MINIMALLY INVASIVE Socket Shield approach

Posted on 03.17.2020 07:19 PM By mohamed ahmed In Implants

MINIMALLY INVASIVE Socket Shield approach
learning how to integrate our tech creations with the elegant touch in our humanity provided creative problem-solving with Digital sense


Patient came seeking immediate remedy for Unrestorable endotreated upper central incisor with mobile coronal part , CBCT examination revealed diagonal root fracture with very thin labial bone TRADITIONAL PROTOCOL entails total tooth extraction with subsequent ridge collapse & lack of adequate bone to place implants in a prosthetically driven position
As Subsequent Surgical techniques are of restricted predictability and
Commonly require several surgical interventions and grafting.This increases the treatment cost and places a physical and psychological strain on the patient.

double s (Socket Shield ) IMMEDIATE IMPLANT approach with a fully digital surgical guide was selected to ensure a predictable, high esthetic, and functional result

the main biological reason for the socket shield is preserving the pdl ligaments between the tooth and thin buccal plate and that will preserve the blood supply to the thin compact bone as facial root section remains in-situ with its physiologic relation to the buccal plate intact with predictably supported Gingival architecture
digital implant Backward Prosthetic workflow with Meticulous presurgical planning is mandatory
surgical guides associated with
cone-beam computed tomography (CBCT) facilitates
optimal positioning with more precision
than with conventional approach

digitally designed Root Separation Guide was used to ensure precise removal of palatal root segment with root apex and preservation of the labial part of the root
Fully Guided Implant Surgical guide based on the expected implant position from the virtual wax up planning was used to drill through the tooth positioning implant Beyond the socket apical & palatally to get enough bone labially

Immediate implant placement with immediate screw retained provisional on TI Base digitally designed by EXOCAD software using virtual tooth extraction model & virtual scan body prior to surgical procedure copying the same tooth from the pro-op model to ensure support to biological tissues in aesthetic area

Post operative CBCT was done revealing successful preservation of labial shield with biological and esthetic clinical success