Immediate Implant Combined With Modified Socket-Shield Technique: A Case Letter

Figure 1. Patient presented with a root fracture in the right central incisor. Figure 2. Occlusal view of the right central incisor. Figure 3. Occlusal view of the retained root fragment. Figure 4. Jumping gap was left between the implant and socket shield. Figure 5. Bone graft materials were placed into the gaps. Figure 6. Personalized abutment was used to maintain the soft tissue contour.

Figure 7. Torque value was 59 Ncm 6 months after implant placement. Figure 8. Temporary restoration. Figure 9. Eight months after implant placement, final restoration with all-ceramic abutment. Evaluation of pink esthetic score: 13 (mesial papilla: 2; distal papilla: 2; soft tissue level: 2; soft tissue contour: 2; alveolar process deficiency: 2; soft tissue color: 1; and soft tissue texture: 2). Figure 10. Occlusal view after final restoration. Figure 11. Six months after restoration. Figure 12. Six months after restoration (occlusal view).

(a) Preoperative. (b) Postoperative. (c) After restoration.