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

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.
• 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.