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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...
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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

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