A socket shield technique: Preparation of the shield under oral microscopy

Journal of Prosthetic Dentistry, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

The socket shield technique has been used to enhance the esthetics of immediately placed implant-supported prostheses in esthetic zone. However, rarely clinical practice because high technical sensitivity, limited field view, and risk intraoperative postoperative complications. A is presented for carefully preparing labial shields under oral microscopy, which can reduce surgical difficulty improve precision preparation.

Language: Английский

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The Influence of Different Implant Placement Techniques on Alveolar Ridge Preservation: A Systematic Review and Meta-analysis

European Journal of Dentistry, Journal Year: 2025, Volume and Issue: unknown

Published: April 23, 2025

Abstract This systematic review and meta-analysis compares the effectiveness of three implant placement techniques: socket shield technique (SST), conventional immediate (CIIP), delayed (DIP) in alveolar ridge preservation, survival rates, esthetics. A comprehensive search was conducted PubMed, Scopus, Cochrane Library, covering studies from 2012 to 2022. Inclusion criteria targeted clinical with a minimum follow-up 6 months. Risk bias assessed using RoB-2 ROBINS-I tools, meta-analyses were performed random-effects models. Sixteen met inclusion criteria. SST demonstrated significantly better preservation buccal bone thickness (standardized mean difference [SMD] = 2.94, 95% confidence interval [CI]: 1.46–4.42, p < 0.001) height (SMD 4.47, CI: 1.96–6.98, compared CIIP. also resulted higher pink esthetic scores 1.00, 0.36–1.64, 0.002). No significant differences found between CIIP DIP for marginal loss 0.15, −0.26 0.55, 0.471). However, showed lower failure rate than (odds ratio 3.49, 1.26–9.66, 0.016). offers benefits preserving improving outcomes, while appears reduce risk. Further standardized are needed confirm these findings refine guidelines.

Language: Английский

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Socket shield technique for immediate implant placement after dental trauma: a case report

Journal of Surgical Case Reports, Journal Year: 2025, Volume and Issue: 2025(5)

Published: April 29, 2025

Abstract Anterior teeth are often extracted due to dental trauma, periodontal disease, and other factors. During the healing period of sockets, loose bundle bone in buccal side anterior usually produces vertical horizontal absorption. How remain reconstruct alveolar crest contour esthetic zone is a challenge dentists. In this case, 26-year-old man reported with chief complaint traumatic fracture upper front region, accompanied by pain. After examination, he was diagnosed tooth (11,12 crown-root fracture). The socket shield technique planned for treatment 11. Meanwhile, we converted broken as temporary crown. 6 months period, porcelain crown placed on custom abutment. Through 1-year follow-up, still stable. Consequently, can effectively maintain contour.

Language: Английский

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The socket shield technique for immediate implant placement: A systematic review and meta‐analysis

Journal of Esthetic and Restorative Dentistry, Journal Year: 2021, Volume and Issue: 33(8), P. 1186 - 1200

Published: Aug. 11, 2021

Immediate implant placement with socket shield technique (SST) may maintain the buccal bone plate and soft tissue levels, however, potential clinical benefits of SST lack strong scientific evidence. The aim this systematic review meta-analysis was to evaluate effects on dimensional changes hard tissues, esthetic outcomes, stability, complication, failure rates.Electronic databases were searched identify randomized controlled trials (RCTs) that compared immediate without SST. risk bias assessed using Cochrane Collaboration's Risk Bias tool. Data analyzed a statistical software program.A total 982 studies identified, which, seven RCTs 206 immediately placed dental implants in 191 participants included. Overall showed significant differences width (mean difference (MD) -0.22; 95% confidence interval (CI) -0.30 -0.15; p < 0.0001) height (MD -0.52; CI -0.85 -0.18; = 0.002) favor use also associated significantly less peri-implant marginal levels better pink score than placing complication rates not statistically between or SST.The short-term following comparable. has positive plate, outcomes. Further evidence from long-term are still required substantiate current findings.SST can reduce improve profile zone.

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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Failure Rate, Marginal Bone Loss, and Pink Esthetic with Socket-Shield Technique for Immediate Dental Implant Placement in the Esthetic Zone. A Systematic Review and Meta-Analysis

Biology, Journal Year: 2021, Volume and Issue: 10(6), P. 549 - 549

Published: June 18, 2021

Aim: To compare the failure rate, marginal bone loss, and pink esthetic for socket-shield technique conventional immediate dental implant placement in zone. Material methods: A systematic literature review meta-analysis, based on Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA) recommendations, of clinical studies that evaluated with zone was performed. total 4 databases were consulted search: PubMed-MEDLINE, Scopus, Embase, Web Science. After eliminating duplicated articles applying inclusion criteria, 16 selected qualitative quantitative analysis. Results: Four randomized controlled trials, five prospective studies, four retrospective three case series included meta-analysis. The rate 1.37% (95% CI, 0.21–2.54%); however, no statistically significant differences between found. estimated mean difference loss −0.5 mm −0.82 to −0.18) (p < 0.01), a high heterogeneity (I2 = 99%). score 12.27 (Q test 4.47; p-value 0.61; I2 0%). (n 55) techniques 1.15 0.73–1.58; Q 8.88; p value 0.11; 44%). follow-up time found be (beta coefficient 0.023; R2 85.6%; QM 3.82; 0.049) PES technique. Conclusions: Within limitations this did not differ However, lower higher scores compared

Language: Английский

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Socket shield technique: A systemic review and meta-analysis

Journal of Prosthodontic Research, Journal Year: 2021, Volume and Issue: 66(2), P. 226 - 235

Published: Sept. 15, 2021

The aim of the present study was to evaluate clinical feasibility socket shield technique (SST).An electronic search PubMed, Cochrane Central Register Controlled Trials, and Wiley Online Library databases, a manual reference for articles published up September 2020 conducted. Meta-analysis performed estimate marginal bone loss (MBL), changes in buccal width (cBBW), pink esthetic score (PES), implant stability quotient (ISQ), failure rate, complication rate between SST conventional immediate placement (IIP). All pooled analyses were based on random effects models.Sixteen relevant studies ultimately selected by two independent reviewers: four randomized trials (RCTs), case-control studies, eight retrospective studies. revealed trend toward lower MBL cBBW higher PES group. ISQ, similar groups.The included provided evidence that may be feasible treatment option. However, this should not used as routine protocol due lack evidence-based consensus guidelines, large-scale RCTs, long-term follow-up data. Therefore, there is an urgent need well-conducted RCTs field.

Language: Английский

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Frozen Stored Teeth: Autogenous Dentin as an Alternative Augmentation Material in Dentistry

Bioengineering, Journal Year: 2023, Volume and Issue: 10(4), P. 456 - 456

Published: April 7, 2023

Tooth Shell Technique (TST) with the use of autologous dentin has proven to be a suitable method grafting in context lateral ridge augmentation. This present feasibility study aimed retrospectively evaluate preservation by lyophilization processed dentin. Thus, frozen stored matrix (FST: 19 patients 26 implants) was re-examined that teeth used immediately after extraction (IUT: 23 32 implants). Parameters biological complications, horizontal hard tissue loss, osseointegration, and buccal lamella integrity were for evaluation. For observation period 5 months. Only one graft lost (IUT group). In area minor without loss an implant or augmentation, there two cases wound dehiscence case inflammation suppuration n = 3, FST: 0). Osseointegration all implants exception. Statistically, no difference between groups studied mean resorption crestal width lamella. Results this show prepared preserved conventional freezer had disadvantage compared terms complications TST.

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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