International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: http://www.sciepub.com/journal/ijdsr Editor-in-chief: Marcos Roberto Tovani Palone
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International Journal of Dental Sciences and Research. 2018, 6(3), 57-65
DOI: 10.12691/ijdsr-6-3-2
Open AccessCase Report

3-Dimensional Volumetric Analysis of Double Socket-shield for Maximum Tissue Preservation at Immediate Implant Replacement of Multi-Rooted Teeth, A Case Report

Maher Abdullatif Walid1,

1Department of Oral Medicine and Periodontology, College of Dentistry, Qassim University, Qassim, Saudia Arabia

Pub. Date: March 31, 2018

Cite this paper:
Maher Abdullatif Walid. 3-Dimensional Volumetric Analysis of Double Socket-shield for Maximum Tissue Preservation at Immediate Implant Replacement of Multi-Rooted Teeth, A Case Report. International Journal of Dental Sciences and Research. 2018; 6(3):57-65. doi: 10.12691/ijdsr-6-3-2

Abstract

Extraction Socket Healing undergoes a remodeling process that leads to vertical and horizontal tissue loss. Ridge volume alteration embeds a huge challenge on restoratively oriented three-dimensional placement of dental Implants. Socket shield technique demonstrated a histologic and clinical evidence on preventing soft and hard tissue alteration following tooth extraction. This case report describes an immediate implant placement with modification on socket-shied technique, where a buccal and palatal tooth fragments where prepared on buccal and palatal roots respectively of a failing upper first premolar, with two divergent roots. 3D deviation analysis of alveolar bone showed minimal loss of volume (-0.052mm, Avg+/-: 0.128/-0.232, SD 0.48), as well as, 3D deviation analysis of the ridge showed minimal loss of volume (-0.122mm, Avg+/-: 0.029/-0.202, SD 0.263). This Double Socket-shield procedure showed to be a feasible treatment option for maximum tissue preservation at immediate implant replacement of multi-rooted teeth.

Keywords:
socket-shield multi-rooted teeth ridge preservation volumetric measurement immediate implant placement tooth retention

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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References:

[1]  AMLER MH, JOHNSON PL, SALMAN I. Histological and histochemical investigation of human alveolar socket healing in undisturbed extraction wounds. J Am Dent Assoc [Internet]. 1960 Jul 1 [cited 2017 Dec 20]; 61(1): 32-44.
 
[2]  Scala A, Lang NP, Schweikert MT, de Oliveira JA, Rangel-Garcia I, Botticelli D. Sequential healing of open extraction sockets. An experimental study in monkeys. Clin Oral Implants Res. 2014; 25(3): 288-95.
 
[3]  Schropp L, Wenzel A, Kostopoulos L KT. Bone healing and soft tissue contour changes following single-tooth extraction: A clinical and radiographic 12- month prospective study. Int J Periodontics Restor Dent. 2003; 23(4): 313-23.
 
[4]  Wang RE, Lang NP. Ridge preservation after tooth extraction. Clin Oral Implants Res. 2012;23(SUPPL.6): 147-56.
 
[5]  Araújo MG, Sukekava F, Wennström JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: An experimental study in the dog. J Clin Periodontol. 2005; 32(6): 645-52.
 
[6]  Miller PA. Complete dentures supported by natural teeth. J Prosthet Dent [Internet]. 1958 Nov 1 [cited 2017 Dec 20]; 8(6): 924-8.
 
[7]  Morrow RM, Feldmann EE, Rudd KD, Trovillion HM. Tooth-supported complete dentures: An approach to preventive prosthodontics. J Prosthet Dent [Internet]. 1969; 21(5): 513-22.
 
[8]  MALMGREN B, CVEK M, LUNDBERG M, FRYKHOLM A. Surgical treatment of ankylosed and infrapositioned reimplanted incisors in adolescents. Eur J Oral Sci. 1984; 92(5): 391-9.
 
[9]  Salama M, Ishikawa T, Salama H, Funato A, Garber D. Advantages of the root submergence technique for pontic site development in esthetic implant therapy. Int J Periodontics Restorative Dent [Internet]. 2007; 27(6): 521-7.
 
[10]  Filippi A, Pohl Y, Von Arx T. Decoronation of an ankylosed tooth for preservation of alveolar bone prior to implant placement. Dent Traumatol. 2001; 17(2): 93-5.
 
[11]  Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: A proof-of-principle report. J Clin Periodontol. 2010; 37(9): 855-62.
 
[12]  Lang NP, Pun L, Lau KY, Li KY, Wong MCM. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Vol. 23, Clinical Oral Implants Research. 2012. p. 39-66.
 
[13]  Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants. 2004;19 Suppl: 43-61.
 
[14]  Darby I, Chen ST, Buser D. Ridge preservation techniques for implant therapy. Int J Oral Maxillofac Implants. 2009; 24 Suppl: 260-71.
 
[15]  Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C, Bohra AA, et al. Ridge Preservation with Freeze-Dried Bone Allograft and a Collagen Membrane Compared to Extraction Alone for Implant Site Development: A Clinical and Histologic Study in Humans. J Periodontol [Internet]. 2003; 74(7): 990-9.
 
[16]  Ferrus J, Cecchinato D, Pjetursson EB, Lang NP, Sanz M, Lindhe J. Factors influencing ridge alterations following immediate implant placement into extraction sockets. Clin Oral Implants Res. 2010; 21(1): 22-9.
 
[17]  Araújo M, Linder E, Lindhe J. Effect of a xenograft on early bone formation in extraction sockets: An experimental study in dog. Clin Oral Implants Res. 2009; 20(1): 1-6.
 
[18]  Lekovic V, Camargo PM, Klokkevold PR, Weinlaender M, Kenney EB, Dimitrijevic B, et al. Preservation of Alveolar Bone in Extraction Sockets Using Bioabsorbable Membranes. J Periodontol [Internet]. 1998; 69(9): 1044-9.
 
[19]  Lekovic V, Kenney EB, Weinlaender M, Han T, Klokkevold P, Nedic M, et al. A Bone Regenerative Approach to Alveolar Ridge Maintenance Following Tooth Extraction. Report of 10 Cases. J Periodontol [Internet]. 1997; 68(6): 563-70.
 
[20]  Chen ST, Beagle J, Jensen SS, Chiapasco M, Darby I. Consensus statements and recommended clinical procedures regarding surgical techniques. Int J Oral Maxillofac Implants [Internet]. 2009; 24 Suppl: 272-8.
 
[21]  Bäumer D, Zuhr O, Rebele S, Schneider D, Schupbach P, Hürzeler M. The socket-shield technique: first histological, clinical, and volumetrical observations after separation of the buccal tooth segment – a pilot study. Clin Implant Dent Relat Res. 2015; 17(1): 71-82.
 
[22]  Chen C. Socket Shield Technique for Ridge Preservation: A Case Report. J Prosthodont Implantol [Internet]. 2013; 2(2): 16-21.