Immediate Implant Placement in the Esthetic Zone: A Multi‐Variate Analysis of Influencing Factors

Clinical Implant Dentistry and Related Research, Journal Year: 2025, Volume and Issue: 27(1)

Published: Feb. 1, 2025

To evaluate the dimensional reduction of peri-implant hard tissues and esthetic outcome after immediate implant placement (IIP) in zone. Patients who received IIP with bone grafts zone, either or delayed restoration, were included this retrospective cohort study. The implants categorized into three groups based on labial thickness (LBT) before implantation: Group 1 (≤ 0.5 mm), 2 (0.5-1 3 (≥ mm). horizontal loss (HBL) at 0, 3, 5 mm apical to shoulder, marginal (MBL), Pink Esthetic Score (PES) used soft tissue IIP. A total 87 74 patients met inclusion criteria. Compared group there was significant severe HBL-0 (p = 0.017); located central incisor position female may led increased resorption 0.021, p 0.061, respectively). For HBL-3 HBL-5 mm, non-immediate restoration reduce 0.013, 0.022, MBL during short-term follow-up PES score showed no difference among groups. Despite limitations, our study found that LBT < significantly affected loss. Meanwhile, incisors also be considered as risk factors for HBL. However, did not affect MBL, outcomes. This registered a clinical trial registry (www.chictr.org.cn, No: ChiCTR2400087990).

Language: Английский

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Socket Shield Technique of an Ailing Mandibular Molar With Customized Healing Abutment: Graftless Management of the Hard and Soft Tissue Foundation Around Immediate Dental Implants

Case Reports in Dentistry, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

It is an established fact that postextraction ridge resorptive changes are inevitable and very evident in the molar areas. Resorption sites can cause a reduction attached gingiva affect long-term success of osseointegrated implant. To prevent significant tissue alteration, socket shield technique (SST) was developed to preserve buccal plate, over decade ago. Since then, various studies showcasing modifications have been published mainly focusing on SST conjunction with immediate implants anterior esthetic zone. Gluckman gave collective term called partial extraction therapy (PET) which includes SST, pontic technique, root submergence technique. He suggested using graft material gap between Later, Siormpas et al. advocated membrane (RMT) it may not be necessary use material. With evolution terms RMT more similar each other now, only difference sequence preparation implant placement. The prepared first, osteotomy done former before latter. often ignored as possibility sites. Though technique-sensitive, molars customized healing abutment ensures maintenance original hard soft volumes most conservative way. following case report showcases stepwise, graftless management approach for nonrestorable right mandibular Long-term randomized controlled trials (RCTs) encouraged make recommendation routine clinical practice.

Language: Английский

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Navigation guided socket‐shield technique for implant and pontic sites in the esthetic zone: A proof‐of‐concept 1‐year prospective study with immediate implant placement and loading

Journal of Esthetic and Restorative Dentistry, Journal Year: 2022, Volume and Issue: 34(1), P. 203 - 214

Published: Jan. 1, 2022

To assess clinical, radiological performance of novel navigation guided socket-shield technique (NSS) with immediate implant placement and loading.Eighteen patients (12 females; age 52.54 ± 4.92; 33-72) treated between January 2018 June 2019, were investigated, followed for at least 1 year after definitive prosthesis (mean 20.1 months, 18-23). Primary outcomes: prosthetic success rates, surgical, biologic, complications.marginal bone loss (MBL), stability quotient (ISQ), pink esthetic score (PES), plaque bleeding indexes.Sixty-nine procedures performed (27 implant-sites 42 pontic-sites) 27 implants (NobelParallel, NobelBiocare AG) positioned immediately loaded. Mean insertion torque ISQ positioning 49 5.34 Ncm (36-74), 73 5.72 (68-81). No failure was experienced. Two root-shield exposures mucositis, ulceration reported two pontic-sites (2.9%) successfully treated. complications experienced implant-site leading to an overall NSS success-rate 100%. occurred. MBL -0.72 0.26 mm (-0.42 -1.06 mm). PES final the last follow-up 12.84 0.92. The scores 18.5 6.12 3.15 2.21.Within study limitations, dynamic effective streamline execution pontic sites, shortening treatment time reducing complications. Navigation reliable achieve digitally planned shield-to-implant distance, facilitate loading establish mucosal dimension needed underlying bone-to-implant protection integration.The investigated overcomes difficulties related root preparation pontic-sites, facilitating loading. Dynamic surgery contributed make less technical-sensitive, execution, complication rate.

Language: Английский

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Soft and hard tissue evaluation of guided socket shield implant cases

Clinical Advances in Periodontics, Journal Year: 2024, Volume and Issue: unknown

Published: April 22, 2024

The socket-shield (SS) technique results in long-term functional osseo- and dento-integration, preserving the dimensional stability of hard soft tissues over time. This study aimed to describe successful implementation a surgical facilitate "SS" cases.

Language: Английский

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Biomechanical characteristics of maxillary anterior incisor, conventional immediate implantation and socket shield technique — A finite element analysis and case report

Annals of Anatomy - Anatomischer Anzeiger, Journal Year: 2024, Volume and Issue: 256, P. 152313 - 152313

Published: Aug. 2, 2024

Language: Английский

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Immediate implant placement with socket shield technique in the maxilla: a prospective case series evaluation at 1-year follow-up

Head & Face Medicine, Journal Year: 2022, Volume and Issue: 18(1)

Published: June 10, 2022

Abstract Background The aims of this case series were to investigate the clinical, radiographic, implant success, complication incidence, esthetic, and patient-reported outcomes 10 immediately placed implants associated with socket shield technique at 12 months post-loading assess ridge width changes that occurred 8 following placement. Methods A total patients received immediate (MegaGen AnyRidge). At postimplantation, casts made by measuring sites comparing them corresponding measurements contralateral tooth site. post-loading, clinical indices, marginal bone loss, pink esthetic score, patient-assessed evaluated. mean, standard deviation median calculated for all continuous variables. Results All demonstrated a 100% success rate, while 2 presented external exposure was managed successfully. mean loss 0.08 ± 0.14 mm mesially 0.21 0.23 distally. Esthetic evaluation yielded an average modified score 8.65. gain 0.17 in facial-palatal recorded postimplantation. Conclusions enhanced functional results preserving alveolar peri-implant soft tissues. However, is sensitive still needs more robust evidence before it can be recommended everyday practice.

Language: Английский

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Dimensional Changes in the Alveolus after a Combination of Immediate Postextraction Implant and Connective Grafting and/or Socket Shield Technique

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(5), P. 2795 - 2795

Published: Feb. 27, 2022

Immediate implant placement protocols after dental extraction have enabled a reduction in surgical phases. This procedure has increased patient satisfaction and similar survival rates to late procedures. However, placing an immediately does not counteract the physiological remodeling of alveolar bone. For this reason, additional techniques been developed, such as connective tissue graft (CTG) or socket shield technique (SST). Dimensional changes peri-implant tissues were observed immediate implants following CTG and/or SST. A total 26 interventions carried out which dimensional change variables analyzed. The preoperative state postoperative situation compared with one year. Measurements taken at 3, 5, 7 mm from gingival margin analyzed CBCT radiological study (Planmeca Promax 3D). platform was used reference point for measurement crest height. One year performing either two (CTG SST), significant increase gingiva thickness vestibular cortex occurred 5 (0.65 ± 1.16 mm) (0.95 1.45 margin. Additionally, palatal bone registered 3 (0.48 0.90 mm). group showed area year, although SST groups clinically similar. implementation revealed promising results regarding buccal hard soft cortical thickness, well overall mucosa margin, observed. distance detected both techniques. Both SST) are appropriate provide sufficient volume anterior maxillary implants. Some limitations detected, lack aesthetic analysis small sample size, so should be interpreted caution. Future studies necessary further evaluate long-term predictability these

Language: Английский

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Socket-shield Technique vs Conventional Immediate Implant Placement for Esthetic Rehabilitation: A Systematic Review and Meta-analysis

The Journal of Contemporary Dental Practice, Journal Year: 2022, Volume and Issue: 23(2), P. 237 - 244

Published: June 10, 2022

The present systematic review and meta-analysis (SR/MA) aimed to test the null hypothesis that there is no difference between socket-shield technique (SST) conventional immediate implant placement (CIIP) as an esthetic rehabilitation option for permanent human anterior teeth, against alternative one of a difference.Socket-shield considered highly promising procedure has potential prevent resorption alveolar ridges, maintains white pink esthetics, provides solution esthetically critical cases. Controlled randomized clinical trials (RCT) nonrandomized ones had been identified by searching following databases: Google Scholar, Scopus, PubMed. Literature search was determined from January 2010 up June 2020. Hand searches were also accomplished relevant abstracts, books, reference lists. eligibility criteria included prospective observational controlled RCTs non-RCTs.patients with endodontically treated/nonrestorable mature teeth indicated extraction.the sockets subjected using SST.implants placed SST compared those CIIP.the score measured rehabilitation. To assess article quality, Cochrane risk-of-bias tool used two independent authors. data across quantitative studies analyzed comprehensive MA software.The initial found out 172 references through strategy three additional recognized hand searching. After being filtered, 101 screened recorded. inclusion exclusion applied, only seven unduplicated non-RCTs involved in MA. At 6-month evaluation period, total standard mean 1.07 I2 value measuring heterogeneity 77.182, whereas at 12-month 1.43 64.914.SST positive effect on better than CIIP. However, this conclusion dependent very few well-conducted RCT non-RCT. Further longer time, proper methodology, larger sample size are still required adequately answer question SR.There limited knowledge about appropriateness field dentistry, specifically consideration. This SR/MA confirmed over CIIP teeth.PROSPERO, identifier CRD42020194086.

Language: Английский

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Socket-shield Technique and immediate implant placement for ridge preservation in the aesthetic region: a 1-year clinical and tomographic follow-up

Revista Eletrônica Acervo Saúde, Journal Year: 2024, Volume and Issue: 24(3), P. e15455 - e15455

Published: March 8, 2024

Objective: To describe the clinical, radiographic and tomographic aspects, as well complications, success, aesthetic functional results of an implant placed using “socket shield” technique. Case Details: Represents a 46-year-old patient, with increased mobility crown in bucco-palatal direction, indication for extraction replaced by immediate implant. Atraumatic extraction, socket preservation technique placement were performed. The socket-shield was designed placing implants to protect oral bone achieve adequate aesthetics. buccal fragment tooth kept fixed contact fragment. Cone Bean computed tomography showed formation aspect 1 year later, demonstrated stability peri-implant tissue replacement root remnant bone. clinical appearance maintenance soft tissues good aesthetics without gingival retraction. Final considerations: One-year follow-up shows healing healthy tissue, suggesting that can be excellent alternative preserving vestibular cortex placement, especially area.

Language: Английский

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An enchiridion on the socket shield technique

Journal of Integrative Medicine and Research, Journal Year: 2024, Volume and Issue: 2(2), P. 72 - 80

Published: April 1, 2024

Abstract Socket shield technique is one of the recent innovative techniques immediate implant placement. The importance this maintenance both hard and soft tissues, especially in esthetically critical areas like maxillary anterior region. It involves preservation a portion root followed by placement implant. has various advantages over other ridge procedures conventional placement, socket methods, augmentation procedures. This review briefly summarizes classification, surgical technique, variations, potential complications technique.

Language: Английский

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