Preventive prosthodontics—Mucosal coverage of roots

Welker, William A.; Jividen, Glenn J.; Kramer, Donald C.

doi:10.1016/0022-3913(78)90056-2

Cited by 22 publications

(6 citation statements)

References 6 publications

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“…The uneventful healing of sockets with root fragments has been well documented. [11] Both vital tooth retention[12] and submergence of endodontically treated roots[1314] have been recommended: Aesthetic appearance after 6-month follow-up. Two cases with SST complications were reported.…”

Section: Discussionmentioning

confidence: 99%

Socket shield: A case report

Arabbi

Sharanappa²,

Priya³

et al. 2019

J Pharm Bioall Sci

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It is fairly common to remove a severely compromised tooth and provide rehabilitation by means of an implant. Resorption of alveolar bone after extraction resulting in loss of bone height and width is an unpleasant sequelae causing difficulty in implant placement. Few procedures have been promoted to attain the required bone height and width, such as guided bone regeneration socket preservation with the use of various graft materials and barrier membranes. The disadvantages of these techniques are some amount of ridge height loss and loss of buccal/facial, ridge contour. The socket shield technique is a new method where a buccal segment of root is retained as a shield, which aids in retaining periodontal ligament on buccofacial aspect. The implant is placed (immediate placement) lingual to this shield. This maintains the alveolar ridge height and buccofacial contour, thus providing superior aesthetics. This case report shows placement of an implant in upper anterior region using this technique.

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Section: Discussionmentioning

confidence: 99%

Socket shield: A case report

Arabbi

Sharanappa²,

Priya³

et al. 2019

J Pharm Bioall Sci

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“…The uneventful healing of sockets with root fragments has been well documented [ 20 ]. Both vital tooth retention [ 21 , 22 ] and submergence of endodontically treated roots [ 23 , 24 ] have been recommended to prevent excessive resorption of the residual ridge. This concept has been recently applied to teeth- or implant-supported fixed prostheses for pontic site development [ 9 , 25 – 27 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical Application of the Socket-Shield Concept in Multiple Anterior Teeth

Esteve-Pardo

Colomina

2018

Case Reports in Dentistry

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A case of rehabilitation of the upper front teeth is presented. To prevent bone resorption following extractions, a socket-shield technique on all the extracted teeth was performed. The combination of a staged extraction approach, the sequence of provisionals together with the minimal bone loss of vestibular volume, allowed solving this high aesthetic demanding case in a satisfactory way for the patient both in duration of the treatment and in its final outcome.

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“…The root submergence technique was first developed to preserve the periodontal attachment complex, in order to increase the retention and stability of removable prostheses. Several studies have reported the successful preservation of periodontal tissue with vital or endodontically treated roots covered by bone or soft tissue [ 9 10 11 16 ]. Submerged roots between dental implants have also been found to preserve the gingival architecture and prevent interproximal bone resorption [ 13 14 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…The root submergence technique preserves the periodontium surrounding a root without requiring an extraction [ 8 9 10 11 12 13 14 15 ]. A submerged root maintains the periodontal attachment complex, preventing the resorption of the alveolar bone on the buccal and lingual walls, as well as on the interproximal area [ 9 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Root submergence was first introduced to prevent residual alveolar ridge resorption in order to increase the retention and resistance of a complete denture [ 8 ]. Clinical and histological studies found that non-infected vital or endodontically treated roots reduced at the level of the bone crest or below the crest and completely submerged within the alveolus were able to effectively preserve the residual ridge [ 9 10 11 ]. Recently, this concept has also been applied to rehabilitation with fixed dental prostheses [ 12 13 14 15 ].…”

Section: Introductionmentioning

confidence: 99%

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A root submergence technique for pontic site development in fixed dental prostheses in the maxillary anterior esthetic zone

Choi

Yeo

Kim

et al. 2015

J Periodontal Implant Sci

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PurposeThis case report discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary anterior aesthetic zone.MethodsTeeth with less than ideal structural support for fixed retainer abutments were decoronated at the crestal bone level. After soft tissue closure, the final fixed dental prostheses were placed with the pontics over the submerged root area. Radiographic and clinical observations at the pontic sites were documented.ResultsThe submerged roots at the pontic sites preserved the surrounding periodontium without any periapical pathology. The gingival contour at the pontic site was maintained in harmony with those of the adjacent teeth, as well as the overall form of the arch.ConclusionsThe results of this clinical report indicate that a root submergence technique can be successfully applied in pontic site development with fixed dental prostheses, especially in the maxillary anterior esthetic zone.Graphical Abstract

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Preventive prosthodontics—Mucosal coverage of roots

Cited by 22 publications

References 6 publications

Socket shield: A case report

Socket shield: A case report

Clinical Application of the Socket-Shield Concept in Multiple Anterior Teeth

A root submergence technique for pontic site development in fixed dental prostheses in the maxillary anterior esthetic zone

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