The socket shield technique with proximal extensions for single-rooted teeth.

Area of Science:

• Dentistry
• Oral Implantology
• Periodontology

Background:

• The conventional socket shield (SS) design has limitations in maintaining interproximal hard and soft tissues.
• Proximal extensions (C-shaped, L-shaped, proximal SS) improve tissue support, especially for adjacent implant sites.
• Internal shield exposure is a common complication of the socket shield technique (SST).

Purpose of the Study:

• To provide guidelines for case selection for proximal shield extensions in the socket shield technique.
• To detail socket shield preparation and component selection for managing proximal extensions.
• To mitigate risks associated with proximal socket shield use, such as internal shield exposure and displacement.

Main Methods:

• Review of anatomical considerations influencing proximal socket shield success.
• Description of socket shield preparation techniques for proximal extensions.
• Guidelines for selecting dental implant and prosthetic components for use with proximal socket shields.

Main Results:

• Anatomical features like scalloped ridges and oval sockets increase complication risks in proximal shield areas.
• Specific guidelines are proposed for selecting suitable cases for proximal shield extensions.
• Recommendations are provided for SS preparation and component selection to minimize risks.

Conclusions:

• Careful case selection is crucial for the successful application of proximal socket shield extensions.
• Proper preparation and component selection can reduce the incidence of complications associated with proximal socket shields.
• The socket shield technique, with appropriate modifications and guidelines, can be a valuable approach for preserving interproximal tissues in implant dentistry.