Peri-implant Tissue Changes Around Maxillary Anterior Immediate Tooth Replacement With and Without Socket- Shield:...

Area of Science:

• Dental Implantology
• Periodontology
• Oral Surgery

Background:

• Immediate implant placement and provisionalization are common procedures in restorative dentistry.
• Maintaining facial mucosal profile is crucial for esthetic outcomes.
• The socket-shield technique is a modification aimed at preserving bone and soft tissue architecture.

Purpose of the Study:

• To compare implant success rates and facial mucosal profile changes between immediate implant placement and provisionalization with the socket-shield technique (IIPP+SS) and without (IIPP-SS).

Main Methods:

• A randomized controlled trial involving 30 dental implants in 25 patients.
• Patients were divided into IIPP-SS and IIPP+SS groups.
• Clinical and radiographic outcomes, including implant success, bone levels, and mucosal/papilla levels, were assessed over 12 months.

Main Results:

• An overall implant success rate of 96.6% was observed after 1 year.
• The IIPP+SS group showed a trend towards fewer facial mucosal profile changes, though not statistically significant (P = .06).
• No significant differences were found in facial mucosal level or papilla level changes between the groups.

Conclusions:

• The socket-shield technique may offer a slight advantage in maintaining the implant facial mucosal profile compared to immediate implant placement alone.
• Both techniques demonstrated clinically satisfactory biological, functional, and esthetic results after 1 year.