Single extraction socket classification for aesthetic outcomes (CEO).

Area of Science:

• Dental Implantology
• Oral Surgery
• Aesthetic Dentistry

Background:

• Accurate evaluation of extraction sockets is critical for successful aesthetic outcomes in immediate implant placement.
• A standardized classification system can aid clinicians in selecting appropriate treatment approaches.

Purpose of the Study:

• To introduce a novel socket classification system for predicting aesthetic outcomes.
• To assess the inter-rater reliability of this new classification system.

Main Methods:

• The classification system utilizes three parameters: gingival margin position, buccal bone plate morphology, and interproximal attachment level.
• Sockets were categorized into types 1A, 1B, 2A, 2B, 3A, 3B, 4A, and 4B.
• Inter-rater agreement was evaluated using a questionnaire sent to 95 dental practitioners (50 postgraduates, 45 experienced).

Main Results:

• The proposed socket classification system achieved 78.7% agreement with a gold standard classification.
• Inter-rater reliability was not significantly affected by the examiner's clinical experience.
• Treatment recommendations were developed for each identified socket type.

Conclusions:

• The developed single extraction socket classification system simplifies aesthetic outcome prediction.
• It provides a rational basis for determining the management approach for each socket type, enhancing predictability in aesthetic implant dentistry.