All-in-one digital template-guided apicoectomy and modified socket shield technique for apical-infected aesthetic sites: A technical note - 25/07/26

Doi : 10.1016/j.jormas.2026.102903

Xueqi Guo ^a,^b, Lingqiao Xu ^c, Dongping Lan ^a,^b,^d, Mi Zhou ^a,^b, Zheqing Zhou ^a,^b, Yang Yang ^a,^b,^e, Yi Man ^a,^b,^⁎

^a State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China

^b Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China

^c The People’s Hospital of Baoan Shenzhen, Shenzhen, China

^d Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi Wu Lu No.98, Xi'an, Shaanxi, China

^e Tissue and Tumor Microenvironments Lab, Cancer Discovery and Regenerative Medicine Program, Lee Kong Chian School of Medicine, Nanyang Technological University, 636921, Singapore

^⁎ Corresponding author at: Chair of Department of Oral Implantology, State Key Laboratory of Oral Diseases and National Center for Stomatology and National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, China. Chair of Department of Oral Implantology State Key Laboratory of Oral Diseases and National Center for Stomatology and National Clinical Research Center for Oral Diseases Department of Oral Implantology West China Hospital of Stomatology Sichuan University 14#, 3rd section, Renmin South Road Chengdu 610041 China

Abstract

Introduction

The socket-shield technique (SST) is one of the effective methods for maintaining hard and soft tissue contours during immediate implant placement. For non-restorable teeth complicated with chronic apical inflammation, conventional SST alone often fails to ensure complete elimination of apical infection.

Technical note

For aesthetic zone teeth with chronic apical inflammation that are planned for SST, fabrication of an apicoectomy guide using digital technologies not only enables thorough removal of apical lesions and guarantees the required shield length but also provides an optimal surgical field for precise socket-shield preparation.

Conclusion

This technique standardizes the operative process of SST for teeth with chronic apical inflammation, effectively eliminates apical infection, ensures sufficient shield length and clear surgical visualization, and may potentially broaden the indications of SST in such specific clinical scenarios.

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Keywords : Socket-shield technique, CAD/CAM, Periapical periodontitis

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Vol 127 - N° 6

Article 102903- décembre 2026 Retour au numéro

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All-in-one digital template-guided apicoectomy and modified socket shield technique for apical-infected aesthetic sites: A technical note - 25/07/26

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Technical note

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