Abstract
Alveolar ridge remodeling post-extraction is a well-documented process. Alveolar bone is in a continuous state of remodeling even after implant placement, and this leads to changes in the contour of the peri-implant tissues over the years. A vast number of procedures have been described in literature to address and correct this resorption including procedures like socket grafting, dual zone grafting, socket shield (partial extraction therapy) and many more. Socket shield (partial extraction therapy) is a relatively new procedure described in the literature. This technique aims to try and slow down this remodeling and maintain the peri-implant tissues in a state near normalcy. The aim of this article is to assess a case where the possible cause of buccal bone loss around an integrated implant was an inappropriately prepared socket shield. It is recommended that an evidence-based consensus be put forth on both case selection and execution to minimize inappropriate execution of this technique by the average clinician.
References
Wöhrle PS (1998) Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen consecutive case reports. Pract Periodontics Aesthet Dent 10:1107–1114
Touati B, Guez G (2002) Immediate implantation with provisionalization: from literature to clinical implications. Pract Proced Aesthet Dent 14:699–707
Kan JY, Rungcharassaeng K, Lozada J (2003) Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study. Int J Oral Maxillofac Implants 18:31–39
De Rouck T, Collys K, Cosyn J (2008) Single-tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: a review. Int J Oral Maxillofac Implants 23:897–904
Huynh-Ba G, Meister DJ, Hoders AB, Mealey BL, Mills MP, Oates TW, Cochran DL, Prihoda TJ, McMahan CA (2016) Esthetic, clinical and patient-centered outcomes of immediately placed implants (Type 1) and early placed implants (Type 2): preliminary 3-month results of an ongoing randomized controlled clinical trial. Clin Oral Impl Res 27:241–252
Jung RE, Kokovic V, Jurisic M, Yaman D, Subramani K, Weber FE (2011) Guided bone regeneration with a synthetic biodegradable membrane: a comparative study in dogs. Clin Oral Implants Res 22:802–807
Da Rosa JC et al (2013) Immediate dentoalveolar restoration of compromised sockets: a novel technique. Eur J Esthet Dent 8(3):432–443
Piattelli A, Trisi P, Romasco N, Emanuelli M (1993) Histological analysis of a screw implant retrieved from man: influence of early loading and primary stability. J Oral Implantol 19:303–306
Hürzeler MB, Zuhr O, Schupbach P, Re-bele SF, Emmanouilidis N, Fickl S (2010) The socket-shield technique: a proof-of- principle report. J Clin Periodontol 37:855–862
Chen C-L, Pan Y-H (2013) Socket Shield technique for ridge poreservation- a case report. J Prosthodont Implantol 2(2):16–21
Gluckman Howard, Toit Du, Salama M (2016) The pontic-shield: partial extraction therapy for ridge preservation and pontic site development. Int J Periodontics Restor Dent 36:417–423. https://doi.org/10.11607/prd.2651
Han CH, Park KB, Mangano FG (2018) The modified socket shield technique. J Craniofac Surg 29(8):2247–2254. https://doi.org/10.1097/SCS.0000000000004494
Siormpas KD, Mitsias ME, Kontsiotou-Siormpa E, Garber D, Kotsakis GA (2014) Immediate implant placement in the esthetic zone utilizing the “root-membrane” technique: clinical results up to 5 years postloading. Int J Oral Maxillofac Implants 29:15. https://doi.org/10.11607/jomi.3707
Mitsias M, Kontsiotou-Siormpa E, Garber D, Kotsakis GA (2014) Immediate implant placement in the esthetic zone utilizing the “root-membrane” technique: clinical results up to 5 years postloading. Int J Oral Maxillofac Implants 29(6):9
Geguzis A, Vaiciunaite E, Gervickas A (2018) The socket shield technique—a review. J Cont Med A Dent 6(3):4–8
Gharpure Amit, Bhatavadekar Neel (2016) Current evidence on the socket-shield technique: a systematic review. J Oral Implantol. https://doi.org/10.1563/aaid-joi-D-16-00174
Gluckman Howard, Salama Maurice, DuToit J (2017) Partial extraction therapies (PET) Part 2: procedures and technical aspects. Int J Periodontics Restor Dent. 37:377–385
Davarpanah M, Szmukler-Moncler S (2009) Unconventional implant treatment: I Implant placement in contact with ankylosed root fragments. A series of five case reports. Clin Oral Implants Res 20:851–856
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Gandhi, Y., Bhatavadekar, N. Inappropriate Socket Shield Protocol as a Probable Cause of Peri-Implant Bone Resorption: A Case Report. J. Maxillofac. Oral Surg. 19, 359–363 (2020). https://doi.org/10.1007/s12663-019-01301-1
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DOI: https://doi.org/10.1007/s12663-019-01301-1