizing treatment outcomes.

Observation:

• A systematic review of 51 articles (40 case reports, 11 case series) published between 2010 and 2021 was conducted.
• The maxillary anterior region was the most common site for SST with IIP.
• Studies reported good ridge contour maintenance, high success rates, and limited complications.

Findings:

• SST demonstrated success in maintaining tissue stability, improving esthetics with higher pink esthetic scores, and minimizing marginal bone loss.
• The technique showed a reduced need for soft tissue grafting, enhancing its clinical appeal.
• Observed benefits include better adaptability and ridge contour preservation.

Implications:

• SST combined with IIP offers a promising esthetic outcome and stability in extraction sockets.
• The technique's potential for reduced invasiveness and improved esthetics warrants further investigation.
• High-quality prospective studies with longer follow-up periods are necessary to establish the long-term reliability and efficacy of SST.