Combination of socket shield technique and immediate loading for restoring multiple missing teeth in the aesthetic zone a case report

VJKTL ePOSTER CLINICAL RESEARCH – SURGERY

Background: Achieving high aesthetic demands during restoring missing teeth in the anterior region is challenging procedure for both the treating physician and the patient. Balance between physician skills, all possible treatment options, available resources, prediction of possible complications and patient expectations should be well assessed prior to beginning.

Aim/Hypothesis: The aim of this poster presentation is to present a case report with reconstruction of the missing teeth in the aesthetic zone by using combination of socket shield technique and immediate loading.

Materials and Methods: Healthy male patient 45 years old presented in our office for replacing his old prosthetic construction old more than 15 years after motor bike accident. He has lost teeth 11 and 22. He presented with severe alveolar ridge and dental bridge on endodontically treated teeth 12, 21 and 23 with chronic periapical lesions and chronic marginal gingivitis. Due to severe bone loss in the area of missing teeth was not possible to perform conventional implant treatment without bone augmentation which was not acceptable treatment option for the patient. For that reason placement of three implants by socket shield technique with immediate loading was alternative option. Patient satisfaction score, implant stability quotient (ISQ), periimplant parameters (plaque index, probing depth and bleeding on probing) and bone loss by analysing conventional radiographs were measured immediately after implant placement, at six weeks and three months during delivery of the final prosthesis.

Results: Proper primary implant stability was achieved with subsequent immediate loading with temporary bridge. Implants osseointegrated uneventfully with high ISQ values at base line and rising during period of three months. No serious early complications, bone loss on radiographs or development of gingival recession during base line and at three months were noticed. High satisfaction scores were obtained during all measures. No elevated probing depth, plaque index or bleeding on probing was noticed during measurement.

Conclusions and Clinical Implications: Proper treatment planing and rational use of all available methods with adequate support from sophisticated technology can enable us to achieve predictable and reliable results in high aesthetically demanding cases. Socket shield technique can be successfully used to avoid bone augmentation in atrophic sites and shorten treatment time.

Keywords: Socket shield, Immediate implant, Immediate loading, Implant stability