Manuscript Information Authors

[1]	Abadzhiev M., Medical University – Varna, Bulgaria. Faculty of dental medicine, Department of Prosthodontics and Orthodontics.
[2]	Nenkov P., Medical University – Varna, Bulgaria. Faculty of dental medicine, Department of Periodontology and Implant dentistry.
[3]	Velcheva P., Medical University – Varna, Bulgaria. Faculty of dental medicine, Department of Conservative treatment and Oral pathology.

Abstract

Imaplantology in visible frontal region demands extreme precision due to the high aesthetic requirements of patients. Years of age immediate implant placement was considered main approach for preserving bone volume after tooth extraction due to its close relation to the tissues to the periodontal ligaments. Therefore a risk of losing vestibular bone height and respectively soft tissue which is unacceptable from aesthetic point of view. One of the methods used in order to avoid bone loss is the so called “socket-shield” technique published by Dr. Marc Hürzler and Dr. Otto Zuhr. Comparison of the results gained after immediate implant placement by conventional and socket-shield techniques for a period of two years, 26 titanium screwed implants placed in post-extraction socket with conventional immediate implantation and socket-shield technique, xenogenic bone-graft material, PRGF, individualized factory titanium abutments, zirconium individual abutments with titanium interface, press-ceramic E-max, metal-ceramic. Sector x-rays and intraoral photos for determining bone and soft tissue loss after immediate implant placement. It was discovered minimal from functional point of view but unacceptable form aesthetic point of view vertical bone loss of the vestibular lamella at conventional implant placement. To compare in socket-shield technique there were neither functional nor aesthetic changes in soft and hard tissues. Socket-shield technique is already a routine practice in the arsenal of high-aesthetic immediate implantology and should be used when it is indicated.

Keywords

Immediate Implant Placement, Socket-Shield

Reference

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[04]	Hürzler MB, Zuht O, Schüpback P,The Socket-shield technique. A proof-of-principle report. J Clinical Periodontology 2010; 37:855-862
[05]	Abadzhiev M. Socket shield technique as an alternative of conventional immediate implantation, IMAB 2014.