Campione Francesco, Campione Ludovica, Campione Mario Francesco, Melillo Michele, Arena Claudia, Abella Francesc, Boschini Luca
Dottor Francesco Campione Clinic, via de Caro 104 Catania, Italy.
Department of Experimental and Clinical Medicine-University of Foggia, Italy.
Case Rep Dent. 2022 May 2;2022:7455050. doi: 10.1155/2022/7455050. eCollection 2022.
. Socket shield is a technique that allows the maintenance of tissue volumes. In the reported clinical case, the replantation of the buccal root fragment mistakenly extracted during a socket shield surgery is performed. We present a follow-up to 5 years with an unexpected healing.. An 88-year-old patient underwent an immediate loading implant placement associated with the replantation of the mistakenly extracted root fragment. The shaping of the fragment was performed extraorally, and the replantation was done so that the fragment protruded above the crest margin.. The 5-year follow-up shows an uneventful healing of the implant. At 48 months, postoperative CBCT exam reports images compatible with the regeneration of the bone over the portion of root that protruded over the margin. The outcome suggests clinical implications, as the opportunity to easily shape the fragment extraorally and replant sound portion of the root (not necessary the buccal) in buccal socket with bone defect.
牙槽窝保护是一种可维持组织体积的技术。在报告的临床病例中，进行了在牙槽窝保护手术期间误拔的颊侧牙根片段的再植。我们展示了5年的随访情况，其愈合情况出人意料。一名88岁患者接受了与误拔牙根片段再植相关的即刻负重种植体植入。片段的塑形在口外进行，再植时使片段突出于牙槽嵴边缘上方。5年随访显示种植体愈合顺利。在48个月时，术后CBCT检查报告的图像与突出于边缘上方的牙根部分的骨再生情况相符。该结果具有临床意义，因为有机会在口外轻松塑形片段并将牙根完好部分（不一定是颊侧）再植于有骨缺损的颊侧牙槽窝中。
