Is Alveolar Ridge can be Completely Preserved by Socket Shield Technique (SST)? A Case Series: (SCSOAJ) - Lupine Publishers

Is Alveolar Ridge can be Completely Preserved by Socket Shield Technique (SST)? A Case Series by Hassan Koshak in Surgery & Case Studies: Open Access Journal (SCSOAJ) in Lupine Publishers

Background: Tooth extraction is usually followed by partial resorption of the residual alveolar ridge. Different techniques such as ridge preservation procedure have been proposed to maintain the ridge dimension. However, applying these methods to extraction sockets could not completely preserve the coronal part of facial bone walls, which were comprised almost entirely of bundle bone.
Aim: To assess the effectiveness of partially tooth extraction (SST) for completely preservation of alveolar ridge.
Materials and Method: Case series study, which includes 6 participants medically fit, undergoes extraction of Non-restorable teeth, which doesn’t have any periapical or periodontal pathology. After clinical and radiographical assessment, computed tomography (CBCT), indicated insufficient width of buccal bone plate therefore socket shield technique was planned for simultaneous immediate implant placement with immediate provisionalization in area between the maxillary first premolars. Initial follow up after two weeks then after 2 months final restoration by screw retained crowns inserted, after 6 and 12 months of loading follow up by using CBTC, for evaluation bone remodelling and clinical evaluation of soft tissue changes around implants.
Result: Two weeks follow up revealed the healing was uneventful, and after 6 and 12 months the clinical and (CBCT) revealed, that retaining root fragment adjacent to the buccal crestal bone and placing an implant engaged to the palatal socket wall immediately are able to maintain the contour of the ridge. And the implant can achieve osseointegration without any inflammation at Periimplant tissue and also soft tissue contour preserved.
Conclusion: within limitation of this study we can conclude, after one year follow up, SST can prevent soft and hard tissue changes can be happens during healing of alveolar socket after tooth extraction. However the using SST as routine clinical practice stile need to higher level of evidence.

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