Abstract
Dental implant restoration is challenging procedure when it involve the esthetics zone, and since implant dentistry is prosthodontically driven procedure, care were practice in restoration of missing teeth in esthetics area which will fulfill the objective. Extraction of teeth leave buccal plate bone unsupported and decrease the blood supply and since this plate is very thin resorption will be expected. Different attempt was done in order to prevent this sequence and create natural emergence profile around dental implant prosthesis. Socket preservation procedures were introduced, however in case of ridge deficiencies, hard and soft tissue augmentation procedures are indicated. Socket shield technique meets the demands of minimal invasion, tissue preservation, and no need of bone substitute materials. And can be applied not only for maintaining buccal contour of an edentulous ridge but also for keeping the inter-implant soft and hard tissue In this review paper we present different articles and case report using socket shield technique as treatment protocols and try to explore different protocol are practice in order to achieve high treatment out come with optimal success.
Highlights
Tooth loss due to extraction or trauma result in absence of periodontal ligament which is associated with variable but inevitable time dependent bone resorption. reported data has shown dramatically resorption of buccal cortical plate compared by lingual one[1]
In this review paper we present different articles and case report using socket shield technique as treatment protocols and try to explore different protocol are practice in order to achieve high treatment out come with optimal success
Loss tooth initiate the remodeling process which it's a natural reaction of healing process, involving various degrees of alveolar bone resorption both vertical and horizontal, and more pronounced on the buccal than on the lingual aspect of the extraction socket . the bundle bone is primarily vascularized by the periodontal membrane of the tooth
Summary
Tooth loss due to extraction or trauma result in absence of periodontal ligament which is associated with variable but inevitable time dependent bone resorption. reported data has shown dramatically resorption of buccal cortical plate compared by lingual one[1]. Tooth loss due to extraction or trauma result in absence of periodontal ligament which is associated with variable but inevitable time dependent bone resorption. Alternation of ridge contour result in compromise ideal positioning of implant for optimal support and stability of surrounding soft and hard tissue which will compromise esthetic outcome of the treatments [2]. Preservation of thin buccal cortical plate in freshly extraction socket has got many debate in literature and different methods were introduce including immediate implants after extraction protocol [3,4] which preserve the tissue contour, dimension and reduce number of surgical procedure which will decrease treatment time [5]. Araújo and Lindhe demonstrate the physiology processes following tooth extraction, presence of osteoclasts inside socket will result in resorption of bundle bone. Buccal bone plate are thin and has more bundle bone than lingual wall resorption of hard tissue will be pronounced buccal wall than lingual [9]
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