CLINICAL CASE

Shield Technique in a case with immediate implant placement

Dr. Luka Markovic

Following tooth extraction in the mandibular, the clinical situation presented a severely compromised buccal wall with complete loss of the buccal plate. An implant was placed immediately into the extraction socket, and the defect was grafted with cerabone® +HyA, whose high-volume stability and excellent biocompatibility provide a predictable and long-lasting foundation for implants. To ensure space maintenance and create an optimal environment for bone regeneration, NOVAMag® SHIELD was carefully tucked between the bone and soft tissue and secured with sutures; its strong mechanical properties and gradual magnesium resorption allow for stability during healing without the need for removal. Finally, mucoderm® was applied over the augmented site to increase soft tissue thickness. This xenogeneic collagen matrix serves as an effective alternative to autologous connective tissue grafts. Primary wound closure was achieved, ensuring stable healing and optimal conditions for regeneration. At six months, the follow-up demonstrates strong regenerative results and stable new bone formation.

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