Dr. Gurgen Khachatrian (Russia)

Brief CV

• Education International Medical College (IMC), Mnster, Germany February 2025- Masters Program

• Kemerovo State Medical Academy (Kemerovo SMA) June 2015 Prosthodontics

• AltaState Medical University (ASMU) July 2013 Oral Surgery

• Siberian State Medical University (SibSMU) June 2012 General Dentistry

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National Round

• Title : Immediate Implantation Using the "Socket Shield" and B2S Techniques

• Abstract : Modern dental implantology is increasingly focused on achieving treatment solutions that combine predictability, functional stability, and high-level aesthetics. One of the most promising approaches is the integration of the partial extraction technique (Socket Shield) with bone augmentation, which minimizes alveolar ridge resorption and preserves the gingival contour in aesthetically critical areas. This clinical case presents two different treatment strategies: the use of the Socket Shield protocol with immediate implantation in region 1.1 and traditional B2S bone grafting with subsequent implant placement in region 2.3. The choice of approach was based on local anatomical conditions and aesthetic requirements. The Socket Shield technique involved preservation of the buccal root fragment to prevent soft tissue collapse and maintain gingival profile stability. The use of the dedicated MegaGen instrument kit, developed with the participation of Professor Howard Gluckman, allowed for standardization of shield preparation, reduced the risk of complications, and increased the reproducibility of the protocol. Digital planning with CBCT and intraoral scanning ensured accurate implant positioning and served as the foundation for surgical guide fabrication, thus minimizing intraoperative risks. In region 2.3, after removal of a failed implant, bone augmentation was performed using an autogenous graft harvested from the maxillary tuberosity. Careful adaptation and fixation of the graft provided restoration of bone volume and created a stable foundation for future osseointegration. Four months after surgery, the clinical evaluation demonstrated preserved soft tissue aesthetics and gingival stability in region 1.1, as well as successful bone regeneration in region 2.3. Long-term follow-up over five years confirmed implant stability, maintenance of gingival contours, and functional reliability of the restorations. This case report illustrates that the integration of the Socket Shield technique and B2S bone grafting broadens the therapeutic options for individualized patient rehabilitation, delivering predictable long-term aesthetic and functional outcomes.