A 360-degree extraction socket classification for immediate dentoalveolar restoration.

BACKGROUND

Clinicians are often faced with changes in socket anatomy after tooth extraction. Extraction socket management can be challenging, particularly in the aesthetic zone. Before an implant-based treatment can be proposed, a detailed diagnosis of the defect type must be made and a treatment plan developed accordingly to ensure the long-term stability of peri-implant tissues.

MATERIALS AND

METHODS

The present authors developed a new extraction socket classification and associated recommendations for planning and execution of immediate dentoalveolar restoration.

RESULTS

The classification is based on six criteria: the bony anatomy of the 360-degree socket, socket health, facial gingival recession, periodontal biotype, bone density and apical height of the remaining bone. These criteria guide immediate dentoalveolar restoration planning so an optimal peri-implant tissue structure and aesthetic outcome can be achieved, and enabled long-term resolution in a complex clinical case.

CONCLUSIONS

When planning post-extraction treatment that is effective and predictable in the long term, 360-degree anatomical classification of the extraction socket must be performed to ensure that the treatment is proportional to the socket and surrounding soft tissue damage.

CONFLICT-OF-INTEREST STATEMENT: The authors declare there are no conflicts of interest relating to this study.