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17 years post op SRT. Where "PET" idea all started...

254 Rating(s).

Posted on 05.24.2017 11:47 AM By Maurice Salama In Implants

A 17 year old case of Root Submergence Pontic technique was utilized in this patient. One of the abutment screws became loose and provided us an opportunity to re-evaluate the soft tissue maintenance and radiographs. Your thoughts? regards Dr. Salama

Occlusal view without prosthesis

Labial view without prosthesis

PA 17 years post image

After prosthesis replaced

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14 Comments

snjezana pohl says on 05.24.2017 12:09 PM

What we see is a very convincing 5 stars loooong term result.
Beautiful soft tissue! Although there is some periimplant bone resorption, the submerged root maintains both adjacent papillae.
Your entire team must be smiling the whole day!
Excited to see 17 years result SS - RST - SS!
Best regards
Snjezana

Marcelo De Bonis says on 05.24.2017 12:12 PM

WOW! Soft tissue looks great! X-ray looks great! What else can we ask for?

richard martin says on 05.24.2017 04:12 PM

Mo,

Nice work- and interesting to see percha and no reaction - makes you think about PET cases- Thick bio type - thick buccal plate- CBCT by chance? Not avail 17 yrs ago

Cheers,

Richard

Maurice Salama says on 05.24.2017 04:31 PM

Richard; Tissue and Ridge Thick because we grafted with bone and tissue....no CBCT from 17 years ago but tells a story.
regards Mo

yiannis vergoullis says on 05.24.2017 06:38 PM

History in front of our eyes...how amazing it must feel to pioneer a technique and 17 years later know you were right..priceless.
Respect,
Yiannis

Maurice Salama says on 05.25.2017 11:08 AM

Yiannis; You are too kind. Actually we ALL stand on the shoulders of those before us....Root submergence under dentures goes way back....all we did is modify the concept for conventional dentistry. regards my friend Mo

Charles Schwimer says on 05.24.2017 09:16 PM

Mo. This case still speaks to us! If you look back and compare it seems resorption ankylosis continues even at 17 years. Hmmm maybe there are implications for future shield configurations? Food for thought. All the best Chuck

richard martin says on 05.24.2017 09:20 PM

Mo,

Yes graft - I was indicating if you took a Cbct in 2017.

Cheers,

Richard

Maurice Salama says on 05.25.2017 05:14 PM

Richard; No, did not feel it was ethical here...but I am sure I would be UNHAPPY with Labial bone on Implant sites at 17 years....THIN or GONE and HAPPY with bone around small submerged Root. regards Mo

Gerald Benjamin says on 05.28.2017 04:01 PM

Hi Maurice;
Wasn't Burt Langan lecturing about performing similar treatment during the same time period? It seems that this approach never gained traction until DentalXP revived it.
Regards,
Gerald

Paul Kozy DDS says on 05.30.2017 04:16 PM

Wait a Minute !!!!
What was EXACT date of treatment.
Here's one I did 17 years ago too!
Paul :)

Paul Kozy DDS says on 05.30.2017 04:24 PM

17 years

Charles Schwimer says on 05.30.2017 04:40 PM

Wow Paul. Quite a difference in radiographic appearance. Mo's case appears to exhibit resorption ankylosis to some extent and yours does not. Best regards Chuck

Maurice Salama says on 06.19.2017 05:24 PM

Paul, great minds....