Department of Prosthodontics, Faculty of Dentistry, Arab American University, Jenin, Palestinian Territory, P. Box: 240, Jenin, Israel.
Head Face Med. 2022 Jun 10;18(1):17. doi: 10.1186/s13005-022-00324-3.
The aims of this case series were to investigate the clinical, radiographic, implant success, complication incidence, esthetic, and patient-reported outcomes of 10 immediately placed implants associated with the socket shield technique at 12 months post-loading and to assess the ridge width changes that occurred at 8 months following implant placement.
A total of 10 patients received 10 socket shield immediate implants (MegaGen AnyRidge). At 8 months postimplantation, casts were made to assess the ridge width changes by measuring the ridge width at the implant sites and comparing them with the corresponding measurements at the contralateral tooth site. At 12 months post-loading, clinical indices, marginal bone loss, pink esthetic score, and patient-assessed outcomes were evaluated. The mean, standard deviation and median were calculated for all continuous variables.
All implants demonstrated a 100% success rate, while 2 implants presented with external shield exposure that was managed successfully. The mean marginal bone loss was 0.08 ± 0.14 mm mesially and 0.21 ± 0.23 mm distally. Esthetic evaluation yielded an average modified pink esthetic score of 8.65. A mean gain of 0.17 mm in the facial-palatal ridge width was recorded at 8 months postimplantation.
The socket shield technique enhanced the functional and esthetic results by preserving the alveolar bone and peri-implant soft tissues. However, this is a sensitive technique and still needs more robust evidence before it can be recommended for everyday clinical practice.
本病例系列研究旨在探讨 10 例即刻植入物联合种植体套筒保护技术在负荷 12 个月时的临床、影像学、种植体成功率、并发症发生率、美观和患者报告结果，并评估种植体植入后 8 个月时牙槽嵴宽度的变化。
共 10 例患者接受了 10 个种植体套筒保护即刻植入物（MegaGen AnyRidge）。在种植体植入后 8 个月，通过测量种植体部位的牙槽嵴宽度并与对侧同名牙部位的相应测量值进行比较，制取印模以评估牙槽嵴宽度的变化。在负荷后 12 个月，评估临床指数、边缘骨丧失、粉色美学评分和患者评估结果。所有连续变量的平均值、标准差和中位数均进行了计算。
所有种植体均达到 100%的成功率，而 2 个种植体出现了外部保护套暴露的情况，但得到了成功处理。平均近中边缘骨丧失为 0.08 ± 0.14mm，远中为 0.21 ± 0.23mm。美学评估的平均改良粉色美学评分为 8.65。种植体植入后 8 个月，颊腭侧牙槽嵴宽度平均增加 0.17mm。
种植体套筒保护技术通过保留牙槽骨和种植体周围软组织，提高了功能和美观效果。然而，这是一种敏感的技术，在推荐用于日常临床实践之前，还需要更多的有力证据。
