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Window Approach for Simultaneous Root Fragment Removal and Implant Placement: Two Case Reports
Yi-Chu Wu1, Gretel G Pellegrini1,2, Leonard Garfinkel1
1Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, Columbia University College of Dental Medicine, New York, New York, USA.
Clinical Advances in Periodontics
|April 13, 2022
Summary
The Window Approach for Simultaneous Root Fragment Removal and Implant Placement (WASRIP) technique offers a minimally invasive solution for retained root fragments (RF). This method preserves bone, enabling predictable implant placement and successful osseointegration.
Area of Science:
- Dental surgery
- Oral implantology
- Periodontology
Background:
- Root fractures during tooth extraction are common due to complex root anatomy.
- Retained root fragments (RF) can complicate future dental implant procedures.
- Conservative RF removal is crucial to avoid bone loss and ensure implant stability.
Observation:
- The Window Approach for Simultaneous Root Fragment Removal and Implant Placement (WASRIP) technique was applied in two case reports.
- This minimally invasive approach aimed to preserve coronal and apical bone.
- RF were removed atraumatically via a buccal window access.
Findings:
- The WASRIP technique facilitated atraumatic RF removal with maximal bone preservation.
- All implants achieved adequate primary stability.
- Successful osseointegration was confirmed at the 3-month follow-up.
Implications:
- The WASRIP technique provides a predictable method for simultaneous implant placement after RF removal.
- Minimally invasive RF extraction preserves critical bone structures for enhanced implant stability.
- This approach may reduce trauma and healing time compared to conventional methods.
