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Related Concept Videos

Blinding01:11

Blinding

Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.

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Modified socket shield technique versus unassisted socket healing: A randomized controlled clinical trial using

L-M Sáez-Alcaide1, C Cobo-Vázquez, J Cortés-Bretón-Brinkmann

  • 1Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid. Plaza Ramón y Cajal S/N, 28040, Madrid, Spain. lsaez@ucm.es.

Medicina Oral, Patologia Oral Y Cirugia Bucal
|March 7, 2026
PubMed
Summary
This summary is machine-generated.

The modified socket shield technique preserves alveolar bone dimensions after tooth extraction. This technique is especially beneficial for patients with thin buccal bone, reducing post-extraction bone loss.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Periodontology

Background:

  • Tooth loss causes alveolar bone resorption.
  • The socket shield technique aims to prevent this bone loss.
  • The modified socket shield technique (mSST) without immediate implant placement was evaluated.

Purpose of the Study:

  • To compare the mSST with unassisted socket healing (USH) for vertical and horizontal bone changes.
  • To assess dimensional alterations in alveolar bone post-extraction.

Main Methods:

  • Patients undergoing non-molar tooth extraction were randomized into mSST or USH groups.
  • Cone-beam computed tomography (CBCT) scans before and 4 months after surgery were used.
  • Horizontal ridge width and vertical bone height changes were measured and compared using ANCOVA.

Main Results:

  • The mSST group demonstrated significantly reduced buccal bone height and width reduction compared to the USH group (p<0.001).
  • Mean reductions in buccal height and width were significantly lower in the mSST group.
  • A buccal bone thickness threshold of 1.5mm was identified as critical for efficacy.

Conclusions:

  • The mSST without immediate implant placement effectively preserves alveolar bone dimensions.
  • This technique is particularly advantageous in sites with thin buccal bone (<1.5mm).
  • mSST acts as a protective factor against post-extraction bone remodeling.