Socket Shield Technique

Dr Ashwini Athul

Department of Periodontology, Chettinad Dental College and Research Institute, Kelambakkam, Chengalpattu district – 603103, India;

Corresponding Author:ashwini.cherian@gmail.com

Dr Anitha V

Department of Periodontology, Chettinad Dental College and Research Institute, Kelambakkam, Chengalpattu district – 603103, India;

Corresponding Author: anithasubiksha@gmail.com

Dr Agila S

Department of Periodontology, Chettinad Dental College and Research Institute, Kelambakkam, Chengalpattu district – 603103, India;

Corresponding Author:agila.malai@gmail.comv

Dr Smriti

Department of Periodontology, Chettinad Dental College and Research Institute, Kelambakkam, Chengalpattu district – 603103, India;

Corresponding Author:d.smriti@gmail.com

Abstract :

Extraction of teeth results in subsequent alteration in the alveolar ridge contour. This may ultimately lead to failure in future prosthesis especially having an influence on the anaesthetic zones. To overcome this problem procedures like atraumatic extraction, bone and soft tissue grafting, ridge augmentation, immediate implants were implemented. However, all these techniques failed to show the complete preservation of alveolar socket particularly in the facial aspect. Clinical studies have proposed a method of retention of root either of vital or non-vital teeth compensating for the variations that caused following tooth extraction. In addition, histological studies showed newly formed bone and cementum around the retained root fragment and implant giving it a favourable result for the Socket shield technique as the best treatment option, hence maintaining the facial gingival form.

Reference

[1] Amler, M., Johnson, P. & Salsman, I. (1960) Histologic and histochemical investigation of human alveolar socket healing in undisturbed extraction wounds. Journal of American Dental Association 61, 46–48

[2] Pietrokovski, J. & Massler, M. (1967) Alveolar ridge resorption following tooth extraction. Journal of Prosthetic Dentistry 17, 21–27.

[3] The interproximal height of bone: a guidepost to predictable aesthetic strategies and soft tissue contours in anterior tooth replacement.Salama H, Salama MA, Garber D, Adar P Pract Periodontics Aesthet Dent. 1998 Nov-Dec; 10(9):1131-41; quiz 1142.

[4] Arau´jo, M., Linder, E. & Lindhe, J. (2009) Effect of a xenograft on early bone formation in extraction sockets: an experimental study in dog. Clinical Oral Implants Research 20, 1–6.

[5] Arau´jo, M., Linder, E., Wennstro¨m, J. & Lindhe, J. (2008) The influence of Bio-Oss collagen on healing of an extraction socket: an experimental study in the dog. International Journal of Periodontics & Restorative Dentistry 28, 123–135

[6] GFickl, S., Zuhr, O.,Wachtel, H., Bolz, W. & Huerzeler, M. (2008a) Hard tissue alterations after various socket preservation techniques – an experimental study in the beagle dog. Clinical Oral Implants Research 19, 1111–1118.

[7] Fickl, S., Zuhr, O.,Wachtel, H., Bolz, W. & Huerzeler, M. (2008a) Hard tissue alterations after various socket preservation techniques – an experimental study in the beagle dog. Clinical Oral Implants Research 19, 1111–1118.

[8] The Pontic-Shield: Partial Extraction Therapy for Ridge Preservation and Pontic Site Development. Gluckman H, Du Toit J, Salama M Int J Periodontics Restorative Dent. 2016 May-Jun; 36(3):417-23.

[9] Immediate implant placement in the esthetic zone utilizing the "root membrane" technique: clinical results up to 5 years postloading. Siormpas KD, Mitsias ME, Kontsiotou-Siormpa E, Garber D, Kotsakis GA Int J Oral Maxillofac Implants. 2014 Nov-Dec; 29(6):1397-405

[10]The Root Membrane Technique: Human Histologic Evidence after Five Years of Function. Mitsias ME, Siormpas KD, Kotsakis GA, Ganz SD, Mangano C, Iezzi G Biomed Res Int. 2017; 2017():7269467.

[11]The Root Membrane Technique: Human Histologic Evidence after Five Years of Function. Mitsias ME, Siormpas KD, Kotsakis GA, Ganz SD, Mangano C, Iezzi G Biomed Res Int. 2017; 2017():7269467. .

[12] A Step-by-Step Description of PDL-Mediated Ridge Preservation for Immediate Implant Rehabilitation in the Esthetic Region. Mitsias ME, Siormpas KD, Kontsiotou-Siormpa E, Prasad H, Garber D, Kotsakis GA Int J Periodontics Restorative Dent. 2015 Nov-Dec; 35(6):835-41

[13]Bjo¨rn, H. (1963) Free transplantation of gingival propria. Sven Tandlak Tidskr 22: 684.

[14] Robert L. Reames, Joseph S. Nickel, Samuel S. Patterson, Malcolm Boone, Abdel H. ElKafrawy, Clinical, radiographic, and histological study of endodontically treated retained roots to preserve alveolar bone, Journal of Endodontics, Volume 1, Issue 11,1975, Pages 367-373

[15]Journal of Endo O’Neal, R. B., Gound, T., Levin, M. P. & del Rio, C.E. (1978) Submergence of roots for alveolar bone preservation. I. Endodontically treated roots. Oraldontics 1, 367–373. Surgery, Oral Medicine and Oral Pathology 45,803–810.

[16] Torabinejad M, Ford TRP. Root end filling materials: a review. Dent Traumatol 1996;12:161–78

[17] Bowers, G., Chadroff, B. & Carnevale, R. (1989) Histologic evaluation of new attachment apparatus formation in humans. Part II. Journal of Periodontology 60, 675– 682.

[18] Salama, M., Ishikawa, I., Salama, H., Funato, A. & Garber, D. A. (2007) Advantages of the Root Submergence technique for Pontic Site Development in esthetic implant therapy. International Journal of Periodontics & Restorative Dentistry27, 521–527.

[19]Davarpanah, M. & Szmukler-Moncler, S. (2009) Unconventional implant treatment I. Implant placement in contact with ankylosed root fragments. A series of five case reports. Clinical Oral Implants Research 20, 851–856

[20] Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S, et al. The socket‑shield technique: A proof‑of‑principle report. J Clin Periodontol 2010; 37:855‑62.

© The Author(s), under exclusive license to Technoarete Publishers 2022
  • ISBN - 978-93-92104-02-2
  • Instant PDF download
  • Readable on all devices
  • Total No. of. Pages - 150
  • Available to everyone
  • Free Access
10.36647/ETOHSD/2022.01.B1.Ch009