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Socket Shield; What Do We Know, What´s New?

The Socket Shield technique is a “new” procedure with 10 years of documented successful cases worldwide. Lately we have done some new proposals like the way we extract the lingual slice, the relation of the shield level to the bone, the use of miniflaps, the distance between implant and shield just to mention some. On the other hand, the only minor “ problem” with this technique is the “external shield exposure” and here I propose the method of successful treatment. We will see the convenience of applying SS to molars also on the light of the paper of Dr. Mataraso from 2009. The molar SS is a viable alternative rather than ridge preservation techniques.

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Jorge Campos Aliaga, DDS, PhD Jorge Campos Aliaga, DDS, PhD
Dr Jorge Campos Aliaga DDS, Ph D, Associate Professor ESI Barcelona, Master of Implantology School Director, Orthodontic postgraduate, Private practice in Esthetics and...
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Questions & Comments
Ruslan Sevzihanov - (9/23/2017 5:03 AM)

How long time it is necessary to use provisional crown in the esthetic zone after tooth extraction + ss + implant+ Immediate loading? The time between the placement of a temporary crown and Individual impression of the gingival for final crwn. The time differs from that of technician socket reservation ?

snjezana pohl - (9/14/2017 10:34 AM)

Great conclusion, Jorge!

James Albani - (9/12/2017 6:02 PM)

Where can I get copies of articles you mention regarding ridge with stability? thanks James

Jorge Campos - (5/7/2017 2:05 PM)

George, I´ve been doing this for 4 years and I´m very gratefull for the outcomes. The biology explanations tell us that we have to STOP extracting to obtain a better results. Please, check your own cases at 4 to 5 years on a CBCT, you´ll see how much bone you have lost!. Regards

Jorge Campos - (5/7/2017 2:02 PM)

Richard, as you told, by a tactile sensation. Once you are inside the root you perfectly notice when you are moving out. Bone is softer than tooth. Once you do few you notice perfectly. Regards

Jorge Campos - (5/7/2017 2:01 PM)

Enrique, you cant prevent about soft tissue invasion. The same happens with immediate implants. There is a 2or 3 mm. of soft tissue integration around the neck of your implant. This is not an issue. When you insert the implant closer to the shield, sometimes in contact,you don´t get the soft tissue invasion. Regards

Maurice Salama - (4/28/2017 7:11 AM)

George; Can you explain why you choose to be a late adapter to this technique? What are your primary concerns? Thanks Mo

George Duello - (4/27/2017 3:12 PM)

Jorge, Thanks for sharing-I'm going to be a late adapter on this technique but I appreciate your passion and biologic explanation. George

ENRIQUE TREVINO - (4/26/2017 12:08 PM)

Jorge, I have a question for You, when You do Flap-less technique, how do You prevent soft tissue from occupying the space between the implant and the shield? with granulomatose tissue. Is that an issue? Thank You for Your great presentation. ET from Juarez, Mexico

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