Dental Publication / Article Details |
Root submergence technique as a partial extraction therapy to preserve the alveolar ridge tissues: A systematic review and appraisal of the literature
Author(s):
Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP, PhD;Maurice Salama, Howard Gluckman, Katalin Nagy
Date Added:
7/19/2022
|
Summary:
The loss of alveolar ridge volume as a result of tooth
extraction has been noted in the literature since the 1960s.1-3
The full extent of why this happens is still not entirely understood,4 with a widely accepted explanation for the loss relating to factors that include trauma the extraction socket as a wound sees upregulation of inflammatory processes, resultant activation of osteoclastic activity, resorption of the extraction socket, and an eventual healing that
typically results in loss of tissue volume and architecture.5
Second, bundle boned removal of the tooth results in periodontal ligament (PDL) fibers being severed, loss of Sharpey fibers that insert into bundle bone, and a subsequent loss of the mineralized bone layer that lines the alveolus.4-6 At the buccal or facial aspect, the bone plate may consist entirely of bundle bone.
|
|
Related Articles |
|
|
Implant Aesthetic Score for Evaluating the Outcome
Implant restorations delivered according to the Brånemark protocol have proven to be highly predictable. To shorten the length of treatment associated with the Brånemark protocol, as well as to preserve soft and hard tissues, newer protocols have focused on reducing or even eliminating the time between tooth extraction and implant placement and between implant placement and prosthetic restoration delivery. The authors present a case in which control of postextraction implant placement, optimal implant…
Author(s): |
Tiziano Testori, MD, DDS, FICD;Francesca Bianchi, DDS, Massimo Del Fabbro, BSc, PhD, Matteo Capelli, DDS, Francesco Zuffetti, MD, DDS, Ignazio Berlucchi, DDS, Silvio Tashieri, DDS, Luca Francetti, DDS, Roberto Ludovico Weinstein, MD, DDS |
|
View Article>>
|
|
|
|
|
The “Scalloped Guide”: A Proof-of-Concept Technique for a Digitally Streamlined, Pink-Free Full-Arch Implant Protocol
Inadequate restorative space can result in mechanical, biologic, and esthetic
complications with full-arch fixed implant-supported prosthetics. As such,
clinicians often reduce bone to create clearance. The aim of this paper was
to present a protocol using stacking computer-aided design/computerassisted
manufacturing (CAD/CAM) guides to minimize and accurately
obtain the desired bone reduction, immediately place prosthetically guided
implants, and load a provisional that replicates predetermined tissue contour.
This protocol can help clinicians minimize bone reduction and place the
implants in an ideal position that allows them to emerge from the soft tissue
interface with a natural, pink-free zirconia fixed dental prostheses.
Author(s): |
Maurice Salama, DMD;Prof. Dr. Alessandro Pozzi;Wendy AuClair-Clark, DDS, MS;Marko Tadros, DMD;Lars Hansson, CDT, FICOI;Pinhas Adar, MDT, CDT |
|
View Article>>
|
|
|
|
|
Advanced Esthetic Management of Dental Implants: Surgical and Restorative Considerations to Improve Outcomes
This article demonstrates the importance of proper surgical and prosthetic principles in achieving esthetic implant
results.Successful dental implant therapy in the maxillary anterior dentition requires meticulous attention to surgical
and prosthodontic measures.
Proper diagnosis, extraction technique, implant selection, and placement significantly impact
outcomes. Respect of hard and soft tissue physiology following tooth loss and implant placement requires specific steps
be taken. Management tissue contours properly, via regenerative therapy, results in successful framing of the restoration.
Provisionalization and definitive restorative therapy also impacts the level of esthetic success.The contours of the
temporary abutment and crown develop soft tissue contours for the final restoration. Overcontouring can lead to soft
tissue recession and mucosal asymmetry. Design of the definitive crown(s) is crucial for long-term maintenance of
esthetically acceptable results.
Author(s): |
Sergio Rubinstein, DDS;Barry P. Levin, DMD; Louis F. Rose, DDS, MD |
|
View Article>>
|
|
|
|
Related Videos |
|
|
Partial Extraction Therapies: Science & Research Behind The Concept
The partial extraction therapies (PET) date all the way back to the 1970’s when the submerging of tooth roots aimed to preserve the alveolar ridge beneath full dentures. Today, the full scope of PET includes several, evidence-based techniques, that use the patient’s own tissues to prevent post-extraction ridge resorption. This lecture outlines a timeline of the research milestones that have occurred, past to present, that have established PET in our treatment milieu as we know it today.
Presented By:: |
Jonathan Du Toit, BChD, Dip Oral Surg, Dipl Implantol, MSc, MChD (OMP), FCD(SA) OMP, PhD |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
Platform Switching: Myth or Reality
The popular concept of platform switching as it relates to crestal bone stability, health, survival and color of the soft.
Presented By:: |
Dennis P. Tarnow, DDS |
Presentation Style: |
Lecture |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
Related Courses |
|
|
Site Preparation & Osseodensification in Bone Management
Today's implant arena involves not only the understanding of procedures but also the science behind wound healing.
Often new technologies and instrumentation evolves that have a significant impact on what we are able to do clinically. Piezosurgical devices, periotomes, osteotomes, hydraulic sinus devices, neurosurgical drills, and the "PET" (Partial Extraction Therapies) system are just a short list of those that have made surgery more efficient and less traumatic for our patients. Osseodensification is another concept that can be added to this long list. This lecture will speak about new age bone management concepts and how these technologies may be able to assist us. Potential issues and focus on use will be touched upon as well.
Presented By:: |
Maurice Salama, DMD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Credit) |
|
Watch Now>>
|
|
|
|
|
Novel Implant Planning Protocol Utilizing the 3A-2B Rule to Enhanced Predictability
This presentation describes some basic biological aspects that can be used as a rule in any treatment planning, simple or complex, to determine the viability and the ideal type of restoration in order to obtain a high aesthetic outcome. A novel Radiographic Biological Ruler will be presented and used in different type of cases to explain the concept of 3A-2B.
Presented By:: |
Fernando Rojas Vizcaya, DDS, MS |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Unit) |
|
Watch Now>>
|
|
|
|
|
Bone Grafting & Implant Dentistry; Classification, Surgical Site Understanding & Membrane Selection Part 1 of 3
Once a tooth is extracted, the natural wound-healing cascade paired with irreversible alteration occurs. Hard tissue grafting techniques combined with the sound understanding of the surgical site theater will help the practitioner to make the proper decision in order to successfully treat their patient. The usage of biological modifiers and surgical barriers are proposed to assist in improving the predictability of the advance surgical care.
Presented By:: |
Alexandre-Amir Aalam, DDS, FICD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Unit) |
|
Watch Now>>
|
|
|
|
|