Socket Shield Technique associated with immediate implant rehabilitation in an aesthetic zone: A case report
DOI:
https://doi.org/10.33448/rsd-v13i1.44869Keywords:
Immediate dental implant loading; Bone resorption; Dental esthetics; Socket-Shield technique.Abstract
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.
References
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. https://doi.org/10.4103/jpbs.jpbs_228_18
Ashman, A. (2000). Postextraction ridge preservation using a synthetic alloplast. Implant Dentistry, 9(2), 168–176. https://doi.org/10.1097/00008505-200009020-00011
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. https://doi.org/10.21608/adjalexu.2017.57919
Blaschke, C., & Schwass, D. R. (2020). The socket-shield technique: A critical literature review. International Journal of Implant Dentistry, 6(1). https://doi.org/10.1186/s40729-020-00246-2
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. https://doi.org/10.21270/archi.v10i7.5361
Falcón-Guerrero, B. E., & Falcón-Pasapera, G. S. (2020). Características de la técnica socket shield. Revista Odontológica Basadrina, 4(1), 41–47. https://doi.org/10.33326/26644649.2020.4.1.914
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. https://doi.org/10.1563/aaid-joi-d-17-00118
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. https://doi.org/10.1111/j.1600-051x.2010.01595.x
Kumar, P. R., & Kher, U. (2018). Shield the socket: Procedure, case report and classification. Journal of Indian Society of Periodontology, 22(3), 266–272. https://doi.org/10.4103/jisp.jisp_78_18.
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. https://doi.org/10.1111/jerd.12466
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. https://doi.org/10.3390/ijerph16234616
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. http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-38882016000100011
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. https://doi.org/10.1155/2017/7269467
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). https://doi.org/10.1111/jicd.12449
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. https://doi.org/10.2186/jpr.JPR_D_20_00054.
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. https://doi.org/10.5051/jpis.2201780089
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. https://doi.org/10.1155/2012/151030
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. https://doi.org/10.4067/s2452-55882021000300282
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. https://doi.org/10.1016/j.aanat.2021.151779
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. https://doi.org/10.4103/2249-4987.182488
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. https://doi.org/10.1016/j.prosdent.2003.10.022
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. https://doi.org/10.11607/jomi.6215
Silva, D. M. G. da. (2019). Colocação de implantes imediatos através da técnica de Socket-Shield. Repositório Científico de Acesso Aberto de Portugal. Comum.rcaap.pt. http://hdl.handle.net/10400.26/30558
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. https://doi.org/10.1097/id.0000000000000818
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Joicy Erlis Cardoso da Silva; Rayane Rocha Silva; Luis Eduardo Alcântara de Araújo; Francielle Souza Santos; Juliana Cavalcante Duarte; Vanessa Tavares da Silva Fontes ; José Renato Moraes Carvalho Barreto Brandão
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.