Socket Shield

Socket shield technique is becoming widely used in implant dentistry as a way of socket preservation to prevent from bone remodeling after extraction, this technique exceeds by far the other techniques of socket preservation in terms of final aesthetic outcome, regarding soft tissues around the implant-borne prosthesis.

This report describes the replacement of a failed implant which was originally inserted immediately after a tooth was extracted using the socket shield technique, the second implant was placed at the same site without losing the socket shield, then the implant was successfully loaded by a PFM prosthesis, after more than one year of implant replacement, the patient is still under observation and no signs or symptoms of a failure to the

After more than 6 months the patient showed to the office.

The CBCT showed that the root fragment “socket shield” was still intact, clinically the site was healed, for no signs of infection was observed, there was no swelling, no exudates, no pain, and the most important finding was the retaining socket shield which wasn’t rejected from the bony socket.

Placement of another implant was planned, a new implant “4.2X8 root form type, Roott Dental Implant System” was placed with an insertion torque of 35 Ncm, a cover screw was placed to the implant and a temporary Maryland bridge was bonded to replace the missing tooth for aesthetic reasons.

after around 8 months, the patient showed for the final restoration, an impression was taken using the closed technique, a cement-retained PFM crown was fabricated with an opening on the occlusal surface to insert the screw and screwdriver