Socket shield: An esthetic success?

Durrani, Farhan; Painuly, Himani; Shukla, Akanksha; Pandey-Rai, Shashi; Nahid, Rakhshinda

doi:10.4103/jisp.jisp_557_19

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…Following screening of N = 745 potentially eligible articles, 55 studies were deemed potentially eligible for inclusion. Following duplicate review, N = 46 studies were excluded (Table S1), which led to the final inclusion of N = 10 articles; seven cohort studies (Siormpas and colleagues, 19 Han and colleagues, 24 Baumer and colleagues, 29 Gluckman and colleagues, 32 Siormpas and colleagues, 27 Mitsias and colleagues, 33 Durrani and colleagues 31 ) and three clinical trials (Bramanti and colleagues, 28 Sun and colleagues, 26 Tiwari and colleagues 30 ) (Tables 1 and 2).…”

Section: Resultsmentioning

confidence: 99%

“…A few studies recommended filling the gap with grating materials to prevent tissue invasion between the implant and the shield. Durrani and colleagues 31 recommend filling the buccal gap with particulate bone xenografts, if the space between the implant and the buccal plate was more than 2 mm. Bramanti and colleagues 28 placed the implant palatally and the labial gap was filled with allograft.…”

Section: Resultsmentioning

confidence: 99%

“…The tissue stability was excellent at coronal and mid‐root assessment planes, where it was non‐inferior to zero. Durrani and colleagues 31 reported that 14 patients had excellent soft‐ and hard‐tissue volume after 5 years around each SS replaced teeth (mean hard tissue assessment 7.18 mm preoperative, 6.98 mm 2 years postoperative) and they mentioned that the subjective score of the PES of each patient was quite impressive, but they did not report any specific values.…”

Section: Resultsmentioning

confidence: 99%

“…In the included studies, sample sizes varied from N = 10 per group 29 to N = 182 per cohort. 27 There were three main variations of buccal root retention techniques for implant placement employed by the authors: the SST, 26,[28][29][30][31][32] the RMT, 19,27,33 and the MSST. 24 Tiwari and colleagues 30 also reported performing these procedures with full-thickness flap reflection.…”

Section: Study Design and Experimental Protocolsmentioning

confidence: 99%

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Clinical outcomes of retention of the buccal root section combined with immediate implant placement: A systematic review of longitudinal studies

Kotsakis

Nguyen

Siormpas

et al. 2022

Clin Implant Dent Rel Res

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Introduction: Immediate implant placement in conjunction with partial extraction therapy has been shown to result in functional osseo-and dento-integration with partial preservation of the periodontal ligament (PDL) in humans. Strategic buccal root retention for PDL preservation is a biologically driven procedure that maintains alveolar ridge dimensions and esthetics, while allowing for implant placement. The aim of this study was to conduct a systematic review of longitudinal clinical outcomes of PDL-mediated ridge preservation in conjunction with implant placement in adults, compared with conventional immediate implant placement with total extractions. The primary outcome for this study was marginal bone level (MBL) changes after strategic buccal root retention implant placement techniques.Materials and Methods: To address a predefined PICOS question, a systematic search of randomized clinical trials and cohort studies with at least 10 participants per group and a minimum 12-month follow-up was conducted. A two-phase systematic selection strategy, data extraction, and risk of bias assessment, was performed independently and in duplicate. Randomized trials were quantitatively analyzed in a meta-analysis.Results: Ten human studies fulfilled the predefined criteria and were included; three clinical trials and seven cohort studies, for a total of 506 patients and 587 implants. PDL-mediated implant placement of single-rooted periodontally healthy teeth was found to reduce marginal peri-implant bone loss and buccal plate changes as compared to conventional immediate implants across studies, while implant survival and success rates were comparable between the two procedures. A meta-analysis found that bone changes were significantly less when retention of the buccal root section was performed as compared to total extractions (standardized mean difference: [À4.53, À0.11]); the three clinical trials were, however, largely heterogeneous (I 2 : 93.1%; Q = 28.98, p < 0.001). Conclusion:Strategic retention of the buccal root section has a benefit in terms of dimensional ridge stability over conventional immediate implantation when implemented in carefully selected cases of single-rooted teeth.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Design and Experimental Protocolsmentioning

confidence: 99%

See 2 more Smart Citations

Clinical outcomes of retention of the buccal root section combined with immediate implant placement: A systematic review of longitudinal studies

Kotsakis

Nguyen

Siormpas

et al. 2022

Clin Implant Dent Rel Res

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The Socket Shield Technique

Ivory

2021

Innovative Perspectives in Oral and Maxillofacial Surgery

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Partial Extraction Therapy: A Review of Human Clinical Studies

Raoof

Latimer

et al. 2021

Journal of Oral Implantology

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Partial extraction therapy (PET) is a collective concept encompassing a group of surgical techniques including socket shield, root membrane, proximal shield, pontic shield and root submergence. PET utilizes the patient’s own root structure to maintain blood supply derived from the periodontal ligament complex in order to preserve the periodontium and peri-implant tissues during restorative and implant therapy. This review aims to summarize current knowledge regarding PET techniques and present a comprehensive evaluation of human clinical studies in the literature. Two independent reviewers conducted electronic and manual searches until January 1 st , 2021 in the following electronic bibliographic databases: PubMed, EMBASE, and Dentistry & Oral Sciences Source. Grey literature was searched to identify additional candidates for potential inclusion. Articles were screened by a group of 4 reviewers using the Covidence software and synthesized. Systematic search of the literature yielded 5,714 results. 64 articles were selected for full-text assessment, of which, 42 eligible studies were included in the review. 12 studies were added to the synthesis after manual search of the reference lists. A total of 54 studies were examined in this review. In sum, PET techniques offer several clinical advantages: 1) preservation of buccal bone post-extraction and limitation of alveolar ridge resorption 2) mitigation of the need for invasive ridge augmentation procedures 3) soft tissue dimensional stability and high esthetic outcomes. Further randomized clinical studies with larger sample sizes are needed to improve understanding of the long-term clinical outcomes of PET.

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Socket shield: An esthetic success?

Cited by 6 publications

References 19 publications

Clinical outcomes of retention of the buccal root section combined with immediate implant placement: A systematic review of longitudinal studies

Clinical outcomes of retention of the buccal root section combined with immediate implant placement: A systematic review of longitudinal studies

The Socket Shield Technique

Partial Extraction Therapy: A Review of Human Clinical Studies

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