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Video Details
The Advantages of the Root Submergence Technique (RST) for Pontic Site Enhancement part 1

Description:
By maintaining the natural tooth root through the root submergence technique (RST) we are better able to preserve a much greater amount of surrounding tissue than the more commonly used socket preservation technique. RST maintains the natural attachment apparatus of the tooth in the pontic site which in turn allows for complete preservation of the alveolar bone frame and creates a more esthetic result in multiple tooth replacement cases.

Date Added:
3/23/2010

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Online Videos / Surgery / Implant / The Advantages of the Root Submergence Technique (RST) for Pontic Site Enhancement part 1




Questions & Comments
Band Ditto64 - (10/13/2012 1:37 PM)

This is simply a great CONCEPT Dr. Salama and that you can perform it with VITAL roots is amazing. REAL TRUE and COMPLETE Ridge Preservation!!! thank you Band

james kim - (8/7/2012 9:59 PM)

I have a question on the sequence of your anterior lateral eruption case.I know you placed an implant in the #8 site for the ortho anchorage. But could you not have just placed brackets on the 6 anteriors and not place the implant until later? I would have thought that once you have the mesial bone at the ideal position on #7, placing the implant with hard and soft grafts would be more predictable. Great presentation by the way!

kevin potocsky - (5/1/2012 5:05 PM)

maurice,

for the roll technique from mod 2 do you do a horizontal split thickness incision on the buccal and two vertical incisions to bone right? do you have a video on xp of this?

Maurice Salama - (5/1/2012 9:32 AM)

As an update on root submerge nice. We continue to have excellent long term results! Also, vital teeth have performed very well. Dr. S

Maurice Salama - (5/13/2010 5:25 AM)

Yitzchak; Thanks. There is a risk of eruption of the root if there is no keratinized tissue covering it and a pontic with contact on the gingiva. As for cutting root, we want to cut it roughly 1mm above the bone and we perform this sometimes without a flap utilizing diamond burs and magnification. Hemostasis is key to allow visualization.
Good luck
Dr. S

yitzchak GOLDSHMID - (5/12/2010 10:18 AM)

Maurice! brilliant idea as allways.. 2 ques. 1. isn't there any risk of that root trying to erupt in the future? 2. could you describe in a few words how you cut to bone level without raising a flap? thanks! Yitzchak

Maurice Salama - (3/28/2010 6:04 AM)

Milind;
Endodontics is not necessary. Vital roots can be submerged. Perio roots should be debrided prior to submergence. If the root has endo, it should be sealed with glass ionomer. Multi-rooted teeth ok for RST. Can last many years in submerged state but no definite research although our cases have as many as 10+ years in some early cases.
Good luck Dr. S

milind saudagar - (3/26/2010 8:22 PM)

both videos fantastic. my question is, what is the criteria to keep rootpieces inside the bone. do we need to do perfect endodontics? what should be the periodontal condition. because most of the teeth we extract are perio compromised. also does this apply to multi rooted teeth? how many years do these root pieces stay submerged? also what material is used to seal the coronal aspect of these pieces below the gum line.

Sam Busich - (3/26/2010 9:08 AM)

Milind;
Part 2 is on the Homepage right now directly below Part 1 and it is terrific. He shows 3 ways to address vertical defects in the anterior region. Take a look.
Sam

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