Socket shield technique: Immediate implant placement and buccal tissue preservation

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



A 21-year-old male patient was referred to the clinic with fractured tooth #21. A radiographic view of the temporarily splinted crown with wire at another clinic (left) and clinical views after the wire was removed are shown above.
52C_RS_04
The root was sectioned using a surgical bur.

52C_RS_06
An atraumatic removal of the lingual fragment was achieved.

52C_RS_07


52C_RS_08


52C_RS_09
A thin layer of the root aspect intact to the buccal plate of the bone was left.

52C_RS_10
Ф3.5 drilling on #21

52C_RS_11
The site was prepared to place an implant 3mm deeper than the future crown zenith.

52C_RS_12
52C_RS_13
Ф4.0*11mm IS ll active implant was immediately placed following root extraction (separation of the buccal plate).

52C_SST_15
40Ncm of primary stability was achieved.

52C_RS_17
Allogenic bone substitute material (RegenOss) applied to the defect

52C_RS_18
Healing abutment in place

52C_RS_19
Facial view

52C_RS_21
Provisional restoration delivered right after the surgery

52C_RS_20
Occlusal view

52C_RS_22
Impression was made after 3 months of implant placement, and the final restoration of SCRP zirconia single crown was delivered 2 weeks after impression taking.

52C_RS_23
SCRP zirconia single crown delivered on #21

52C_RS_24
3 months follow-up

52C_RS_25
Postoperative periapical view: The volumetric stability of the labial bone is expected to be maintained due to the socket shield technique.

52C_RS_26
Facial view

A 21-year-old male patient was referred to the clinic with fractured tooth 21. The root 21 was sectioned using a surgical bur and an atraumatic removal of the lingual fragment was achieved. As a result, a thin layer of the root aspect intact to the buccal plate of the bone was left. Ф4.0*11mm IS ll active implant was immediately placed following root 21 extraction (separation of the buccal plate).

5857 Total Views 2 Views Today
2 Comments
  1. Profile photo of Benjamin Mulrain
    Benjamin Mulrain 3 years ago

    Nice idea that you saved a buccal plate for esthetic placement. Can’t wait for the follow up.

  2. Profile photo of YoungKu Heo Author
    YoungKu Heo 3 years ago

    Thanks for the comment Dr. Mulrain
    I have more socket shield cases that I have performed since 2007 and I will be happy to share them with great follow-up results.

Leave a reply

CONTACT US

We're not around right now. But you can send us an email and we'll get back to you, asap.

Sending

Copyright (c) GAO Forum. All Rights Reserved.

 

Forgot your details?