Shanmugam Mohanasatheesh, Balaji Anitha, Valiathan Mohan, Kannan Rudhra, Jeyaraj Samuel Angelin Fiona
Periodontics, Sree Balaji Dental College and Hospital, Chennai, IND.
Cureus. 2024 Apr 9;16(4):e57940. doi: 10.7759/cureus.57940. eCollection 2024 Apr.
Alveolar bone resorption is a natural occurrence following tooth extraction, complicating the process of prosthetic rehabilitation with implants. Techniques such as socket preservation, atraumatic extraction, and immediate implant placement are employed to reduce the dimensional changes associated with extraction. The socket shield technique (SST) is effective in preserving the alveolar ridge's contour, enhancing the aesthetic results of rehabilitation by maintaining the integrity of the bundle bone complex even when the buccal bone is less than 1mm. This case report presents a 23-year-old female patient with a fractured upper central incisor. The socket shield technique was chosen based on the clinical findings from the cone beam computed tomography (CBCT) scan. Immediate temporization was provided to preserve soft tissue integration. A comparison of the initial and subsequent cone beam computed tomography (CBCT) scans, along with clinical observations, suggests that the socket shield technique is a viable method for preserving both hard and soft tissue structures in the anterior dental region, thereby improving aesthetic outcomes.
牙槽骨吸收是拔牙后的自然现象，会使种植牙修复过程变得复杂。采用牙槽窝保存、微创拔牙和即刻种植等技术来减少与拔牙相关的尺寸变化。牙槽窝屏障技术（SST）在保留牙槽嵴轮廓方面有效，即使颊侧骨厚度小于1mm时，通过维持束状骨复合体的完整性，也能提高修复的美学效果。本病例报告介绍了一名23岁的女性患者，其上颌中切牙折断。根据锥形束计算机断层扫描（CBCT）的临床结果选择了牙槽窝屏障技术。提供即刻临时修复以保持软组织的整合。对最初和后续的锥形束计算机断层扫描（CBCT）以及临床观察结果进行比较，表明牙槽窝屏障技术是在前牙区保留软硬组织结构从而改善美学效果的可行方法。
