Application of modified socket-shield technique in immediate implant placement in the esthetic zone of anterior teeth

[Objective:] To evaluate the clinical effect of the modified socket-shield technique (MSST) in the immediate implant placement of single teeth in the anterior esthetic zone, and to discuss the related technical points. [Methods:] Five cases of immediate implant placement using MSST in the anterior e...

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Main Authors: WU Haoying, WANG Fang
Format: Article
Language:zho
Published: Editorial Office of Journal of Oral and Maxillofacial Surgery 2025-08-01
Series:Kouqiang hemian waike zazhi
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Online Access:https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2025.04.005.html
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author WU Haoying
WANG Fang
author_facet WU Haoying
WANG Fang
author_sort WU Haoying
collection DOAJ
description [Objective:] To evaluate the clinical effect of the modified socket-shield technique (MSST) in the immediate implant placement of single teeth in the anterior esthetic zone, and to discuss the related technical points. [Methods:] Five cases of immediate implant placement using MSST in the anterior esthetic zone from December 2022 to December 2023 were reviewed. The alveolar bone remodeling around implants was evaluated by imaging analysis. The esthetic effect of peri-implant soft tissue was evaluated by pink esthetic score (PES). The visual analogue scale (VAS) was used to assess the patients' subjective evaluation of the postoperative reaction (pain, swelling, etc.), the final repair effect and the whole treatment process. [Results:] Radiographic analysis showed that all implant sites achieved good osseointegration. The average vertical change of the labial alveolar bone of the implant at 6 months postoperatively was (0.18±0.15) mm. The average horizontal changes of labial alveolar bone at 2, 4, and 6 mm apical to the implant shoulder were (0.39±0.17), (0.18±0.23), (0.22±0.18) mm, respectively. The average change of alveolar bone width at implant shoulder level was (0.10±0.10) mm. The average PES score was (12.40±1.34) points, and satisfactory esthetic results were obtained in all implant sites. The VAS score showed that the subjective satisfaction of patients was high. [Conclusion:] The application of MSST in immediate implant placement in the anterior aesthetic area can effectively maintain the bone volume and soft tissue contour around the implant, and is a feasible technical solution for aesthetic area implant restoration.
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spelling doaj-art-dc3dbdbee3ab45dca47f8a083951717a2025-08-25T09:08:32ZzhoEditorial Office of Journal of Oral and Maxillofacial SurgeryKouqiang hemian waike zazhi1005-49792025-08-0135427828910.12439/kqhm.1005-4979.2025.04.005Application of modified socket-shield technique in immediate implant placement in the esthetic zone of anterior teethWU Haoying0WANG Fang1Shanghai Engineering Research Center of Tooth Restoration and Regeneration & Tongji Research Institute of Stomatology & Department of Oral Implantology, Shanghai Tongji Stomatological Hospital and Dental School, Tongji University, Shanghai 200072, ChinaShanghai Engineering Research Center of Tooth Restoration and Regeneration & Tongji Research Institute of Stomatology & Department of Oral Implantology, Shanghai Tongji Stomatological Hospital and Dental School, Tongji University, Shanghai 200072, China[Objective:] To evaluate the clinical effect of the modified socket-shield technique (MSST) in the immediate implant placement of single teeth in the anterior esthetic zone, and to discuss the related technical points. [Methods:] Five cases of immediate implant placement using MSST in the anterior esthetic zone from December 2022 to December 2023 were reviewed. The alveolar bone remodeling around implants was evaluated by imaging analysis. The esthetic effect of peri-implant soft tissue was evaluated by pink esthetic score (PES). The visual analogue scale (VAS) was used to assess the patients' subjective evaluation of the postoperative reaction (pain, swelling, etc.), the final repair effect and the whole treatment process. [Results:] Radiographic analysis showed that all implant sites achieved good osseointegration. The average vertical change of the labial alveolar bone of the implant at 6 months postoperatively was (0.18±0.15) mm. The average horizontal changes of labial alveolar bone at 2, 4, and 6 mm apical to the implant shoulder were (0.39±0.17), (0.18±0.23), (0.22±0.18) mm, respectively. The average change of alveolar bone width at implant shoulder level was (0.10±0.10) mm. The average PES score was (12.40±1.34) points, and satisfactory esthetic results were obtained in all implant sites. The VAS score showed that the subjective satisfaction of patients was high. [Conclusion:] The application of MSST in immediate implant placement in the anterior aesthetic area can effectively maintain the bone volume and soft tissue contour around the implant, and is a feasible technical solution for aesthetic area implant restoration.https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2025.04.005.htmlsocket‑shield techniqueimmediate implant placementesthetics of anterior teeth
spellingShingle WU Haoying
WANG Fang
Application of modified socket-shield technique in immediate implant placement in the esthetic zone of anterior teeth
Kouqiang hemian waike zazhi
socket‑shield technique
immediate implant placement
esthetics of anterior teeth
title Application of modified socket-shield technique in immediate implant placement in the esthetic zone of anterior teeth
title_full Application of modified socket-shield technique in immediate implant placement in the esthetic zone of anterior teeth
title_fullStr Application of modified socket-shield technique in immediate implant placement in the esthetic zone of anterior teeth
title_full_unstemmed Application of modified socket-shield technique in immediate implant placement in the esthetic zone of anterior teeth
title_short Application of modified socket-shield technique in immediate implant placement in the esthetic zone of anterior teeth
title_sort application of modified socket shield technique in immediate implant placement in the esthetic zone of anterior teeth
topic socket‑shield technique
immediate implant placement
esthetics of anterior teeth
url https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2025.04.005.html
work_keys_str_mv AT wuhaoying applicationofmodifiedsocketshieldtechniqueinimmediateimplantplacementintheestheticzoneofanteriorteeth
AT wangfang applicationofmodifiedsocketshieldtechniqueinimmediateimplantplacementintheestheticzoneofanteriorteeth