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Video Details
Socket -Shielded Implant for Externally Resorbing Canine

Description:
This 50yr.+ female showed external/internal resorption of tooth #11. Socket Shield technique was used saving the facial and interproximal of the tooth. Remainder of tooth was removed by vertically sectioning the tooth with surgical burs in 45 degree high-speed handpiece. Implant placed was a 4.6 x 15mm Tapered Plus Biohorizon implant. Mineross was mixed with saved bone and placed in gap areas. An Emax bonded Maryland bridge was then bonded to adjacent teeth for a temporary replacement. The implant, healing collar and graft were covered with PRF. Nine day post op is shown. This case will be closely followed and posted on XP.

Date Added:
12/5/2014

Author(s):

Paul S Kozy, DDS Paul S Kozy, DDS
Dr. Paul S. Kozy practices Advanced Implant, Reconstructive and Cosmetic Dentistry in Toledo, Ohio with his daughters, Dr. Bridget Kozy Snyder and Dr. Jacqueline Kozy.<...
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Questions & Comments
Paul Kozy DDS - (2/22/2018 10:56 AM)

Interesting. I hadn't seen this in a long time. This case is now nearing 4 years old. It has been restored and is healthy and stable. Today I would prepare the SS shoulder down to bone level on the facial. Also with this insertion stability I would provisionalize immediately with screw retained PMMA crown.

Paul Kozy DDS - (9/12/2015 11:04 AM)

I will post follow-up next week.

PAVAN KUMAR - (9/11/2015 2:09 PM)

1.Would u extract the root later after 4 months or not? 2. Would it get infected or resorption u r expecting? 3.u would rather extract and place an implant Thank u for ur presentation

ardeshir najafi - (3/25/2015 11:41 AM)

nice

Paul Kozy DDS - (12/26/2014 9:27 AM)

Jorge I plan on restoring in 4 months. Insert abutment and impress for crown. Make provisional at same time. Thanks

Paul Kozy DDS - (12/13/2014 4:40 PM)

Thank you Gentlemen. Indeed time will tell. I think we're on the right track. I don't think it's a good idea to leave devital canals. So I try to eliminate them. Anyone measuring B-L stability? Thanks PK

Charles Schwimer - (12/13/2014 2:00 PM)

Paul. Outstanding skill level and documentation! In regard to root respiration,there are many possibilities. Including resorption/ankylosis. IMO the most serious consequence of SS wouldn't be necessarily be root resorption, but rather be loss of the shield and buccal plate. Probably no different than if the tooth were non-traumatically extracted. I guess in time many of our questions will be answered. Thank you for providing such a nice video. Best regards. Chuck

Jorge Campos - (12/12/2014 12:35 PM)

Paul just perfect! I think this will be the standard of SS treatment quality! Beautifull and perfectly executed. Could be the implant one or two mm. smaller? Yes, but this won´t change the outcome. Implant position is perfect. I prefer to make a taylored healing abutment and a removable prosthesis. But this will work as well. When do you plan to load this implant? Will you use a provitional crown? Thanks for this video and documentation.

Paul Kozy DDS - (12/12/2014 9:24 AM)

Surprised there's not more discussion. No thoughts on possible external resorption later? Implant position, prosthesis, loading etc?

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