Jones Andoni
Int J Esthet Dent. 2020;15(4):390-400.
The socket-shield technique shows promising results in the esthetic zone. It is a technically challenging procedure but is effective in maintaining the buccal plate after tooth extraction and avoiding tissue collapse. Therefore, it could be considered a valid option in the immediate implant scenario. A careful shield preparation and handling are paramount for the success of the treatment and to minimize complications. Raising a flap can improve visibility and simplify the procedure. This article reports on a case in which a small crestal approach is used to visualize the root and the buccal plate, combined with a buccal semilunar flap, to gain access to the apical area. This surgical management is especially indicated when long roots are involved, in order to determine the correct axis for cutting and sectioning the root and to remove the apex if conventional drills are not long enough. Possible esthetic complications of raising a flap are also discussed.
套筒冠技术在美学区显示出了令人期待的效果。这是一个技术上具有挑战性的手术，但在拔牙后维持颊侧骨板以及避免组织塌陷方面是有效的。因此，在即刻种植的情况下，它可被视为一种有效的选择。仔细的套筒冠制备和操作对于治疗的成功以及将并发症降至最低至关重要。掀起瓣可以提高视野清晰度并简化手术过程。本文报道了一个病例，其中采用小切端入路来观察牙根和颊侧骨板，并结合颊侧半月形瓣，以进入根尖区域。当涉及长牙根时，尤其需要这种手术管理方式，以便确定切割和截断牙根的正确轴线，并且在传统钻头长度不足时移除根尖。还讨论了掀起瓣可能出现的美学并发症。
