根盾术的研究进展

doi:10.12337/zgkqzzxzz.2023.04.009

摘要/Abstract

摘要： 根盾术是近十几年来在口腔种植中出现的一门新技术,其技术推出的目的就是为了从根本上阻断牙拔除后牙槽窝生理性吸收的过程。但是其诊疗的标准操作和远期效果尚未得到共识性结论,同时随着数字化技术的发展,如何精准、高效的应用根盾术也逐渐受到关注。本文将就根盾术的临床程序、并发症、评价指标和数字化应用等方面予以综述,期望为该技术在口腔种植中的推广提供理论依据。

关键词: 根盾术, 临床程序, 并发症, 评价指标, 数字化

Abstract: The socket shield technique is a new technology emerging in oral implantology in the last decade or so. Its introduction is to fundamentally interrupt the process of physiologic resorption in the alveolar socket after the tooth extraction. But no consensus has been reached on the standard operation and long-term effect of this treatment. Meanwhile with the development of digital technology, how to accurately and efficiently apply the socket shield technique has gradually attracted attention. The clinical procedure, the complication, the evaluation index and the digital application of the socket shield technique will be reviewed in this paper, hoping to provide a theoretical basis for the promotion of this technique in oral implantology.

Key words: Socket shield technique, Clinical procedure, Complication, Evaluation index, Digitalization

罗震,等刘宏,等吴王喜. 根盾术的研究进展[J]. 中国口腔种植学杂志, 2023, 28(2): 119-123. DOI: 10.12337/zgkqzzxzz.2023.04.009

Luo Zhen, Liu Hong, Wu Wangxi. Research progress of the socket shield technique[J].Chinese Journal of Oral Implantology, 2023, 28(2): 119-123.DOI: 10.12337/zgkqzzxzz.2023.04.009.

参考文献

[1] Huynh-Ba G, Pjetursson BE, Sanz M, et al.Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement[J]. Clin Oral Implants Res, 2010,21(1):37-42. DOI: 10.1111/j.1600-0501.2009.01870.x.
[2] Araújo MG, Lindhe J.Dimensional ridge alterations following tooth extraction. An experimental study in the dog[J]. J Clin Periodontol, 2005,32(2):212-218. DOI: 10.1111/j.1600-051X.2005.00642.x.
[3] Sanz M, Cecchinato D, Ferrus J, et al.A prospective, randomized-controlled clinical trial to evaluate bone preservation using implants with different geometry placed into extraction sockets in the maxilla[J]. Clin Oral Implants Res, 2010,21(1):13-21. DOI: 10.1111/j.1600-0501.2009.01824.x.
[4] Hürzeler MB, Zuhr O, Schupbach P, et al.The socket-shield technique: a proof-of-principle report[J]. J Clin Periodontol, 2010,37(9):855-862. DOI: 10.1111/j.1600-051X.2010.01595.x.
[5] Dayakar MM, Waheed A, Bhat HS, et al.The socket-shield technique and immediate implant placement[J]. J Indian Soc Periodontol, 2018,22(5):451-455. DOI: 10.4103/jisp.jisp_240_18.
[6] Kan JY, Rungcharassaeng K.Proximal socket shield for interimplant papilla preservation in the esthetic zone[J]. Int J Periodontics Restorative Dent, 2013,33(1):e24-e31. DOI: 10.11607/prd.1346.
[7] Kumar PR, Kher U.Shield the socket: procedure, case report and classification[J]. J Indian Soc Periodontol, 2018,22(3):266-272. DOI: 10.4103/jisp.jisp_78_18.
[8] Gluckman H, Salama M, Du Toit J.A retrospective evaluation of 128 socket-shield cases in the esthetic zone and posterior sites: partial extraction therapy with up to 4 years follow-up[J]. Clin Implant Dent Relat Res, 2018,20(2):122-129. DOI: 10.1111/cid.12554.
[9] Bäumer D, Zuhr O, Rebele S, et al.Socket shield technique for immediate implant placement - clinical, radiographic and volumetric data after 5 years[J]. Clin Oral Implants Res, 2017,28(11):1450-1458. DOI: 10.1111/clr.13012.
[10] Pozzi A, Arcuri L, Kan J, et al.Navigation guided socket-shield technique for implant and pontic sites in the esthetic zone: a proof-of-concept 1-year prospective study with immediate implant placement and loading[J]. J Esthet Restor Dent, 2022,34(1):203-214. DOI: 10.1111/jerd.12867.
[11] Staehler P, Abraha SM, Bastos J, et al.The socket-shield technique: a step-by-step protocol after 12 years of experience[J]. Int J Esthet Dent, 2020,15(3):288-305.
[12] Mitsias ME, Siormpas KD, Kontsiotou-Siormpa E, et al.A step-by-step description of PDL-mediated ridge preservation for immediate implant rehabilitation in the esthetic region[J]. Int J Periodontics Restorative Dent, 2015,35(6):835-841. DOI: 10.11607/prd.2148.
[13] Glocker M, Attin T, Schmidlin P.Ridge preservation with modified “socket-shield” technique: a methodological case series[J]. Dentistry journal, 2014,2(1):11-21. DOI:10.3390/dj2010011.
[14] Troiano M, Benincasa M, Snchez P, at al. Bundle bone preservation with root-t-belt: case study[J]. Annals of Oral & Maxillofacial Surgery 2014,2(1):7.
[15] Gluckman H, Du Toit J, Salama M, et al.A decade of the socket-shield technique: a step-by-step partial extraction therapy protocol[J]. Int J Esthet Dent, 2020,15(2):212-225.
[16] Tan Z, Kang J, Liu W, et al.The effect of the heights and thicknesses of the remaining root segments on buccal bone resorption in the socket-shield technique: an experimental study in dogs[J]. Clin Implant Dent Relat Res, 2018,20(3):352-359. DOI: 10.1111/cid.12588.
[17] Calvo-Guirado JL, Troiano M, López-López PJ, et al.Different configuration of socket shield technique in peri-implant bone preservation: an experimental study in dog mandible[J]. Ann Anat, 2016,208:109-115. DOI: 10.1016/j.aanat.2016.06.008.
[18] Bäumer D, Zuhr O, Rebele S, et al.The socket-shield technique: first histological, clinical, and volumetrical observations after separation of the buccal tooth segment-a pilot study[J]. Clin Implant Dent Relat Res, 2015,17(1):71-82. DOI: 10.1111/cid.12076.
[19] Mitsias ME, Siormpas KD, Kotsakis GA, et al.The root membrane technique: human histologic evidence after five years of function[J]. Biomed Res Int, 2017,2017:7269467. DOI: 10.1155/2017/7269467.
[20] Schwimer C, Pette GA, Gluckman H, et al.Human histologic evidence of new bone formation and osseointegration between root dentin (unplanned socket-shield) and dental implant: case report[J]. Int J Oral Maxillofac Implants, 2018,33(1):e19-e23. DOI: 10.11607/jomi.6215.
[21] Sharma A, Maheshwari K, Tiwari B, et al.Socket shield technique: an unconventional method for immediate implant placement - a review[J]. Natl J Maxillofac Surg, 2022,13(Suppl 1):S24-S35. DOI: 10.4103/njms.NJMS_53_20.
[22] Siormpas KD, Mitsias ME, Kotsakis GA, et al.The root membrane technique: a retrospective clinical study with up to 10 years of follow-up[J]. Implant Dent, 2018,27(5):564-574. DOI: 10.1097/ID.0000000000000818.
[23] Ogawa T, Sitalaksmi RM, Miyashita M, et al.Effectiveness of the socket shield technique in dental implant: a systematic review[J]. J Prosthodont Res, 2022,66(1):12-18. DOI: 10.2186/jpr. JPR_D_20_00054.
[24] Siormpas KD, Mitsias ME, Kontsiotou-Siormpa E, et al.Immediate implant placement in the esthetic zone utilizing the "root-membrane" technique: clinical results up to 5 years postloading[J]. Int J Oral Maxillofac Implants, 2014,29(6):1397-1405. DOI: 10.11607/jomi.3707.
[25] Guo T, Nie R, Xin X, et al.Tissue preservation through socket-shield technique and platelet-rich fibrin in immediate implant placement: a case report[J]. Medicine (Baltimore), 2018,97(50):e13175. DOI: 10.1097/MD.0000000000013175.
[26] Arabbi KC, Sharanappa M, Priya Y, et al.Socket shield: a case report[J]. J Pharm Bioallied Sci, 2019,11(Suppl 1):S72-S75. DOI: 10.4103/jpbs.JPBS_228_18.
[27] Nguyen VG, Flanagan D, Syrbu J, et al.Socket shield technique used in conjunction with immediate implant placement in the anterior maxilla: a case series[J]. Clin Adv Periodontics, 2020,10(2):64-68. DOI: 10.1002/cap.10087.
[28] Sáez-Alcaide LM, González Fernández-Tresguerres F, Cortés-Bretón Brinkmann J, et al. Socket shield technique: a systematic review of human studies[J]. Ann Anat, 2021,238:151779. DOI: 10.1016/j.aanat.2021.151779.
[29] Abadzhiev M, Nenkov P, Velcheva P.Conventional immediate implant placement and immediate placement with socket-shield technique-which is better[J]. International Journal of Clinical Medicine Research, 2014,5(1):176-180.
[30] Barakat DA, Hassan RS, Eldibany RM.Evaluation of the socket shield technique for immediate implantation[J]. Alexandria Dental Journal, 2017,2:155-161.DOI: 10.21608/adjalexu.2017.57919.
[31] Bramanti E, Norcia A, Cicciù M, et al.Postextraction dental implant in the aesthetic zone, socket shield technique versus conventional protocol[J]. J Craniofac Surg, 2018,29(4):1037-1041. DOI: 10.1097/SCS.0000000000004419.
[32] Abd-Elrahman A, Shaheen M, Askar N, et al.Socket shield technique vs conventional immediate implant placement with immediate temporization. Randomized clinical trial[J]. Clin Implant Dent Relat Res, 2020,22(5):602-611. DOI: 10.1111/cid.12938.
[33] Zhu YB, Qiu LX, Chen L, et al.Clinical evaluation of socket shield technique in maxillary anterior region[J]. Zhonghua Kou Qiang Yi Xue Za Zhi, 2018,53(10):665-668. DOI: 10.3760/cma.j.issn.1002-0098.2018.10.004.
[34] Xu YM, Huang H, Wang L, et al.Comparison of clinical effects of a modified socket shield technique and the conventional immediate implant placement[J]. Hua Xi Kou Qiang Yi Xue Za Zhi, 2019,37(5):490-495. DOI: 10.7518/hxkq.2019.05.007.
[35] Atef M, El Barbary A, Dahrous M, et al.Comparison of the soft and hard peri-implant tissue dimensional changes around single immediate implants in the esthetic zone with socket shield technique versus using xenograft: a randomized controlled clinical trial[J]. Clin Implant Dent Relat Res, 2021,23(3):456-465. DOI: 10.1111/cid.13008.
[36] Sun C, Zhao J, Liu Z, et al.Comparing conventional flap-less immediate implantation and socket-shield technique for esthetic and clinical outcomes: a randomized clinical study[J]. Clin Oral Implants Res, 2020,31(2):181-191. DOI: 10.1111/clr.13554.
[37] 姚晨阳, 梅东梅, 滕敏华, 等. 上颌前牙区根盾术即刻种植与常规即刻种植的临床效果评价[J].中国口腔颌面外科杂志,2021,19(6):536-541. DOI: 10.19438/j.cjoms.2021.06.010.
[38] 林曦, 李少冰, 丁祥龙, 等. "盾构术"的临床应用及潜在风险[J].口腔疾病防治, 2021, 29(2):115-118. DOI: 10.12016/j.issn.2096-1456.2021.02.008.
[39] Chen L, Yang Z, Liu X, et al.CAD-CAM titanium preparation template for the socket-shield technique[J]. J Prosthet Dent, 2020,123(6):786-790. DOI: 10.1016/j.prosdent.2019.06.009.
[40] Costa A, Teixeira Neto AD, Burgoa S, et al.Fully digital workflow with magnetically connected guides for full-arch implant rehabilitation following guided alveolar ridge reduction[J]. J Prosthodont, 2020,29(3):272-276. DOI: 10.1111/jopr.13150.
[41] Zhang X, Wang J, Wan Q, et al.Guided residual root preparation for socket-shield procedures: a clinical report[J]. J Prosthet Dent, 2020,124(6):625-631. DOI: 10.1016/j.prosdent.2019.11.005.