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Step-By-Step: Socket Shield Technique

This presentation will discuss the following hot topics about this “new” technique. What is Socket Shield (SS)? Why do we do SS? Which are the biologic principles underneath SS? History of the SS Technical procedures: horizontal cut, vertical split, edge position, inside thinning of the SS.

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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
최정원 최 - (10/27/2015 1:04 AM)

Thanks for the wonderful presentation !! Idea and technique is awesome. I just wonder about the success rate of SS technique ?

Masuod Adeli - (10/24/2015 7:10 AM)

Jorge, which kind of burs/diamonds do you utilise for sectioning long roots؟specially when the adjacent teeth have long crowns.thanks Masuod

Joey Chen - (10/22/2015 9:44 PM)

Jorge, in the case where you did socket shield for two adjacent implants, you kept both the buccal and distal root fragments. It looked like you separated the two fragments, what's the reason for separating them? Can you also leave them connected, like a "L" shape? Thank you

Jorge Campos - (10/22/2015 4:31 AM)

Joey, minimum could be 1mmm, and I understand that if the root is dark and grey with aesthetic impairment, perhaps biologically is a good way to mantain bone but with a dark shadow below the gingiva will produce a bad efect. If the discoloration is present I wouldn´t do the SS due to aesthetic reasons. If there isn´t I don´t think it´ll produce on the future. Jorge

Jorge Campos - (10/22/2015 4:27 AM)

Jeffrey, adequate torque is over 40 Nw and buccolingual stability. I don´t understand the question, you mean if I cannot insert the implant at the moment, if we can leave a SS and after 3 months implant? The answer is YES, this is the Glocker suggestion on 2014. They routinelly did this. Extraction leaving the SS and regeneration of the socket. After 3 months full regeneration was obtained. Jorge.

Joey Chen - (10/21/2015 9:53 PM)

Great presentation,thank you! I have two questions. Is there a recommended thickness for the buccal root fragment? Also, in endodontically treated teeth, sometimes we see darkening of the roots over time. So is it possible that the root fragment will become dark and results in discoloration of the gingival tissue after a few years? Thank you Joey

Jeffrey Gross - (2/15/2015 5:29 PM)

Thank you for a wonderful lecture. I would like to ask a question regarding molar implants. If it is not indicated to place an implant at the time of extraction, due to size of the defect left after extraction. Would you routinely advocate leaving buccal bone and then placing the implant 2-3 months in the future? Also what do you consider adequate torque to load the implant immediately? Thank you

Jorge Campos - (9/25/2014 11:37 AM)

James, thanks for words. Of course, we select the tooth that is periodontally healthy to do the SS tech. But "could" have a decay/ perio disease some day. The nature on dog studies show that there is an osseointegration between SS and implant. Sometimes there is bone in between, some others implant-new cement (root cement). Thanks for your interest. Jorge

James Nager - (9/25/2014 8:08 AM)

Bravo! Very nice presentation, good review of biologic principles. I wonder about perio disease around the remaining tooth fragment, socket shield. Is the socket shield subject to accumulation of local irritant, subject to perio disease, subject to decay? What is the nature of the attachment between the socket shield and the implant surface- bone, soft tissue, hemi-desmisomes?

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