Measurement of socket shield after immediate implantation with cone beam computer tomography-four consecutive cases

Background

Immediate implantation (II) is well known surgical procedure which gave a patient faster dental rehabilitation. The issue in all this years is resorption of buccal bone and consequently anatomical perspective of alveolar ridge. With invention of socket shield (SS) technique (T) the results are better but long time outcome is not known yet.

Aim/Hypothesis

In our pilot study the dimension of SS was recorded on control CBCT after immediate implantation. Length, width and thickness were measured. Our goal was to find if is possible to identified SS, record dimensions.

Material and Methods

At four consecutive patients (2 male, 2 female), age 27–54, immediate implantation were performed with SST due to unsolvable tooth+ root fracture 3 and resorption 1. All implants were inserted in esthetical demanded region (21-2, 22-2). Surgical procedures were performed by known protocol for II and SST. Gap between implants and socket wall or SS were field with particular bovine parts. Sulcus former were inserted at 2 sites, at other 2 temporization was done. Antibiotics were administrated for 10 days. One week after control CBCT were done. Final prosthetic were delivered after 6 months.

Results

Successful rate after 1 year was 100%. SS measured on CBCT in length 5.07–6.77 mm (avg. 5.08), width 3.05–4.05 mm (3.56) and thickness 2.55–0.54 mm (1.01) on CBCT. All four implants were inserted under alveolar bone in all aspects. At all cases SS were detected. Implants were inserted beyond bottom of post-extraction socket. The diameter of them were 3.5 mm (3) and 4.5 mm (1) and the length 11 mm (1), 14 mm (2), 17 mm (1).

Conclusion and Clinical Implications

SST for immediate implantation is predictable procedure but a lot of experiences are needed. It was found out that SS can be detected with CBCT which gave opportunity in further follow-up of remodeling of SS. Pilot study should prolonged with cases and also in long time period outcome.