Socket Shield Technique associated with immediate implant rehabilitation in an aesthetic zone: A case report




Immediate dental implant loading; Bone resorption; Dental esthetics; Socket-Shield technique.


An inherent consequence after tooth extraction is the resorption of the alveolar bone, especially that of the buccal bone plate, which leads to a height and width reduction of the alveolar ridge. This aesthetically affects the rehabilitation, and serves as a major challenge in implant dentistry. Several techniques were developed with the goal of containing this resorption, such as immediate implant, bone graft and accelerated tissue regeneration through the use of membranes. However, a more recent alternative called Socket Shield Technique (SST) has demonstrated very promising results, namely the unique capacity of buccal bone plate preservation, which optimizes the aesthetic aspect of the rehabilitation. It consists in retention of a buccal segment of the root in the alveolus, acting as a shield for the implant. The goal of this study is to describe a case report with the use of the SST, associated with the installation of an implant in the area pertaining to unit 21, of a patient with indication for extraction of this unit and implant rehabilitation, due to fracture on the middle third of the tooth. After 7 months, the definitive restoration was made and with a 10 months total proservation, no alteration that indicated functional or aesthetic failure was observed. Results found by this case demonstrates the potential of the SST, however, more studies of higher academic relevance and longer follow-up time must be developed, so that the efficiency of this technique can be truly verified, especially concerning long-term results.


Arabbi, K., Sharanappa, M., Priya, Y., Shah, T., & Subbaiah, S. (2019). Socket shield: A case report. Journal of Pharmacy and Bioallied Sciences, 11(5), 72.

Ashman, A. (2000). Postextraction ridge preservation using a synthetic alloplast. Implant Dentistry, 9(2), 168–176.

Barakat, D. A., Hassan, R. S., & Eldibany, R. M. (2017). Evaluation of the socket shield technique for immediate implantation. Alexandria Dental Journal, 42(2), 155–161.

Blaschke, C., & Schwass, D. R. (2020). The socket-shield technique: A critical literature review. International Journal of Implant Dentistry, 6(1).

Bozyel, B., Kalkan, A. C & Özdemir, B. (2021). The role of hypoxia in periodontal diseases. Journal of Gazi University Health Sciences Institute, 3(1), 885997

Da Silva, J. S., Beiriz, R. K. A., & Raposo, M. J. (2021). Utilização de enxerto ósseo e fibrina rica em plaquetas (PRF) na implantodontia: Relato de caso. Archives of Health Investigation, 10(7), 1176–1183.

Falcón-Guerrero, B. E., & Falcón-Pasapera, G. S. (2020). Características de la técnica socket shield. Revista Odontológica Basadrina, 4(1), 41–47.

Gharpure, A. S., & Bhatavadekar, N. B. (2017). Current evidence on the socket-shield technique: A systematic review. Journal of Oral Implantology, 43(5), 395–403.

Hürzeler, M. B., Zuhr, O., Schupbach, P., Rebele, S. F., Emmanouilidis, N., & Fickl, S. (2010). The socket-shield technique: a proof-of-principle report. Journal of Clinical Periodontology, 37(9), 855–862.

Kumar, P. R., & Kher, U. (2018). Shield the socket: Procedure, case report and classification. Journal of Indian Society of Periodontology, 22(3), 266–272.

Ladino, L. G., & Rosselli, D. (2019). Use of extracted anterior teeth as provisional restorations and surgical guide for immediate multiple implant placement: A clinical case report. Journal of Esthetic and Restorative Dentistry, 31(3), 209–212.

Lin, H. K., Pan, Y. H., Salamanca, E., Lin, Y. T., & Chang, W. J. (2019). Prevention of bone resorption by HA/β-TCP + Collagen Composite after tooth extraction: A case series. International Journal of Environmental Research and Public Health, 16(23), 4616.

Martins, A. P. V. B., Santos, A. G. P. R., De Souza, J., & Bastos, L. A. (2016). Utilização dos dentes naturais para reabilitação provisória após exodontia por comprometimento periodontal. Odontologia Clínico-Científica (Online), 15(1), 1–4.

Mitsias, M. E., Siormpas, K. D., Kotsakis, G. A., Ganz, S. D., Mangano, C., & Iezzi, G. (2017). The root membrane technique: Human histologic evidence after five years of function. BioMed Research International, 2017, 1–8.

Mourya, A., Mishra, S. K., Gaddale, R., & Chowdhary, R. (2019). Socket‐shield technique for implant placement to stabilize the facial gingival and osseous architecture: A systematic review. Journal of Investigative and Clinical Dentistry, 10(4).

Ogawa, T., Sitalaksmi, R. M., Miyashita, M., Maekawa, K., Ryu, M., Kimura-Ono, A., Suganuma, T., Kikutani, T., Fujisawa, M., Tamaki, K., & Kuboki, T. (2022). Effectiveness of the socket shield technique in dental implant: A systematic review. Journal of Prosthodontic Research, 66(1), 12–18.

Oliva, S., Capogreco, M., Murmura, G., Lupi, E., Mariachiara, D. C., & D’Amario, M. (2022). The socket shield technique and its complications, implant survival rate, and clinical outcomes: A systematic review. Journal of Periodontal & Implant Science, 52.

Pagni, G., Pellegrini, G., Giannobile, W. V., & Rasperini, G. (2012). Postextraction alveolar ridge preservation: Biological basis and treatments. International Journal of Dentistry, 2012, 1–13.

Rios-Sierra, M. A., Quiroga-Del Pozo, R., Atria-Tuesta, P., Marti-Collao, F., & Del Pozo-Bassi, J. (2021). Cirugía guiada de implantes inmediatos, utilizando la técnica socket shield. International Journal of Interdisciplinary Dentistry, 14(3), 282–284.

Sáez-Alcaide, L. M., Fernández-Tresguerres, F. G., Brinkmann, J. C., Segura-Mori, L., Iglesias‐Velázquez, Ó., Pérez-González, F., López‐Pintor, R. M., & García-Denche, J. T. (2021). Socket shield technique: A systematic review of human studies. Annals of Anatomy - Anatomischer Anzeiger, 238, 151779.

Saima, S., Jan, S. M., Shah, A. F., Yousuf, A., & Batra, M. (2016). Bone grafts and bone substitutes in dentistry. Journal of Oral Research and Review, 8(1), 36.

Schropp, L., Wenzel, A., Kostopoulos, L., & Karring, T. (2004). Bone healing and soft tissue contour changes following single-tooth extraction: A clinical and radiographic 12-month prospective study. The Journal of Prosthetic Dentistry, 91(1), 92.

Schwimer, C. W., Pette, G. A., Gluckman, H., Salama, M., & Du Toit, J. (2018). Human histologic evidence of new bone formation and osseointegration between root dentin (Unplanned Socket-Shield) and dental implant: case report. International Journal of Oral & Maxillofacial Implants, 33(1), e19–e23.

Silva, D. M. G. da. (2019). Colocação de implantes imediatos através da técnica de Socket-Shield. Repositório Científico de Acesso Aberto de Portugal.

Siormpas, K., Mitsias, M., Kotsakis, G. A., Tawil, I., Pikos, M. A., & Mangano, F. (2018). The root membrane technique. Implant Dentistry, 27(5), 564–574.



How to Cite

SILVA, J. E. C. da .; SILVA, R. R. .; ARAÚJO, L. E. A. de .; SANTOS, F. S. .; DUARTE, J. C. .; FONTES , V. T. da S. .; BRANDÃO, J. R. M. C. B. Socket Shield Technique associated with immediate implant rehabilitation in an aesthetic zone: A case report. Research, Society and Development, [S. l.], v. 13, n. 1, p. e14413144869, 2024. DOI: 10.33448/rsd-v13i1.44869. Disponível em: Acesso em: 20 may. 2024.



Health Sciences