Partial Extraction Therapy in Implant Dentistry 2020

Leaving part of the tooth root before implant placement was once considered unacceptable and against basic implant principles. When the socket shield technique was first introduced in 2012, it was instinctively rejected by many clinicians. However, exposure to advanced clinical work by experienced practitioners gradually changed this view. Early clinical cases showed outstanding results, even better than those achieved with traditional methods, which encouraged wider use of the technique.

At the beginning, there was very limited scientific literature on Partial Extraction Therapies (PET), so clinicians relied mainly on the experience of the pioneers of the technique to follow proper protocols. Over the past five years, PET has gained significant global popularity, creating the need for clear guidelines to ensure predictable outcomes, reduce errors, and manage complications effectively.

This guidebook presents PET as a comprehensive treatment approach, focusing on correct case selection and step-by-step clinical procedures. It explains all three PET modalities—socket shield, pontic shield, and root submergence—and describes the restorative phase in detail, including both interim and final restorations.

PET is introduced as a patient-centered approach that reduces morbidity, treatment time, and cost while providing superior clinical results. With increasing scientific evidence supporting its effectiveness, PET is expected to become a routine part of modern implant dentistry and a practical technique for daily clinical use.