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Case Reports
. 2022 Nov 21:2022:8188905.
doi: 10.1155/2022/8188905. eCollection 2022.

The Socket-Shield Technique: Digital Planning, Guided Surgery, and Immediate Implant Loading-2-Year Follow-Up

Sušić Mato  1 , Smojver Igor  2 , Stojić Luka  3 , Katalinić Ivan  2 , Gerbl Dražena  4 , Vuletić Marko  1
Affiliations
Case Reports

The Socket-Shield Technique: Digital Planning, Guided Surgery, and Immediate Implant Loading-2-Year Follow-Up

Sušić Mato et al. Case Rep Dent. .

Abstract

Anterior aesthetic zone implant placement and tooth restoration can be a quite challenging procedure. Modern technology offers new tools that can help maximize results in both aesthetic and functional ways. The socket-shield technique, as described by Hürzeler et al., boosted with the 3D diagnostics, digital planning, and 3D printing, could provide a valuable alternative to traditional approaches. This case report describes a clinical workflow for an efficient anterior implant-prosthetic restoration.

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Conflict of interest statement

The author(s) declares that they have no conflicts of interest.

Figures

Figure 1
Figure 1
The virtual planning in the specialist software.
Figure 2
Figure 2
The planning phases overlapped: intraoral starting point—.STL scan of starting position—tooth #11 virtual extraction.
Figure 3
Figure 3
Virtual implant placement planning—superimposition of future implant and the root.
Figure 4
Figure 4
Surgical implant stent digital planning.
Figure 5
Figure 5
The old crown removal and root preparation/sectioning.
Figure 6
Figure 6
The buccal root “shield” in place after sectioning.
Figure 7
Figure 7
The surgical stent–drill guide fixed in place.
Figure 8
Figure 8
The occlusal view through stent.
Figure 9
Figure 9
The implant in place—socket shield can be observed buccally along with some xenograft material.
Figure 10
Figure 10
The temporary crown on the 3D printed lab model.
Figure 11
Figure 11
Immediate post-operative with fitted immediate crown and CBCT.
Figure 12
Figure 12
The final restoration in place with control CBCT after 2 years post-operative.
Figure 13
Figure 13
The occlusal view on the tooth #11 and the soft tissue adaptation to the final restoration.
See this image and copyright information in PMC

References

    1. Cutright D. E. The proliferation of blood vessels in gingival wounds. Journal of Periodontology . 1969;40(3):137–141. doi: 10.1902/jop.1969.40.3.137. - DOI - PubMed
    1. Le B., Borzabadi-Farahani A., Nielsen B. Treatment of labial soft tissue recession around dental implants in the esthetic zone using guided bone regeneration with mineralized allograft: a retrospective clinical case series. Journal of Oral and Maxillofacial Surgery . 2016;74(8):1552–1561. doi: 10.1016/j.joms.2016.04.015. - DOI - PubMed
    1. Salama M., Ishikawa T., Salama H., Funato A., Garber D. Advantages of the root submergence technique for pontic site development in esthetic implant therapy. The International Journal of Periodontics & Restorative Dentistry . 2007;27(6):521–527. - PubMed
    1. Parlar A., Bosshardt D. D., Unsal B., Cetiner D., Haytac C., Lang N. P. New formation of periodontal tissues around titanium implants in a novel dentin chamber model. Clinical Oral Implants Research . 2010;16:259–267. - PubMed
    1. Hürzeler M. B., Zuhr O., Schupbach P., Rebele S. F., Emmanouilidis N., Fickl S. The socket-shield technique: a proof-of-principle report. Journal of Clinical Periodontology . 2010;37(9):855–862. doi: 10.1111/j.1600-051X.2010.01595.x. - DOI - PubMed

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