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Socket Shield Technique

Atraumatic extraction of a tooth with immediate implant placement was found to result in the loss of buccal bone, both vertically and horizontally as well as flattening of the interproximal bony scallop resulting in a complicated rehabilitation. The SST provides a promising treatment modality to manage these risks and preserve the postextraction tissues in esthetically challenging cases. The principle is to prepare the root of a tooth, which is indicated for extraction, in such a manner that the buccal/facial root section remains in place. In the socket-shield technique (SST) the root is bisected, and the buccal two-third of the root is preserved in the socket so that the periodontium along with the bundle bone and the buccal bone remains intact. he buccal bone has bilateral blood supply from the gingiva above and the periodontium below. Once a tooth is extracted, buccal bone is deprived of the blood supply from socket side and this result in the loss of some buccal bone. The root section preserves the periodontal attachment apparatus that includes periodontal ligament (PDL), attachment fibers, vascularization, root cementum, bundle bone, and alveolar bone.The root fragment remains vital and undamaged and prevents the expected postextraction socket remodeling and also supports the buccal/facial tissues. Contents : 00:00 intro 00:52 Horizontal cut 01:26 Height reduction 02:16 Vertical cut 03:12 Palatal Segment Extraction 03:55 Shield preparation 05:02 Beveling the shield 06:18 Case demonstration Music Info: Epic Cinematic Dramatic Adventure Trailer by RomanSenykMusic. Music Link:    • Epic Cinematic Dramatic Adventure Trailer ...   Music from #InAudio: https://inaudio.org/ Track Name.; inaudio - Infraction Music - Vega