Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial
Background: Dental implants in fresh extraction sockets of the maxillary esthetic area are technique-sensitive procedures where retaining a buccal root segment can enhance periodontium preservation and esthetics. This study aims to compare marginal bone levels and esthetic outcomes between conventio...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | Journal of Indian Society of Periodontology |
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| Online Access: | https://journals.lww.com/10.4103/jisp.jisp_13_24 |
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| author | Farhan Durrani Aishwarya Pandey Shweta Ahlawat Ekta Kumari S. U. Gokila Vani Sakshi Agarwal P. G. Naveen Kumar |
| author_facet | Farhan Durrani Aishwarya Pandey Shweta Ahlawat Ekta Kumari S. U. Gokila Vani Sakshi Agarwal P. G. Naveen Kumar |
| author_sort | Farhan Durrani |
| collection | DOAJ |
| description | Background:
Dental implants in fresh extraction sockets of the maxillary esthetic area are technique-sensitive procedures where retaining a buccal root segment can enhance periodontium preservation and esthetics. This study aims to compare marginal bone levels and esthetic outcomes between conventional immediate implant placement and the socket-shield technique in fresh maxillary extraction sockets.
Materials and Methods:
Twenty-four patients with type 1 extraction sockets were included in this randomized trial and assigned to either conventional immediate implant placement or the socket-shield technique. Implant survival, crestal bone levels, and pink esthetic scores (PES) were evaluated at 8 months (temporary prosthesis), 12 months, and 36 months (final crowns).
Results:
All implant-supported restorations were successful within the study’s observation period. The socket-shield technique showed significantly lower marginal bone loss (e.g. 1.40 ± 0.29 mm vs. 1.70 ± 0.36 mm at 36 months; P = 0.040) and superior PES (e.g., 10.50 ± 0.90 vs. 9.36 ± 0.98 at 36 months; P = 0.008) compared to the conventional technique. However, the technique’s complexity underscores the need for expertise and careful execution to optimize tissue preservation in the maxillary esthetic zone.
Conclusion:
The socket-shield technique better preserves hard and soft tissues around implant-retained prostheses than conventional implant placement in maxillary esthetic regions. Further studies with larger sample sizes and longer follow-up are required to validate these findings. |
| format | Article |
| id | doaj-art-0552c3b79aac42d196ba6b1947caa2b4 |
| institution | Kabale University |
| issn | 0972-124X 0975-1580 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj-art-0552c3b79aac42d196ba6b1947caa2b42025-02-06T07:19:22ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X0975-15802024-07-0128446847710.4103/jisp.jisp_13_24Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trialFarhan DurraniAishwarya PandeyShweta AhlawatEkta KumariS. U. Gokila VaniSakshi AgarwalP. G. Naveen KumarBackground: Dental implants in fresh extraction sockets of the maxillary esthetic area are technique-sensitive procedures where retaining a buccal root segment can enhance periodontium preservation and esthetics. This study aims to compare marginal bone levels and esthetic outcomes between conventional immediate implant placement and the socket-shield technique in fresh maxillary extraction sockets. Materials and Methods: Twenty-four patients with type 1 extraction sockets were included in this randomized trial and assigned to either conventional immediate implant placement or the socket-shield technique. Implant survival, crestal bone levels, and pink esthetic scores (PES) were evaluated at 8 months (temporary prosthesis), 12 months, and 36 months (final crowns). Results: All implant-supported restorations were successful within the study’s observation period. The socket-shield technique showed significantly lower marginal bone loss (e.g. 1.40 ± 0.29 mm vs. 1.70 ± 0.36 mm at 36 months; P = 0.040) and superior PES (e.g., 10.50 ± 0.90 vs. 9.36 ± 0.98 at 36 months; P = 0.008) compared to the conventional technique. However, the technique’s complexity underscores the need for expertise and careful execution to optimize tissue preservation in the maxillary esthetic zone. Conclusion: The socket-shield technique better preserves hard and soft tissues around implant-retained prostheses than conventional implant placement in maxillary esthetic regions. Further studies with larger sample sizes and longer follow-up are required to validate these findings.https://journals.lww.com/10.4103/jisp.jisp_13_24extraction socketimmediate implantsimmediate temporizationsocket shield |
| spellingShingle | Farhan Durrani Aishwarya Pandey Shweta Ahlawat Ekta Kumari S. U. Gokila Vani Sakshi Agarwal P. G. Naveen Kumar Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial Journal of Indian Society of Periodontology extraction socket immediate implants immediate temporization socket shield |
| title | Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial |
| title_full | Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial |
| title_fullStr | Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial |
| title_full_unstemmed | Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial |
| title_short | Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial |
| title_sort | comparative evaluation of conventional and socket shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets a randomized controlled trial |
| topic | extraction socket immediate implants immediate temporization socket shield |
| url | https://journals.lww.com/10.4103/jisp.jisp_13_24 |
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