Socket shield technique versus sticky bone in immediate dental implant in esthetic zone

Abstract

Objective: The present study was performed to evaluate immediate implant placement with socket-shield technique versus using bone graft filling the jumping gap in the form of sticky bone in maxillary aesthetic zone. Subjects and Methods: Sixteen patients were included in this study (n=16), they were divided into two groups: group (I): eight patients were subjected to socket shield procedure with immediate implant placement. Group (II): eight patients were subjected to immediate implant placement with sticky bone in the jumping gap. After surgery each patient were evaluated clinically for: pain values, esthetic results using pink esthetic score (PES) and implant stability using Osstell device. All patients received immediate and 6 months postoperative CBCT to assess bone density and the dimensional changes in the labial bone plates. Results: The mean vertical bone loss value after 6 months in group I was 0.28 ± 0.13 mm contrary to group II which was 0.46 ± 0.19 mm which was statistically significant. The mean horizontal bone loss value after 6 months in group I was 0.17 ± .099 mm while in group II it was 0.25 ± 0.13 mm which was statistically not significant. Conclusion: Both socket shield technique and using the sticky bone to fill the jumping gap preserved the labial bone thickness and height with superiority of socket shield in preservation of its height.