Rationale for vertical periodontal defects being a contraindication to the socket-shield technique

Much has been published on the socket-shield technique since its introduction to implant dentistry in 2010. The literature reports the technique to be a viable treatment option. Investigations should hence focus on improving the treatment, identifying pitfalls, and better educating clinicians. The technique has been advised as contraindicated at tooth roots with periodontal defects. The present case report aims to illustrate the additional risk and why intrabony periodontal defects may be a contraindication to this already challenging treatment.