European Journal of Biomedical and Pharmaceutical Sciences

PARTIAL EXTRACTION THERAPY FOR IMPLANTS: THE SOCKET SHIELD METHOD- A CASE REPORT

Ashutosh Srivastava*, Zeba Rahman Siddiqui and Sanjay Gupta

ABSTRACT

Healing of extraction socket leads to the dimensional changes that will affect the placement of the implant and its emergence profile. Atraumatic extraction, socket preservation technique, and immediate implant placement decrease the alveolar bone resorption by maintaining the post extraction socket. Hürzeler et al. developed the socket shield technique, which involves preserving a buccal portion of the tooth during extraction to help prevent resorption of the buccal cortical bone. This approach aims to maintain the contour of the alveolar ridge and enhance the aesthetic outcomes of subsequent implant placement. This case report represents a 30‑year‑old female patient with grossly decayed maxillary left central incisor indicated for extraction replaced with an immediate implant. Socket‑shield technique was designed for implant placement to protect buccal bone and to get the proper esthetic form. Two millimeters buccal fragment of the tooth was kept attached and the implant was placed in contact with tooth fragment. Three‑month follow‑up shows proper healing, and healthy peri‑implant tissue shows that socket‑shield technique with immediate implant placement will be a good alternative to preserve buccal cortical plate and implant placement, especially in the esthetic area.

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