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Related Experiment Videos

Submucosal root retention. A two-year clinical observation

M I MacEntee, B M Goldstein, C Price

    The Journal of Prosthetic Dentistry
    |May 1, 1982
    PubMed
    Summary

    Surgically amputating tooth crowns left roots submerged in 57% of cases after two years. While some roots served as overdenture abutments, long-term prosthetic benefits require cautious expectation.

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    Area of Science:

    • Oral Surgery
    • Prosthodontics
    • Periodontology

    Background:

    • Tooth root submersion is a surgical procedure where the crown is removed, leaving the root covered by alveolar mucosa.
    • This technique has been explored for potential prosthetic applications, such as supporting overdentures.

    Purpose of the Study:

    • To evaluate the long-term outcomes of surgically amputated tooth crowns with submerged roots.
    • To assess the success rate and potential complications of this procedure over an average 2-year follow-up period.

    Main Methods:

    • Surgical amputation of 21 tooth crowns in eight subjects.
    • Roots were covered by alveolar mucosa; 17 teeth were vital, and four had prior endodontic therapy.
    • Follow-up assessment after an average of two years.

    Main Results:

    • 12 out of 21 teeth (57%) remained submerged without complications.
    • Two roots were extracted due to complications.
    • Three roots were successfully utilized as overdenture abutments; four remain under observation.

    Conclusions:

    • Surgical root submersion can achieve a moderate success rate in the short to medium term.
    • The procedure shows potential for conversion to overdenture abutments.
    • Long-term prosthetic benefits and predictability require further investigation and cautious interpretation.

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