• Home
  • Browse
    • Current Issue
    • By Issue
    • By Author
    • By Subject
    • Author Index
    • Keyword Index
  • Journal Info
    • About Journal
    • Aims and Scope
    • Editorial Board
    • Publication Ethics
    • Peer Review Process
  • Guide for Authors
  • Submit Manuscript
  • Contact Us
 
  • Login
  • Register
Home Articles List Article Information
  • Save Records
  • |
  • Printable Version
  • |
  • Recommend
  • |
  • How to cite Export to
    RIS EndNote BibTeX APA MLA Harvard Vancouver
  • |
  • Share Share
    CiteULike Mendeley Facebook Google LinkedIn Twitter
Alexandria Dental Journal
arrow Articles in Press
arrow Current Issue
Journal Archive
Volume Volume 50 (2025)
Volume Volume 49 (2024)
Volume Volume 48 (2023)
Volume Volume 47 (2022)
Volume Volume 46 (2021)
Issue Issue 3
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
Issue Issue 3
B (Endodontics, Prosthodontics, Fixed prosthodontics, Conservative dentistry, Dental Biomaterials)
Issue Issue 3
C (Pediatric dentistry, Dental public health, Orthodontics)
Issue Issue 2
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
Issue Issue 2
B (Endodontics, Prosthodontics, Fixed prosthodontics, Conservative dentistry, Dental Biomaterials)
Issue Issue 2
C (Pediatric dentistry, Dental public health, Orthodontics)
Issue Issue 1
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
Issue Issue 1
B (Endodontics, Prosthodontics, Fixed prosthodontics, Conservative dentistry, Dental Biomaterials)
Issue Issue 1
C (Pediatric dentistry, Dental public health, Orthodontics)
Volume Volume 45 (2020)
Volume Volume 44 (2019)
Volume Volume 43 (2018)
Volume Volume 42 (2017)
Volume Volume 41 (2016)
Volume Volume 40 (2015)
Elsharkawy, L., Elprince, N., Sweedan, A. (2021). EVALUATION OF IMMEDIATE IMPLANT PLACEMENT WITH A MODIFIED SOCKET SHIELD TECHNIQUE USING XENOGENIC BONE GRAFT (A RANDOMIZED CONTROLLED CLINICAL TRIAL). Alexandria Dental Journal, 46(3), 29-36. doi: 10.21608/adjalexu.2020.33084.1082
Lubna F. Elsharkawy; Nagy H. Elprince; Ahmed O. Sweedan. "EVALUATION OF IMMEDIATE IMPLANT PLACEMENT WITH A MODIFIED SOCKET SHIELD TECHNIQUE USING XENOGENIC BONE GRAFT (A RANDOMIZED CONTROLLED CLINICAL TRIAL)". Alexandria Dental Journal, 46, 3, 2021, 29-36. doi: 10.21608/adjalexu.2020.33084.1082
Elsharkawy, L., Elprince, N., Sweedan, A. (2021). 'EVALUATION OF IMMEDIATE IMPLANT PLACEMENT WITH A MODIFIED SOCKET SHIELD TECHNIQUE USING XENOGENIC BONE GRAFT (A RANDOMIZED CONTROLLED CLINICAL TRIAL)', Alexandria Dental Journal, 46(3), pp. 29-36. doi: 10.21608/adjalexu.2020.33084.1082
Elsharkawy, L., Elprince, N., Sweedan, A. EVALUATION OF IMMEDIATE IMPLANT PLACEMENT WITH A MODIFIED SOCKET SHIELD TECHNIQUE USING XENOGENIC BONE GRAFT (A RANDOMIZED CONTROLLED CLINICAL TRIAL). Alexandria Dental Journal, 2021; 46(3): 29-36. doi: 10.21608/adjalexu.2020.33084.1082

EVALUATION OF IMMEDIATE IMPLANT PLACEMENT WITH A MODIFIED SOCKET SHIELD TECHNIQUE USING XENOGENIC BONE GRAFT (A RANDOMIZED CONTROLLED CLINICAL TRIAL)

Article 5, Volume 46, Issue 3, December 2021, Page 29-36  XML PDF (1.25 MB)
Document Type: Original Article
DOI: 10.21608/adjalexu.2020.33084.1082
View on SCiNiTO View on SCiNiTO
Authors
Lubna F. Elsharkawy email 1; Nagy H. Elprince2; Ahmed O. Sweedan3
1Oral and Maxillofacial surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
2Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt.
3Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt.
Abstract
ABSTRACT
Background: Modified Socket shield technique, is an approach used to help maintain buccal bone level after implant insertion. However, the significance of bone grafting of the gap between the labial shield and the implant, in improving bone regeneration and prevention of the soft tissue ingrowth, has been described.
Aim of the study: Evaluation of clinical and radiographic outcomes of using xenogenic bone graft on outcome of immediate dental implant placement using the modified socket shield technique.
Material and method: 16 patients were divided into two study groups. Control group received an immediate implant with modified socket shield technique. Test group received immediate implant with modified socket shield and bone graft put in the buccal gap. Outcome measurement was primary and secondary implant stability measurement and radiographic evaluation.
Results: Peri-implant BMD after 6 months for the test group showed to increase with a % change median of 39.4 % and this was found to be significantly higher than the control group. Implant secondary stability was found to be significantly higher in the test group with a median of 78 ISQ compared to 73 ISQ for the control group.
Conclusion: DBBM is effective in healing of peri-implant defect and provides an appropriate stability and enhanced BMD. However, this technique requires proper case selection and is considered highly sensitive.
Abbreviations: BMD = bone mineral density, BBH = Buccal bone height, ISQ = Implant stability quotient. . DBBM = Deproteinized Bovine Bone Mineral.;
Keywords
Socket shield technique; gap bone grafting; root preservation
Main Subjects
Oral and maxillofacial surgery
References
Branemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983;50(3):399–410.

  • Chen ST, Wilson TG, Hämmerle CHF. Immediate or early placement of implants following tooth extraction: review of biologic

    basis, clinical procedures, and outcomes. Int J Oral Maxillofac Implants [Internet]. 2004;19:12–25.

  • Troiano M, Benincasa M, Sánchez P, Calvo-Guirado J. Bundle bone preservation with Root-T-Belt: Case study. Ann Oral

    Maxillofac Surg. 2014;2(7):1–6.

  • Mitsias ME, Siormpas KD, Kotsakis GA, Ganz SD, Mangano C, Iezzi G. The Root Membrane Technique: Human Histologic

    Evidence after Five Years of Function. Biomed Res Int. 2017;2017.

  • Salama M, Ishikawa T, Salama H, Funato A, Garber D. Advantages of the root submergence technique for pontic site development

    in esthetic implant therapy. Int J Periodontics Restorative Dent [Internet]. 2007;27(6):521–7.

  • Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: A proof-of-principle report.

    J Clin Periodontol. 2010;37(9):855–62.

  • Han CH, Park KB, Mangano FG. The modified socket shield technique. J Craniofac Surg. 2018;29(8):2247–54.

  • Gluckman H, Salama M, Du Toit J. A retrospective evaluation of 128 socket-shield cases in the esthetic zone and posterior sites:

    Partial extraction therapy with up to 4 years follow-up. Clin Implant Dent Relat Res. 2018;20(2):122–9.

  • Trisi P, Berardini M, Falco A, Podaliri Vulpiani M. New osseodensification implant site preparation method to increase bone

    density in low-density bone: In vivo evaluation in sheep. Implant Dent. 2016;25(1):24–31.

  • Du Toit J, Gluckman H. The modified socket-shield technique. J Craniofac Surg. 2018;29(7):2005–6.

  • Liu J, Kerns DG. Mechanisms of Guided Bone Regeneration: A Review. Open Dent J. 2014;8(1):56–65.

  • Pinheiro ALB, Gerbi MEMM. Photoengineering of bone repair processes. Photomed Laser Surg. 2006;24(2):169–78.

  • Siormpas K, Mitsias M, Kontsiotou-Siormpa E, Garber D, Kotsakis G. Immediate Implant Placement in the Esthetic Zone Utilizing

    the “Root-Membrane” Technique: Clinical Results up to 5 Years Postloading. Int J Oral Maxillofac Implants. 2014;29(6):1397–

    405.

  • Shah SA, Khan I, Shah HS. Effectiveness of submucosal dexamethasone to control postoperative pain & swelling in apicectomy

    of maxillary anterior teeth. Int J Health Sci (Qassim) [Internet]. 2011;5(2):156–65.

  • Turkyilmaz I, McGlumphy EA. Influence of bone density on implant stability parameters and implant success: A retrospective

    clinical study. BMC Oral Health. 2008;8(1).

  • Yuan D, Wang X, Chen S. Vertical and horizontal dimensional changes of peri‐implant facial bone following immediate placement

    and provisionalization with customized definite abutment in maxillary anterior single implants. Clin Oral Implants Res.

    2019;30(S19):387–387.

  • Zhang DZ, Xiao WL, Zhou R, Xue LF, Ma L. Evaluation of bone height and bone mineral density using cone beam computed

    tomography after secondary bone graft in alveolar cleft. J Craniofac Surg. 2015;26(5):1463–6.

  • Cherel F, Etienne D. Papilla preservation between two implants: A modified socket-shield technique to maintain the scalloped

    anatomy? A case report. Quintessence Int (Berl). 2014;45(1):23–30.

  • Gharpure AS, Bhatavadekar NB. Current evidence on the socket-shield technique: A systematic review. J Oral Implantol.

    2017;43(5):395–403.

  • Bäumer D, Zuhr O, Rebele S, Hürzeler M. Socket Shield Technique for immediate implant placement – clinical, radiographic and

    volumetric data after 5 years. Clin Oral Implants Res. 2017;28(11):1450–8.

  • Stanley M, Braga FC, Jordao BM. Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical

    Study on 34 Patients. Int J Dent. 2017;2017.

  • Sharma SD, Vidya B, Alexander M, Deshmukh S. Periotome as an Aid to Atraumatic Extraction: A Comparative Double Blind

    Randomized Controlled Trial. J Maxillofac Oral Surg. 2015;14(3):611–5.

  • Cannizzaro G, Felice P, Leone M, Checchi V, Esposito M. Flapless versus open flap implant surgery in partially edentulous

    patients subjected to immediate loading: 1-year results from a split-mouth randomised controlled trial. Eur J Oral Implantol.

    2011;4(3):177–88.

  • El Nahass H, N. Naiem S. Analysis of the dimensions of the labial bone wall in the anterior maxilla: A cone-beam computed

    tomography study. Clin Oral Implants Res. 2015;26(4):57–61.

  • Schlegel KA, Fichtner G, Schultze-Mosgau S, Wiltfang J. Histologic findings in sinus augmentation with autogenous bone chips

    versus a bovine bone substitute. Int J Oral Maxillofac Implants [Internet]. 2002;18(1):53–8.

  • Araújo M, Linder E, Lindhe J. Effect of a xenograft on early bone formation in extraction sockets: An experimental study in dog.

    Clin Oral Implants Res. 2009;20(1):1–6.

  • Carmagnola D, Adriaens P, Berglundh T. Healing of human extraction sockets filled with Bio-Oss®. Clin Oral Implants Res.

    2003;14(2):137–43.

  • Artzi Z, Tal H, Dayan D. Porous Bovine Bone Mineral in Healing of Human Extraction Sockets: 2. Histochemical Observations

    at 9 Months. J Periodontol. 2001;72(2):152–9.

  • Caneva M, Botticelli D, Pantani F, Baffone GM, Rangel IG, Lang NP. Deproteinized bovine bone mineral in marginal defects at

    implants installed immediately into extraction sockets: An experimental study in dogs. Clin Oral Implants Res. 2012;23(1):106–

    12.

  • Becker W, Clokie C, Sennerby L, Urist MR, Becker BE. Histologic Findings After Implantation and Evaluation of Different

    Grafting Materials and Titanium Micro Screws Into Extraction Sockets: Case Reports. J Periodontol. 1998;69(4):414–21.

  • Hallman M, Lundgren S, Sennerby L. Histologic analysis of clinical biopsies taken 6 months and 3 years after maxillary sinus floor augmentation with 80% bovine hydroxyapatite and 20% autogenous bone mixed with fibrin glue. Clin Implant Dent Relat

    Res. 2001;3(2):87–96.

    Hsu KM, Choi BH, Ko CY, Kim HS, Xuan F, Jeong SM. Ridge Alterations following Immediate Implant Placement and the

    Treatment of Bone Defects with Bio-Oss in an Animal Model. Clin Implant Dent Relat Res. 2012;14(5):690–5.

  • Jensen T, Schou S, Gundersen HJG, Forman JL, Terheyden H, Holmstrup P. Bone-to-implant contact after maxillary sinus floor

    augmentation with Bio-Oss and autogenous bone in different ratios in mini pigs. Clin Oral Implants Res. 2013;24(6):635–44.

  • Scarano A, Degidi M, Iezzi G, Petrone G, Piattelli A. Correlation between implant stability quotient and bone-implant contact: A retrospective histological and histomorphometrical study of seven titanium implants retrieved from humans. Clin Implant Dent

    Relat Res. 2006;8(4):218–22.

  • Andreotti AM, Goiato MC, Nobrega AS, Freitas da Silva EV, Filho HG, Pellizzer EP, et al. Relationship Between Implant Stability

    Measurements Obtained by Two Different Devices: A Systematic Review. J Periodontol. 2017;88(3):281–8.

  • Huwiler MA, Pjetursson BE, Bosshardt DD, Salvi GE, Lang NP. Resonance frequency analysis in relation to jawbone

    characteristics and during early healing of implant installation. Clin Oral Implants Res. 2007;18(3):275–80.

    Statistics
    Article View: 631
    PDF Download: 879
    Home | Glossary | News | Aims and Scope | Sitemap
    Top Top

    Journal Management System. Designed by NotionWave.