Pontic site development with a root submergence technique for a screw-retained prosthesis in the anterior maxilla

Çomut, Alper; Mehra, Mamta; Saito, Hanae

doi:10.1016/j.prosdent.2013.06.009

Cited by 18 publications

(18 citation statements)

References 11 publications

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“…1 The advantage of this technique is that it preserves bone width, bone height, the connective tissue and the blood supply of the indicated tooth which ultimately helps to maintain papilla height and width and eliminates the need for extensive bone and connective tissue grafting surgery. 3 Moreover, the clinician will still have an option of socket shield technique before implant placement for future purpose. Labial and lingual mucoperiosteal flaps were raised for the advancement and mobility of the flap.…”

Section: Introductionmentioning

confidence: 99%

Root Submergence Technique: Forgotten Terrain Revisited

Shrestha

Pradhan

Gorkhali

et al. 2018

J Nepal Soc Perio Oral Implantology

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The resorption of the alveolar ridge is an inevitable phenomenon after tooth extraction and continues throughout the lifespan of an individual. Socket preservation, hard and soft tissue augmentation procedures are indicated to compensate alveolar bone resorption. Compensation can also be done by masking with acrylic flanges, pink porcelain and gingival veneers. However, procedures to preserve the bone anticipatory to the loss after extraction should be prioritised. This paper reports a case of fractured non-vital tooth where root submergence technique was done. A follow-up at 6 months presents intact bone aiding in the aesthetics and function of the prosthesis.

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Section: Introductionmentioning

confidence: 99%

Root Submergence Technique: Forgotten Terrain Revisited

Shrestha

Pradhan

Gorkhali

et al. 2018

J Nepal Soc Perio Oral Implantology

View full text Add to dashboard Cite

show abstract

“…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%

“…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 ]. As a result, this technique maintains the dimension of the alveolar ridge and the surrounding tissue [ 9 12 13 14 15 ]. Root submergence was first introduced to prevent residual alveolar ridge resorption in order to increase the retention and resistance of a complete denture [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…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 ]. Under the pontic site, a root was retained at the crestal bone level to preserve ridge form and no exposure of the root was expected, due to the absence of direct pressure over it [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Under the pontic site, a root was retained at the crestal bone level to preserve ridge form and no exposure of the root was expected, due to the absence of direct pressure over it [ 12 ]. The root submergence technique has also been applied in implant-supported prostheses in the maxillary anterior region [ 13 14 15 ]. Although successful esthetic outcomes without papilla loss or collapse of the arch have been reported, the long-term results of the root submergence technique have not been published.…”

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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