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Video Details
Socket-Shield Technique in Immediate Implant Placement

Description:
This presentation demonstrates the use of a new approach to extraction and immediate implant placement. The Socket-Shield Technique aims to extract a tooth while maintaining the labial root segment in place. This requires a technically sensitive approach due to the need to precisely cut/drill the unwanted major portion of the tooth without disturbing the relationship of the labial segment with the labial plate of bone. The technique and supporting literature are discussed and demonstrated.

Date Added:
10/7/2013

Author(s):

Henry Salama, DMD Henry Salama, DMD
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Online Videos / Surgery / Implant / Socket-Shield Technique in Immediate Implant Placement




Questions & Comments
Hamid Kazemi - (3/7/2016 10:43 PM)

Henry- outstanding presentation. Thank you for sharing

Randy Buntyn - (1/10/2015 10:57 AM)

Hi Dr. Salama. Thank you for putting this lecture up a couple of years ago. Do you have any updates to the procedure and how outcomes are progressing? Thank you, Randy

henry salama - (3/21/2014 4:35 PM)

Hi Bashar. In this case, the tooth fragment was ankylosed. That is why it would not exfoliate. If anything it would slowly resorb in situ. As to camera settings, I would recommend taking a look at Shannon Pace's lecture: http://www.dentalxp.com/video/art-clinical-photography-971893.aspx?locale=

Bashar imran - (3/21/2014 3:57 PM)

Dr.Henry ,outstanding presentation but i have one question 1- how can we be sure that tooth will not ex foliate? 2- can you inform me about the camera setting regarding the f-stop \iso sensitivity and the shutter speed , thanks in advance

Howard Gluckman - (12/11/2013 3:08 AM)

Great result and great video. Thanks Henry

richard martin - (12/10/2013 9:59 PM)

Henry, hope you are surviving the weather! very nice detailed lecture- very useful provisional tips May be a redundant question but say you had to remove tooth - just manage with a thick CTG- And if tooth ended up in function - possibly jeopardize fragment? Cheers, Richard

ashok gowda - (10/11/2013 1:43 AM)

Hello Dr.Henry, good case and presentation. Do you leave the entire thin labial surface of the root untouched from cervical to apical area, or you keep only few mm of buccal tooth structure from cervical border, thanks, Ashok.

Jose Antonio Sanchez Caballo - (4/15/2013 10:03 AM)

I would like to see the rx after a year if it possible thank you

henry salama - (2/22/2013 4:54 PM)

Hi Hanae, I had, indeed, read the article already. My perspective on it is that 1) healthy proximal bone on adjacent teeth can maintain the papilla without help. 2) it's a very technically difficult procedure and 3) I believe a very unpredictable one as well. Think of what happens when you core out a compromised non-ankylosed tooth and leave what may become a) mobile, or b) periodontally/decay susceptible pieces interproximally that can compromise adjacent teeth. In addition, they will never osseointegrate and, therefore, you are depriving a large surface area from long-term osseointegration. Yes, as demonstrated by Dr. Kan's very nice case report, it's possible that the technique can be successful. Yes, it's a nice story to discuss. But will it be as predictable in everyday practice when compared to the standard protocol? and what is the risk profile?. As to socket shield on the labial, today, I do utilize it on ankylosed teeth where I cannot free-up the labial tooth segment without losing the labial plate. Also if it fails, I would not be compromising adjacent teeth, i.e. the risk profile is more limited and more potentially manageable. I hope that answers your question.

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