Soft-tissue contour changes after the socket shield technique

Nikolovski, Bruno and Zlatanovska, Katerina and Zarkova-Atanasova, Julija and Longurova, Natasa and Petrovski, Mihajlo and Susak, Zoran and Spirov, Vancho and Pejkovska Shahpaska, Budima and Trpevska, Vesna and Naskova, Sanja and Papakoca, Kiro and Purde, Selis (2024) Soft-tissue contour changes after the socket shield technique. In: FDI World Dental Congress 2024 (FDIWDC24), 12-15 Sept 2024, Istanbul, Turkiye.

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Abstract

Introduction: Alveolar ridge preservation can be achieved with three types of grafts: soft tissue, hard tissue, or a combination of soft and hard tissue. Nowadays, a technique so-called socket shield (SST) which includes a part of the dental root left into the socket, is one of the most popular methods for its esthetic outcome especially in dental implantology.
Case description: This is a comparative study of three cases with fractured maxillary central incisors, in 46-years-old female patient, 35-years-old male and 60-years old female patient. Beside their age, the main difference between them was the previously non-restored natural teeth or restored maxillary teeth by zirconia crowns and veneers. In all three cases, same protocol for SST was performed and single implant crown was placed.
Discussion: Respecting the original protocol, a digital workflow was added and immediate provisionals were done upon the digital intraoral scanning. After four months, the digital impression was repeated to record the emergence profile and design the definitive restoration. We compared the both digital impressions and used the primary .stl files resulting from the digital impression of the day of surgery for designing the final restorations as well. By overlapping the two .stl files we measured the difference in buccolingual volume, the gingival margin, and the overall peri-implant volume variation.
Conclusion / Clinical significance: The gingival margin remained almost similar to the situation before the extraction, and the fit of the crowns designed according to the initial digital impression was intimate and esthetically satisfactory.

Keywords: socket shield technique, ridge preservation, gingival change, digital impression, dental implant

Item Type:	Conference or Workshop Item (Lecture)
Impact Factor Value:	3.2
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Bruno Nikolovski
Date Deposited:	22 Oct 2024 10:15
Last Modified:	22 Oct 2024 10:15
URI:	https://eprints.ugd.edu.mk/id/eprint/34872

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