Socket-Shield Technique for Buccofacial Tissues Preservation with Immediate Implant Placement and PRF Application (Clinical and Radiographic Evaluation)

Abstract

Aim: The aim of this study was to assess clinically and radiographically the efficacy of the socket shield technique in maintaining facial contours and crestal bone after immediate implant placement, combined with PRF application. Subject and Methods: Sixteens patients with 16 implants were divided into two groups, Group “1”: 8 Patients were subjected to socket shield procedure combined with immediate implant placement alone. Group “2”: 8 Patients were subject to socket Shield technique and immediate implant placement combined with PRF application. Clinical parameters were gathered at baseline, 6-, and 12-months post-operative. Results: There was a statistically significant difference between (Group 1) and (Group 2) in (mSGI), There was a statistically significant difference between (Group 1) and (Group 2) at 6 months in implant stability, and there was a statistically significant difference between both groups at 6 months in peri-implant pocket depth, there was no statistically significant difference between (Group 1) and (Group 2) in modified plaque index. Also, there was no statistically significant difference between (Group 1) and (Group 2) at different periods in bone density, In addition, There was a statistically significant difference between (Group 1) and (Group 2) groups at 12 months in (MBL). While there was no statistically significant difference between (Baseline), (6m), and (12m) between the two groups in labial bone thickness. Conclusion: The socket shield technique with or without PRF application was shown to be effective to achieve osseointegration without any inflammatory response. Using PRF with socket shield and immediate dental implants exhibited to be superior to immediate dental implants with socket shield alone in improving peri-implant conditions and dental implants.