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Video Details
Partial Extraction Therapy (PET) The Final Frontier

Description:
Buccopalatal collapse of the postextraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach, "PET" is to use the tooth itself by purposely maintaining all or a portion of the root in the remaining socket. Root submergence has been reported in the literature for more than 4 decades, and it has been demonstrated that the submerged tooth root retains the periodontal tissues and preserves the bone in pontic sites or below dentures to retain the ridge. The socket-shield technique entails preparing a tooth root section to remain behind on the labial aspect simultaneous to immediate implant placement and has demonstrated histologic and clinical results that are highly promising to esthetic implant treatment. The pontic shield technique preserves the alveolar ridge at sites intended for pontic development where the root submergence technique may not be possible or a delayed implant approach is warranted. The aforementioned techniques collectively have been termed Partial Extraction Therapies (PET), a term newly introduced into the literature and tooth replacement clinical environment. This presentation will highlight the PET philosophy and why it may be a superior alternative to traditional techniques previously utilized and researched.

Date Added:
11/1/2018

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Howard Gluckman, BDS, MChD Howard Gluckman, BDS, MChD
Dr Gluckman completed his dental training at the university of Witwatersrand in Johannesburg in 1990. After spending a number of years in a general practice he complete...
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Questions & Comments
Stephen Johansen - (11/15/2018 12:20 PM)

Was curious how offices are billing out root submergence, pontic shield, and socket shield cases since there are no insurance codes I'm aware of that recognize these procedures. Unfortunately many of us deal extensively with insurance and so it is a reality we live with. What are typical fees? Any information would be appreciated.

Rafael Molina - (11/5/2018 11:50 AM)

Excelente Presentation!!! Thanks!! I have one question, when you do Submerged Roots you need to do endodontic tratament? or not its necesary? Thanks!!

Howard Gluckman - (10/16/2018 1:47 AM)

Ye Stephen I seal the canal with glass ionomers. I drill out the top 2-3mm of GP and fill the canal. The it is important to cover with a soft tissue graft of sorts.

Stephen Johansen - (10/9/2018 9:22 AM)

When dealing with root canaled teeth that you want to submerge, are you placing any material over the gutta percha or just leaving it exposed?

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