1. MOHAMED ELSEASY - Assistant Lecturer at Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine,
Egyptian Russian University.
2. HESHAM ELHAWARY - Professor at Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Cairo
University.
3. KHALED TAWFIK - Professor at Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Cairo
University.
4. TAMER ABD ELBARI - Professor at Department of Oral & Maxillofacial Surgery, College of Dentistry, University of Science and
Technology of Fujairah.
5. MOHAMED ELSHOLKAMY - Professor at Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Suez Canal University.
Aim: The objective of the present study was to evaluate the efficacy of the socket shield technique for immediate implantation at the esthetic zone, through comparison to the traditional conventional immediate implant technique. Patients and Methods: The study was conducted on 20 immediate implant placement sites in the anterior maxillary region. In the study group, 10 implants were inserted using socket shield technique, while in the control group, 10 implants were inserted using the conventional immediate placement technique. Immediate postoperative and six months postoperative CBCT were obtained for all the cases, to assess bone density around the inserted implants as well as horizontal and vertical bone loss, Implant stability quotients (ISQs) was measured immediately and six months post-operatively with one and three-month intervals. Results: Implant stability recorded a higher mean value in the study group in comparison to the control group, with a statistically significant difference between both groups (p=0.001). Assessment of bone density around the implants after six months of insertion showed a higher mean value in the study group compared to in the control group with statistically significant difference (p=0.003). Regarding horizontal bone gap, a higher mean value (0.64±0.14 mm) was recorded in the control group in comparison to 0.52±0.18 in the study group, with no statistically significant difference between both groups (p=0.199). Vertical bone loss immediately postoperatively, there was no significant difference between the two groups (P=0.783). At 6 months, a higher mean value (13.54±1.36 mm) was recorded in the study group compared to (13.08±0.54) the control group, with no statistically significant difference between both groups (p=0.424) Conclusion: It has been concluded that the Socket shield technique, eliminates the negative consequences of bone resorption of the buccal plate of bone; leading to maintaining hard and soft tissue contours providing perfect esthetic results and good function.
Esthetic Zone, Immediate Implants, Socket Shield.