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

Area of Science:

• Dental Implantology
• Periodontology
• Prosthodontics

Background:

• Immediate implant placement and provisionalization are common 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 with socket-shield (IIPP+SS) and without socket-shield (IIPP-SS) techniques.
• To evaluate clinical and radiographic outcomes of these two immediate implant techniques over 12 months.

Main Methods:

• A randomized controlled trial involving 30 dental implants in 25 patients.
• Patients were assigned to either the IIPP-SS or IIPP+SS group.
• Clinical and radiographic outcomes, including success rates and mucosal/bone level changes, were assessed preoperatively and at 2 weeks, 6 months, and 12 months postoperatively.

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 IIPP+SS and IIPP-SS techniques yield clinically satisfactory biological, functional, and esthetic results.
• Further research may be needed to confirm the long-term benefits of the socket-shield technique.