Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
"The Root Membrane Technique” / Socket Shield: Long-Term Results

Description:
Loss of blood supply derived from the periodontal ligament (PDL) has been identified as a major etiologic factor for ridge resorption. Animal studies and case reports provide proof-of-principle data on the feasibility of immediate implant placement in proximity to a retained root fragment for the strategic preservation of the natural tooth apparatus. This novel concept relies on the preservation of PDL, buccal bone and soft tissue esthetics via selective preservation of the buccal portion of the root and PDL which can lead to predictable and sustainable clinical stability of immediately placed and loaded implants.

Date Added:
4/14/2016

Author(s):

Mitsias E. Miltiadis, DDS, MSc, PhD Mitsias E. Miltiadis, DDS, MSc, PhD
Dr. Mitsias E. Miltiadis was born in 1975. He graduated form the National and Kapodistrian University of Athens obtaining his dental degree in 2000. By 2003 h...
[read more]


Featured Products




Online Videos / Surgery / Periodontic Surgery / "The Root Membrane Technique” / Socket Shield: Long-Term Results




Questions & Comments
Nour Alshammari - (1/7/2020 9:06 AM)

in the case of 21 minutes ,, is the apical lesion was there before implant placement?

Jimoh Lasisi - (10/13/2017 7:37 AM)

Have you tried this technique on tooth that had under go endodontic?

abdullah algethmi - (4/18/2016 8:10 AM)

thank dr mitsias for this nice presentation , i want ask about is there osointegration between implant and tooth part,if not what about stability . what about if there is lateral canal ,it will de source of infection . thank u again

Jorge Campos - (4/17/2016 3:06 PM)

Hi Dr. Mitsias, very nice presentation. Thanks for explaining youre cases. I believe inner shield exposures are not a problem, like I saw in the 4 implants cases. The "C" shape of the shield helps mantaining the papilla. Great work. Congratulations Jorge

Ricardo Orlando - (4/15/2016 12:18 PM)

Very nice presentation Dr. Mitsias. Thanks for sharing your long data experience !!!!

cobi landsberg - (4/15/2016 11:48 AM)

I enjoyed your presentation a lot. Your contribution to the understanding of this revolutionary approach is tremendous. Few questions: 1. In last case you showed few root parts still exposed. Do they get covered by healthy soft tissue by time? always? 2. How apically must the height of the root be reduced?? Best regards, Cobi

Miltiadis Mitsias - (4/14/2016 3:19 PM)

Thank you all for your kind comments. David and Maurice thank you again for the hospitality and your friendship! It is an honor to be in dentalxp family. David: i have no words to thank you.!Your contribution to Root Membrane is so crucial and important. Maurice: Viva PET therapies! It gets better and better. Last week i did 4 different cases and every time small differences always happen. I believe it is what ever works better in your hands...! The important is not to break the root and to put the implant with more than 35N...Then you are good for loading etc..Viva! Chuck: Thank you for your comments. It is a case selection story but it is always a learning curve too. We had initial difficulties too until we found our style...As said before whatever it works better in your hands..

Charles Schwimer - (4/13/2016 5:47 PM)

Mitsias. Thank you for your most significant contributions. IMO your longer term experience and publications are invaluable to the eventual acceptance of PET. I also prefer high speed / low torque root preparation. In fact all of my early failures were a consequence of preparing the roots as you do with implant burs. Perhaps your case selection is the key to success. I imagine if the tooth survives high torque preparation it is an excellent candidate to survive long term. I feel your conservative PET approach is prudent, but IMO limiting yourself to single rooT anterior teeth may not always be in your patients best interest. After all, short wide implants are not always an option after total extraction protocol. Please continue to update and share with us. Best regards. Chuck

Maurice Salama - (4/13/2016 3:39 PM)

Well done my friend and thank you for your contribution to XP and the literature....other than differences in preparation of the root we agree on most points and have had similar success. Viva PET therapies. regards Dr. Salama

Related Videos
"P.E.T." & Socket Shield - The Technique Beyond the Concept Premium Member Content

"P.E.T." & Socket Shield - The Technique Beyond the Concept
"P.E.T." & Socket Shield - The Technique Beyond the Concept

Presented By:: David Garber, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Advanced Immediate Placement Strategies Including  Socket Shield (SS) Technique and its Complications Premium Member Content

Advanced Immediate Placement Strategies Including Socket Shield (SS) Technique and its Complications
Advanced Immediate Placement Strategies Including Socket Shield (SS) Technique and its Complications

Presented By:: Howard Gluckman, BDS, MChD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
PETology and Complete Ridge Maintenance Premium Member Content

PETology and Complete Ridge Maintenance
For a long time it has been discussed about different ways to avoid dimensional changes at post extraction sockets. Through the philosophy of the Partial Extraction Therapies we will be able analyze and plan our cases in a different and unique way not only in the esthetic zone also in partial and full arch cases in a predictable and reproducible way.

Presented By:: Marcelo Ferrer Balart, DMD, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Preservation of the Bundle Bone: Reality or Myth Premium Member Content

Preservation of the Bundle Bone: Reality or Myth
The loss of teeth will lead to resorption of the buccal plate with its resultant need for extensive augmentative procedures (both bone and soft tissue) as well as the risk of poor long term aesthetic stability. Partial Extraction Therapies (PET) are techniques that allow us to maintain the buccal bone plate and hence prevent the collapse of the alveolar bone creating a platform for ideal soft tissue and bone which is stable in the long term. This is a greater problem in the aesthetic areas. This lecture will take you through the different options with regards to immediate implant placement as well as the most cutting edge PET in a step by step fashion.

Presented By:: Howard Gluckman, BDS, MChD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Free Gingival Graft...Back to Basics: Why Do It? Premium Member Content

The Free Gingival Graft...Back to Basics: Why Do It?
In this video, a free gingival graft is demonstrated to address a recession defect as well as to augment the soft tissue while eliminating the high frenum pull in order to aid in the orthodontic treatment plan of a young patient. While commonly shunned for the morbidity associated with palatal grafts, the free gingival graft is making a comeback with the popularity of implant dentistry due to it's relative simplicity and predictability for augmenting thin tissue. This "back to basics" video takes the free gingival graft back to its roots: The lower incisor area.

Presented By:: David Wong, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
"The Root Membrane Technique” / Socket Shield: Long-Term Results Premium Member Content

"The Root Membrane Technique” / Socket Shield: Long-Term Results
"The Root Membrane Technique” / Socket Shield: Long-Term Results

Presented By:: Mitsias E. Miltiadis, DDS, MSc, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2 Premium Member Content

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2
Esthetics plays a key role in a modern society and the average dental health of the population is improving every day. In such environment, the demands of dental treatments are different and dentists should approach their patients in a different way: they should be prepared to implement different and modern techniques around teeth and implants. Soft tissue grafting techniques provide the dentist with an armamentarium that makes possible to prevent and solve many problems and complications around teeth and implants, making more predictable the treatments results. This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Presented By:: Ramon Gomez Meda, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist Premium Member Content

Hard and Soft Tissue Augmentation: Optimizing Esthetic Results for the Restorative Dentist
Contemporary patient expectations have made esthetics a major requisite of all treatment plans, especially in situations where there is a high smile line. Although new restorative materials have highly improved predictability and esthetic outcomes, soft and hard tissue management play a fundamental role when working in esthetic areas. To achieve ideal esthetics, preservation of the natural soft and hard tissue architecture is a primary clinical objective. These new proposed techniques illustrate the importance of pre-prosthetic soft and hard tissue management when working in highly esthetic compromised areas.

Presented By:: Giuseppe Cicero, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Partial Extraction Therapies: From Failure to Everyday Practice - Part 1 of 4 Premium Member Content

Partial Extraction Therapies: From Failure to Everyday Practice - Part 1 of 4
Tooth extraction is usually followed by the resorption of support tissues that may compromise the aesthetic and functional prognosis of the final rehabilitation. There have been numerous publications suggesting Partial Extraction Therapies contribute to the maintenance of the alveolar ridge dimensions. These techniques consist in intentionally preserving a buccal root fragment in order to avoid tearing the periodontal ligament and loosing the bundle bone, which leads to bone resorption. It has been reported that these are very sensitive techniques and may lead to some complications. In order to avoid these complications, the dental surgeon must know which cases can be treated with Partial Extraction Therapies and how to correctly perform them. In these presentations we will show what are the indications and contraindications, how to perform these techniques, the literature that sustains it, how can we benefit from digital technology to today's world, etc.

Presented By:: Dárcio Fonseca, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Replacing the Natural Tooth System in the Esthetic Zone: Flapless Implant Placement and Simultaneos Restoration to Preserve Tissue Contours and Guarantee Esthetics

Replacing the Natural Tooth System in the Esthetic Zone: Flapless Implant Placement and Simultaneos Restoration to Preserve Tissue Contours and Guarantee Esthetics
Over the last decade, the number of cosmetic dental procedures performed in the general dental practice has increased steadily each year. Likewise, the use of dental implants as a tooth replacement options has become a more routine treatment alternative for patients missing teeth or requiring tooth removal.

Author(s): Paul S. Petrungaro, DDS
View Article>>
Maximizing Esthetic Transformations Using a Closed Flap ErCr - YSGG Modality

Maximizing Esthetic Transformations Using a Closed Flap ErCr - YSGG Modality
The clinical study presented in this article demonstrates that, in selected cases, combining minimally invasive laser therapy with detailed restorative design and technique can satisfy the bioesthetic functional requirements.

Author(s): Hugh Flax, DDS, PC
View Article>>
Peptide-Enhanced Bovine Xenograft to Treat Severe Defects

Peptide-Enhanced Bovine Xenograft to Treat Severe Defects
The following case studies highlight patients who presented with various severities of recession, and for whom periodontal plastic surgery was successfully completed without the use of the patient's palate as a donor site.

Author(s): David Wong, DDS;Steven Kendrick, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register