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Dental Practice 2019 Dentistry and Craniofacial Research
ISSN: 2576-392X Page 23
January 28-29, 2019
Barcelona, Spain
27th International Conference on
Dentistry and Dental Practice
Introduction: Tooth extraction is usually followed by partial
resorption of the residual alveolar ridge. Different techniques
such as ridge preservation procedure have been proposed
to maintain the ridge dimension. However, applying these
methods to extract sockets could not completely preserve
the coronal parts of facial bone walls, which were comprised
almost entirely of bundle bone.
Case report: A 45-year-old woman with non-contributory
medical history presented to our clinic with non-restorable
tooth #23, who doesn’t has any periapical or periodontal
pathology. After clinical and radiographical assessment,
computed tomography (CBCT), indicated insufficient width of
buccal bone plate. Therefore, socket shield technique (SST)
was planned for simultaneous immediate implant placement
(Straumann 4.1x12 RN) with immediate provisionalization
crown. Initial follow up after 2 weeks, then after 2 months final
restoration by screw-retained crown inserted. After 6 and 12
months of loading follow up by using CBTC, for evaluation
bone remodeling and clinical evaluation of soft tissue changes
around implants.
Results: Two weeks follow up revealed the healing was
uneventful, and after 6 and 12 months the clinical and CBCT
revealed, that retaining root fragment adjacent to the buccal
crestal bone and placing an implant engaged to the palatal
socket wall immediately are able to maintain the contour of the
ridge. And the implant can achieve osseo-integration without
any inflammation at peri-implant tissue and also soft tissue
contour preserved.
Conclusion: After one year follow up, SST prevent soft and hard
tissue changes which can happen during healing of alveolar
socket after tooth extraction. However, the use SST as routine
clinical practice still needs to higher level of evidence.
Biography
Hassan H Koshak is a Consultant in Periodontics and Implant Dentistry.
He is the Head of the Dental Department and Dental Educator, Director of
Academic and Education Affairs at Comprehensive Specialized Polyclinic,
Ministry of Interior Security Forces Medical Services, Jeddah, Kingdom of
Saudi Arabia, where he has been working since 2016. He received a Saudi
Fellowship in Dental Implant from the Saudi Commission for Health Special-
ties from 2014-2016. He received a Saudi Board in Periodontics from the
Saudi Commission for Health Specialties in 2012-2014. He has completed
his Master of Science in Dentistry (MSD) and a Clinical Certificate in Peri-
odontics at Riyadh Colleges of Dentistry and Pharmacy from 2009-2012,
Riyadh, KSA; Advanced Education in General Dentistry (AEGD) at University
of South California, School of Dentistry from 2006-2008 and; Bachelor of
Dental Medicine and Surgery (BDS) in the Faculty of Dental Medicine and
Surgery at King Abdul-Aziz University, Jeddah, KSA.
Can alveolar ridge be completely preserved by
socket shield technique? a case report
Hassan H Koshak
Ministry of Interior Security Forces Medical Services, Saudi Arabia
Hassan H Koshak, J Den Craniofac Res 2019, Volume 4
DOI: 10.21767/2576-392X-C1-014