Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
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.<...
[read more]


Featured Products
B.T.I. Biotechnology Institute
PRGF Endoret




Online Videos / Surgery / Periodontic Surgery / Socket -Shielded Implant for Externally Resorbing Canine




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?

Related Videos
Controversies in Modern Implant Therapy; Lasers and Immediate Loading Premium Member Content

Controversies in Modern Implant Therapy; Lasers and Immediate Loading
The biological basis for clinical applications of Lasers and Immediate Loading will be discussed and and protocols for clinical applications will be demonstrated. Protocols for soft tissue management, treatment of peri-implantitis with lasers and the positive effects of the loading forces on the bone will be used in order to accelerate treatment in Implant dentistry.

Presented By:: Georgios E. Romanos, DDS, PhD, Prof. Dr. med. dent.
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy? Premium Member Content

The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy?
Implant therapy is in the age of being increasingly aesthetically driven, not merely restorative. With the increasing popularity of immediate implants, particularly with anterior tooth extraction, the relevance of socket changes following extraction has come to the fore. Contrary to what was originally believed, the installation of an immediate implant does not arrest bone loss, and immediate implants in the aesthetic zone are prone to recession of bone and soft tissue as a result of bundle bone resorption which is obligatory with tooth extraction.

Presented By:: T.V. Narayan, MDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Partial Extraction Therapies: From Failure to Everyday Practice - Part 1 of 4 Premium Member Content

Partial Extraction Therapies: From Failure to Everyday Practice - Part 1 of 4
Tooth extraction is usually followed by the resorption of support tissues that may compromise the aesthetic and functional prognosis of the final rehabilitation. There have been numerous publications suggesting Partial Extraction Therapies contribute to the maintenance of the alveolar ridge dimensions. These techniques consist in intentionally preserving a buccal root fragment in order to avoid tearing the periodontal ligament and loosing the bundle bone, which leads to bone resorption. It has been reported that these are very sensitive techniques and may lead to some complications. In order to avoid these complications, the dental surgeon must know which cases can be treated with Partial Extraction Therapies and how to correctly perform them. In these presentations we will show what are the indications and contraindications, how to perform these techniques, the literature that sustains it, how can we benefit from digital technology to today's world, etc.

Presented By:: Dárcio Fonseca, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Surgical Veneer Grafting: Utilization in Immediate Implant Placement Premium Member Content

Surgical Veneer Grafting: Utilization in Immediate Implant Placement
The management of the digital implant prosthetic dentistry, especially in the anterior esthetic area, is one of the hottest topics in Dentistry. The diagnostic phase is critical. In the course, are discussed all the parameters to achieve the correct diagnosis of the socket and the various treatment plan correlated to each anatomical type of socket. The Dual Zone approach (bone zone and tissue zone) will be evaluated and discussed in detail, regarding each of their variables.

Presented By:: Andrea Mastrorosa Agnini, DDS;Alessandro Agnini, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Partial Extraction Therapies: From Failure to Everyday Practice - Part 1 of 4 Premium Member Content

Partial Extraction Therapies: From Failure to Everyday Practice - Part 1 of 4
Tooth extraction is usually followed by the resorption of support tissues that may compromise the aesthetic and functional prognosis of the final rehabilitation. There have been numerous publications suggesting Partial Extraction Therapies contribute to the maintenance of the alveolar ridge dimensions. These techniques consist in intentionally preserving a buccal root fragment in order to avoid tearing the periodontal ligament and loosing the bundle bone, which leads to bone resorption. It has been reported that these are very sensitive techniques and may lead to some complications. In order to avoid these complications, the dental surgeon must know which cases can be treated with Partial Extraction Therapies and how to correctly perform them. In these presentations we will show what are the indications and contraindications, how to perform these techniques, the literature that sustains it, how can we benefit from digital technology to today's world, etc.

Presented By:: Dárcio Fonseca, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Non-Surgical Periodontal Therapy: Decision Making in the 21st Century Premium Member Content

Non-Surgical Periodontal Therapy: Decision Making in the 21st Century
Non-surgical periodontal therapy is a vital part of everyday dental practice. Since the majority of periodontal therapy is performed by general dentists and dental hygienists, it is critical that clinicians have all of the requisite skills and information needed to perform these services at the highest level possible. The purpose of this presentation is to provide the latest evidence- and practice- based information on periodontal debridement and adjunctive therapies that can improve patient outcomes. Though surgical procedures may still need to be performed in some sites, the majority of inflammatory periodontal disease can be eliminated or reduced significantly using the techniques and protocols discussed in this educational segment on non-surgical periodontal therapy.

Presented By::
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Related Articles
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up

Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.

Author(s): José Carlos Martins da Rosa, DDS, MS;Ariadene Cristina Pertile de Oliveira Rosa, DDS, MSc; Carlos Eduardo Francishone, DDS, MSc, PhD; Mauricio de Almeida Cardoso, DDS, MSc, PhD; Ana Carolina Alonso, DDS; Leopoldino Capelozza Filho, DDS, MSc, PhD
View Article>>
Alveolar Ridge Preservation and Reconstruction

Alveolar Ridge Preservation and Reconstruction
Periodontal plastic surgery procedures designed to reconstruct deformed, partially edentulous residual ridges were introduced to the dental profession between 1971 and 1986. They have been revised and refined to their current state of development, where they now occupy a major place in the reconstructive armamentarium. Before these concepts were developed, it was generally believed that it was impossible to surgically reconstruct deformities in the partially edentulous ridge. Deformities were filled…

Author(s): Henry Salama, DMD;Jay S. Seibert
View Article>>
The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry

The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry
Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone-periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.

Author(s): Howard Gluckman, BDS, MChD, PhD;Maurice Salama, DMD;Jonathan Du Toit, BChD, Dipl Implantol, Dipl Oral Surg, MSc Dent
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2023

Preferred Language: English Flag
Contact Us · Login · Register