Khachatryan G.V., Stepanov A.G., Apresyan S.V. Long-term results of dental prosthetics using the root shield technique: a series of clinical cases. Head and neck. Russian Journal. 2025;13(2):105–113
DOI: https://doi.org/10.25792/HN.2025.13.2.105-113
Introduction. Prosthetics of anterior group teeth is associated with a number of technical difficulties — a high risk of impaired bone trophism with subsequent bone thinning and a high incidence of thin vestibular plate (i.e., a deficit of bone tissue for reliable implant placement). The root shield technique with preservation of the vestibular portion of the root can solve early and delayed problems, preserving bone stability and a high potential for osseointegration.
Purpose of the study. To report on a series of clinical case series of implantation using the root shield technique.
Materials and Methods. This single-center cohort study included clinical cases of the root shield technique for prosthodontics of an anterior group of teeth.
Results. With a median follow-up of 36 months (26;57), excellent aesthetic and functional results were achieved even with complex reconstruction techniques using a dental bridge and single-stage implantation. According to CT scans, there was no significant regression of the density and thickness of the vestibular plate in any of the patients presented.
Conclusion. The technique of root shield at implantation is an anatomical and physiologic intervention providing good osteointegration and great durability of the implant even in case of thinning vestibular plate.
Keywords: root shield, prosthetic teeth, thin vestibular plate
Conflicts of interest. The authors has no conflicts of interest to declare.
Funding. There was no funding for this study