LABIAL BONE PRESERVATION USING THE SOCKET SHIELD TECHNIQUE IN IMMEDIATE IMPLANT PLACEMENT WITH AND WITHOUT STICKY BONE GRAFT IN THE JUMPING DISTANCE A RANDOMIZED CONTROLLED CLINICAL TRIAL

Prof. Dr. Nevine Hassan Kheir El Din, *Mohammed Nabil Abdelghaffar and Dr. Mohamed Wagdy Bissar

ABSTRACT

Background: Tooth extraction is one of the most widely performed procedures in dentistry, and it has been historically well documented that it can induce significant dimensional changes of the alveolar ridge. Implants placed in this manner, are advocated to preserve soft tissue form and contour, preserve bone dimensions, reduce the period of edentulism, reduce the overall treatment time and to optimize esthetic results. Aim of the Work: The primary objective of this study was the radiographic evaluation of the changes in height, thickness and density of the labial plate of bone and soft tissue changes after immediate implant placement performing the Socket- Shield Technique with and without using sticky bone graft one day postoperative and after 6 months. Patients and Methods: This prospective study included twenty patients who were categorized randomly into two groups; group A: cases were subjected to socket shield procedure followed by sticky bone graft, immediate implant placement and immediate implant loading and group B: cases were subjected to socket shield procedure followed by immediate implant placement and immediate implant loading without sticky bone graft. Results: Bone thickness was significantly higher in group A than group B immediately after implant placement and postoperatively and was significantly higher immediately after implant placement compared to postoperatively in group A and group B. Bone height was comparable between both groups immediately after implant placement and postoperatively with insignificant variation between immediately after implant placement and postoperatively in both group A and B. Bone density was significantly higher 6 months postoperatively when compared to baseline values in both group A and B. Bone density increased in both group A and B but the increase in density (mean difference) was significantly higher in group A compared to group B. Conclusion: It concluded that socket shield technique combined with sticky bone immediate implant placement is a viable technique to achieve osseointegration without any inflammatory response. Socket shield technique followed by sticky bone had superiority in preserving bone thickness.

Keywords: Labial Bone Preservation, Socket Shield Technique, Immediate Implant Placement, Sticky Bone Graft, Jumping Distance.