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Volume 36 , Issue 3
May/June 2016
Pages 417–423

The Pontic-Shield: Partial Extraction Therapy for Ridge Preservation and Pontic Site Development

Howard Gluckman, BDS, MChD (OMP)/Jonathan Du Toit, BChD, Dipl Implantol, Dipl Oral Surg, MSc Dent/Maurice Salama, DDS

PMID: 27100812
DOI: 10.11607/prd.2651

Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone–periodontal ligament apparatus. Root submergence has been demonstrated to retain the periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.

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