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Video Details
The Submerged Root Technique “RST”: A Clinical Case and Video Series

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 root 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. In this Case Report and Video, the concept and surgical technique are highlighted in detail including a video of the actual submergence and graft as well as follow up and restoration.

Date Added:
10/23/2013

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 / Periodontic Surgery / The Submerged Root Technique “RST”: A Clinical Case and Video Series




Questions & Comments
Maurice Salama - (7/3/2019 3:58 PM)

Robert; I NEVER do the submerged root technique with synthetic or allograft materials of any kind and would not advocate such an approach. regards Dr. Salama

Robert Sanker - (7/2/2019 7:41 PM)

are you currently doing the submerged root technique with synthetic graft material and what is the success rate?

Maurice Salama - (4/22/2019 9:52 AM)

Big difference with RST, we are trying to prevent loss of ridge contour and volume by keeping 1mm of tooth structure contoured along the scalloped form of the CEJ. This keeps bone at crest and supercrestal fibers engaged into the 1mm of the tooth root structure providing maximum maintenance and preservation. We showed this in our diagrams during the presentation. I am unaware of the Malia technique of 2-3 mm below crest but it makes no sense to me as anything removed below the crest will not preserve the crest of bone and it will resorb. Yes, you can utilize tuberosity as graft seal but I do not prefer this as the material of choice as it is more dense and difficult to carry onto the labial and palatal aspects and maintain vascularity. My choice is CTG from palate here. Hope this clarifies things for you, Dr. Salama

daniel gremban - (4/1/2019 10:36 AM)

Dr. Salama: PLease provide some clarity on the technique you use with reduction 1mm above bone with CT grafting vs Dr. Mallia technique of 2-3 mm below bone with just the clot to provide healing. Also, in a single tooth could you harvest CT from the tuberosity region as a plug and leave the epithelium?

Maurice Salama - (8/28/2018 9:44 PM)

Stephen; You must release your flap and advance coronally or add CTG to achieve closure. Good luck Dr. Salama

Stephen Johansen - (8/28/2018 9:58 AM)

I have had some cases struggle to achieve complete tissue closure. These were endodontically treated teeth with a little Miracle Mix to fill the top of the canal. They were lowered to the appropriate level. Any suggestions to help the tissue granulate and completely seal off the tooth?

Gary Chike - (9/5/2017 8:44 PM)

Very informative and an excellent presentation. I've performed quite a few SRT's with root canal treated teeth and letting it granulate with good success. But I've never tried it on a vital tooth. This gives me some food for thought.

Maurice Salama - (7/2/2017 10:51 AM)

Madhur; It is not a contraindication as long as the perio issues are resolved and roots debrided. I would then perform any of the PET options, SS, SRT or PS. regards Dr. Salama

Madhur Kankaria - (7/2/2017 9:22 AM)

Nice work Dr Maurice! Very informative! Do you recommend NOT doing any kind of PET on teeth with concomitant periodontal infection? Is Periodontal disease a relative/absolute contra indication for PET since i have seen cases where even periodontally involved teeth are treated for a PET.
Regards
Madhur Kankaria

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