Keywords
Abstract
Stable hard and soft tissues around the implant are important factors for its long-term success. In this context, an immediate implant placement, especially in the aesthetic anterior area, is becoming an increasingly important issue. Various augmentation measures to improve the condition of the hard and soft tissues around the implant can also be used to immediately place the implant in order to compensate for the physiological remodeling after tooth extraction. However, in the following case, a preventive approach using socket shield technique (SST) is primarily applied to avoid the need for augmentation.
Clinical case: A healthy 43-year-old patient underwent an immediate implant placement of tooth 12 with fractured coronal part at the gingival level. Lateral incisor was partially removed, but the vestibular part of the root remained in the upper third of the alveolar socket. This preserves the periodontal fibrous apparatus in this area and is directed to prevent possible resorption of the vestibular wall of the alveolar bone.
Result and conclusion: The aesthetic criterion plays an important role in the area of the anterior teeth. Modern preventive approaches during immediate implant placement, such as SST, can lead to adequate formation of hard and soft tissues and thus avoid additional augmentation measures. However, SST has a very limited range of indications and has not yet established itself in clinical practice due to long-term clinical data and prospective studies.