Socket Shield for Canine
Extraction of the residual root at #11 (Fig.1) turns out to be difficult (Fig.2 (arrow: after use of small elevator). The tooth is sectioned (Fig.2 *); the palatal portion is removed, while the buccal one is trimmed until new moon-shaped and subgingival (Fig.3 * (gauze (G) packed in the socket while photo taking)). Initial osteotomy is 20 mm deep with nasal floor perforation (Fig.4). The subsequent depth is 17 mm (Fig.5). When a 5x17 mm tissue-level implant is placed (Fig.6,7; >60 Ncm), there is a gap between it and the socket shield (Fig.6 *). Gap-filling Vera Graft (Fig.8 *) also covers the shield prior to fabrication of an immediate provisional (Fig.9). There is no apparent bone loss 3.5 months postop (Fig.10).
Immediate Implant, IBS
Xin Wei, DDS, PhD, MS 1st edition 09/19/2017, last revision 01/06/2018