Case Report

A Double Case: Socket Shield and Pontic Shield Techniques on Aesthetic Zone

Table 1

Partial extraction therapies (PET) and their indications, adapted from Siormpas et al. [7].

PETClinical situation(s) indicated

Root submergence(i) Unrestorable tooth crown or tooth indicated for extraction absence of apical pathology
(ii) Healthy amputated pulp or endodontic therapy completed intention to preserve the alveolar ridge
(ii) Planned removable full or partial prosthesis
(iv) Planned pontic site beneath fixed prosthesis
(v) Cantilever pontic site as an alternative to two adjacent implants
(vi) Actively growing young patient planned for implant treatment later
(vii) Ridge preservation in conjunction with other PET

Socket shield(i) Unrestorable tooth crown or tooth indicated for extraction tooth root with or without apical pathology
(ii) Intention to preserve the alveolar ridge, specifically to prevent buccopalatal collapse
(iii) Immediate implant placement
(iv) Ridge preservation in conjunction with other PET

Pontic shield(i) Unrestorable tooth crown or tooth indicated for extraction tooth root with or without apical pathology
(ii) Intention to preserve the alveolar ridge
(iii) Planned pontic site(s) beneath fixed prosthesis
(iv) Cantilever pontic site as an alternative to two adjacent implants
(v) Ridge preservation in conjunction with other PET

Proximal socket shield(i) Unrestorable tooth crown or tooth indicated for extraction tooth root with or without apical pathology
(ii) Intention to preserve interdental papillae
(iii) Planned immediate implant placement sites of two or more adjacent implants
(iv) Papillae preservation in conjunction with other PET