Impressive Result at Final Restoration of An Implant with Socket Shield Performed 4 Months Ago

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Posted on 04.20.2018 09:41 AM By Vincenzo Foti In Anterior/Esthetic

I've applied the concepts established at PET Consensus in Madrid of November 2017. No graft on buccal gap. The SS is at marginal level of the bone because there is thick gingival biotype. After 4 months there was creeping excess of a good amount and quality of soft-tissue, so I've request to my technicians the buccal over-contour of the final screwed retained crown.

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8 Comments

Maurice Salama says on 04.25.2018 05:38 PM

AMAZING result....thanks Dr. S

Vincenzo Foti says on 04.26.2018 04:13 AM

Thank you a lot Maurice!!

henry salama says on 04.26.2018 12:00 PM

Beautiful documentation and execution Vincenzo.
I'm interested in knowing what the consensus is on the site as to whether to graft the gap... or not? Dentalxpers... what do you say?

Vincenzo Foti says on 04.27.2018 05:28 PM

Thank you so much Henry for your appreciation and the question! I answer you with 2 pictures made at PET Consensus of JTI in Madrid...IMO, the graft on vestibular gap is very important to avoid the buccal collapse when it's impossible to perform the socket shield, but unnecessary with the SS, because it prevent this event. So, it's sufficient only the natural clot to regenerate the bone between SS and implant.
A hug
Enzo

Paolino Di Giorgi says on 04.27.2018 06:43 AM

Bello...complimenti

Vincenzo Foti says on 04.27.2018 05:29 PM

Grazie mille Paolino
Un caro saluto
Enzo

Anthony Kraft says on 04.29.2018 11:19 AM

Question - what were you irrigating the residual socket with after removal of the lingual root piece? Just curious. Great result and wonderful technique.
Krafty

Vincenzo Foti says on 04.30.2018 05:47 AM

Thank you so much Anthony for your appreciation. It's hydrogen peroxide 10 vol.
Best regards
Enzo