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Soft and hard tissue evaluation of guided socket shield implant cases
Pedro M Trejo1,2, Raysa Rivas2, Corletta C Trejo2
1Department of Periodontics and Dental Hygiene, School of Dentistry, University of Texas Health Science Center, Houston, Texas, USA.
Clinical Advances in Periodontics
|April 22, 2024
Summary
The socket-shield (SS) technique provides stable hard and soft tissues for dental implants. This digitally guided approach ensures predictable implant placement and long-term tissue stability.
Area of Science:
- Dental Implantology
- Oral Surgery
- Digital Dentistry
Background:
- The socket-shield (SS) technique promotes long-term osseointegration and dimensional stability of hard and soft tissues.
- This study details a surgical method for successful SS technique implementation.
Observation:
- A cohort of 32-81 year old patients (males and females) were treated between 2020-2023.
- Pre- and post-operative CBCT and intraoral scans were utilized for digital planning and analysis.
- Surgical guides facilitated digitally-supported immediate implant placement and simultaneous tooth extraction with SS creation.
Findings:
- Soft tissue stability was observed with minimal mean thickness change (0.03mm to -0.07mm) across measurement levels.
- Mean gingival margin change was 0.04mm, with a range from 0.58mm gain to -0.57mm loss.
- Mean post-operative buccal plate thickness was 2.04mm (range: 0.7-2.9mm).
Implications:
- The digitally-supported SS technique allows for predictable immediate implant positioning.
- This method ensures stable buccal peri-implant soft and hard tissues over time.
- Successful outcomes depend on precise digital planning and meticulous clinical execution.
