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 Walid^1,

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

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

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