Dental Publication / Article Details |
Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy
Author(s):
Maurice Salama, DMD;Henry Salama, DMD;Akiyoshi Funato, D.D.S.;Tomohiro Ishikawa, DDS;David Garber, DMD
Date Added:
5/15/2012
|
Summary:
A single-tooth implant in the esthetic region has good potential for success, but it is still challenging to restore multiple-tooth defects with implant-supported prostheses that resemble the natural dentition. This article suggests a strategy to provide a more predictable protocol for esthetic implant treatment for multiple-tooth defects using the root submergence technique (RST). By maintaining the natural tooth root with the RST, a much greater amount of surrounding tissue may be preserved than with the commonly used socket preservation technique, which almost always leads to crestal bone resorption and thus reduction of the height of the interdental papillae and width of the edentulous ridge. RST instead maintains the natural attachment apparatus of the tooth in the pontic site, which in turn allows for complete preservation of the alveolar bone frame and assists in the creation of an esthetic result in adjacent multiple-tooth-replacement cases. In situations with periodontal bone loss, orthodontic extrusion is required to create the underlying bone support for the papilla that is necessary to guarantee predictability. (Int J Periodontics Restorative Dent 2007;27:521–527.)
|
|
Related Articles |
|
|
|
Similarities Between an Acellular Dermal Allograft and a Palatal Graft for Tissue Augmentation
Predictable tissue regeneration presents a considerable challenge in the surgical treatment of gingival tissue defects. Soft-tissue augmentation procedures to increase the existing or create a new zone of attached keratinized gingival tissue have classically been performed using the patient's own masticatory mucosa and, more recently, using an acellular dermal allograft as the donor material. This article presents a clinical case whereby an acellular dermal allograft was placed on the buccal surface…
Author(s): |
Lee H. Silverstein, DDS, MS, FACD, FICD;Russell A. Gornstein, DDS, MS, Donald P. Callan, DDS, Baldev Singh, BDS, PhD |
|
View Article>>
|
|
|
|
|
Laser Assisted Gingival Tissue Procedures
Soft tissue lasers are increasing in popularity among clinicians in part due to their potential value in preprosthetic gingival procedures. The ability of soft tissue lasers to control moisture and facilitate hemostasis appears particularly promising for clinicians excising gingival tissues, performing esthetic crown lengthening, and using resective techniques for gingival troughing—and these applications will grow as practitioners become more familiar with such technologies. This presentation highlights…
|
|
|
Related Videos |
|
|
|
|
Demystify The Gingival Restorative Interface in Oral Rehabilitation
Pink esthetic therapy often can encompass single and multiple tooth loss clinical scenarios. The decision-making process of when and how to use interdisciplinary therapy to address a failing single tooth as well as loss of attachment around teeth adjacent to the natural dentition, an implant, or an edentulous ridge can be daunting. A presentation of existing pink determinants that define esthetic outcomes will be outlined in addition to the use of single tooth implants, orthodontic extrusion, and pink ceramics in therapy.
Presented By:: |
Stephen J. Chu, DMD, MSD, CDT |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
Related Courses |
|
|
Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough.
The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture.
We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.
Presented By:: |
Joseph Choukroun, MD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Credit) |
|
Watch Now>>
|
|
|
|
|
|
|