Socket Shield technique indication: Immediate implant placement with adjacent implants in the aesthetic area
As Kan said in 2003, single-implant tooth replacements have been documented with success. Traditional immediate implants can not avoid the hard and soft-tissue changes so it may compromise the aesthetics results. However, after the description of the “socket-shield technique” (SST) by Hurzeler and cols. in 2010. The partial tooth extraction therapy preserves the initial buccal tissues. From my clinical point of view, The SST could be the treatment election when you have adjacent dental implants and high esthetic compromise. I show a case of a woman of 43 years old, non smoker with a horizontal tooth fracture and apical lesion associated of the 1.2. Furthermore, She has two adjacent dental implants very well restored. So I did not have more choices than a tooth extraction and the immediate implant or a partial tooth extraction and the immediate implant. I chose the second option because I had a thin buccal plate, an apical lesion, an adjacent implant and a esthetic compromise.
I removed the partial tooth including the apical lesion with integrity of the tissues around. The implant was introduced 3 mm deeper as the adjacent implant leaving a gap of 1/1.5 mm to the Shield. No allograft were employed and no stitches were necessary. I toke and modify her old ceramic crown to a provisional screw-retained crown without occlusion.