The Retention of Vital Submuccosal Roots Under Immediate Dentures: a surgical procedure

By Garver DG, Frenster RK

Date: 12/1983
Journal: Journal of Prosthet Dent

Purpose: to describe a surgical technique for the retention of vital submucosal roots for a patient treated with a complete maxillary immediate denture.

Summary: 

•All existing restorations or carious areas were removed to reduce the possibility of debris entering the wound site

•The circumferential sectioning technique probably reduces pulpal trauma •Bleeding pulpal tissue should be evident for the continued vitality of the retained root

•The surface of the sectioned root was made smooth with the healthy adjacent bony crest

•Tissue closure was accomplished using a mattress suturing technique •Immediate denture fitting with tissue lining treatment material •Prosthesis left in situ for next day adjustments & soft tissue evaluation

Conclusion:

1.Clinical evaluation of this technique has proved to be highly successful. 2.Adequate healthy soft tissue is necessary for proper suturing over the retained roots.

3.Postoperative complications are reduced by placement of well-fitted prosthesis.