# Socket‐Shield Technique and Concentrated Growth Factors for Implant Placement in the Esthetic Zone: A Two‐Year Case Report

## TL;DR

A 26-year-old patient with a tooth fracture was treated using a socket-shield technique and concentrated growth factors, resulting in stable tissue healing and a good esthetic outcome over two years.

## Contribution

Combining the socket-shield technique with concentrated growth factors for implant placement in the esthetic zone without additional grafting.

## Key findings

- Minimal bone resorption and stable soft tissue contours were observed over two years.
- CGF enhanced soft tissue healing and helped maintain the alveolar ridge structure.
- Stable esthetic outcomes were achieved without the need for particulate grafting.

## Abstract

This clinical report presents a two‐year follow‐up of a case involving a traumatic tooth fracture, successfully managed using a combination of the socket‐shield technique and concentrated growth factors (CGF). The patient, a 26‐year‐old female, experienced fractures in teeth #21 and #22 following a road traffic accident. For the restoration of tooth #22, the socket‐shield technique was employed to preserve the buccal root fragment, maintaining the natural contour of the surrounding soft and hard tissues. The socket was then filled with CGF to promote wound healing and facilitate tissue regeneration. Immediate implant placement was performed without raising a flap, and tooth #21 underwent endodontic treatment followed by full‐coverage crown placement. During the two‐year follow‐up period, clinical and radiographic evaluations were conducted to assess implant stability and tissue preservation. The results indicated favorable outcomes, with minimal bone resorption and stable buccal soft tissue contours. CBCT imaging revealed no significant changes in the alveolar ridge height or thickness. Furthermore, the application of CGF appeared to enhance soft tissue healing, contributing to a stable esthetic outcome in the anterior maxillary region. This case illustrates the use of the socket‐shield technique in combination with concentrated growth factors (CGF) for implant placement in the esthetic zone, where maintenance of peri‐implant soft‐tissue contours is a key objective. In this case, CGF alone was used to manage and seal the peri‐implant gap, without adjunctive particulate grafting, and stable peri‐implant tissues were observed during follow‐up. However, given the technique‐sensitive nature of socket‐shield therapy and the limitations of a single‐case report, further controlled studies are required to clarify long‐term outcomes and reproducibility. Data Access Statement: All relevant data are within the paper and its Supporting Information files.

Socket‐shield–assisted immediate implant placement, combined with concentrated growth factors for socket sealing, may help maintain peri‐implant soft‐tissue contour in the esthetic zone. In this 2‐year case, the peri‐implant gap was managed with concentrated growth factors alone, achieving stable peri‐implant tissues with meticulous technique.