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Dent. J. 2014, 2(1), 11-21; doi:10.3390/dj2010011

Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series

1
Private Practice for Oral Surgery, Rotbuchstrasse 3, CH-8006 Zurich, Switzerland
2
Clinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, CH-8000 Zurich, Switzerland
*
Author to whom correspondence should be addressed.
Received: 22 October 2013 / Revised: 15 January 2014 / Accepted: 20 January 2014 / Published: 23 January 2014
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Abstract

After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR) have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth. It has also been suggested that resorption of the buccal bundle bone can be avoided by leaving a buccal root segment (socket shield technique) in place, because the biological integrity of the buccal periodontium (bundle bone) remains untouched. This method has also been described in connection with immediate implant placement. The present case report describes three consecutive cases in which a modified method was applied as part of a delayed implantation. The latter was carried out after six months, and during re-entry the new bone formation in the alveolar bone and the residual ridge was clinically evaluated as proof of principle. It was demonstrated that the bone was clinically preserved with this method. Possibilities and limitations are discussed and directions for future research are disclosed.
Keywords: extraction; GBR; collagen; socket-shield; bundle bone extraction; GBR; collagen; socket-shield; bundle bone
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Glocker, M.; Attin, T.; Schmidlin, P.R. Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series. Dent. J. 2014, 2, 11-21.

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