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Selective Preservation of Tooth (SPOT): A Step-by-Step Protocol for a Precise, Reproducible, Socket-Shield Technique.

Charles Schwimer1, Marcel Firlej2, Snjezana Pohl3

  • 1Adjunct Assistant Professor, Department of Periodontics, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania; Adjunct Assistant Professor, Department of Periodontics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|July 19, 2024
PubMed
Summary

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This summary is machine-generated.

The Selective Preservation of Tooth (SPOT) technique offers a standardized method for socket shield preparation and immediate implant placement. This approach enhances bone compaction and implant stability, improving healing after tooth extraction.

Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Periodontology

Background:

  • Immediate implant placement following tooth extraction aims to preserve hard and soft tissues.
  • The socket-shield technique is a method to prevent tissue collapse but can be technically demanding.
  • Standardized protocols are needed for predictable outcomes in socket-shield procedures.

Purpose of the Study:

  • To present the Selective Preservation of Tooth (SPOT) technique as a standardized protocol.
  • To detail the step-by-step application of SPOT for socket-shield preparation and immediate implant placement.
  • To highlight the use of osseodensification burs for enhanced implant stability.

Main Methods:

  • The SPOT protocol utilizes a tooth-guided preparation for socket shield creation.

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  • Osseodensification burs are employed in both clockwise and counterclockwise rotations.
  • Clockwise rotation facilitates root apex removal and shield preparation; counterclockwise aids implant site preparation and bone compaction.
  • Main Results:

    • The SPOT technique provides a reproducible method for socket-shield preparation.
    • Utilizing osseodensification enhances bone and dentin compaction, improving implant primary stability.
    • The protocol facilitates immediate post-extraction implant placement with improved early healing potential.

    Conclusions:

    • The Selective Preservation of Tooth (SPOT) technique offers a standardized and reproducible approach to socket-shield preparation.
    • The protocol effectively utilizes osseodensification for improved implant primary stability and bone augmentation.
    • SPOT is a viable method for immediate post-extraction implant placement in single-rooted teeth.