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Partial Extraction Therapy procedure for multi-rooted teeth

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Abstract

The immense success in achieving excellent soft-tissue contours around implants placed in the esthetic zone with the PET procedures has opened up the possibility of performing it on multi-rooted teeth. However, the presence of two or more roots adds to the complexity of the case and needs special attention to achieve consistent results. In this article, the authors share their clinical experiences and describe the step-by-step procedure of performing socket shield procedures in premolars and molars. Case selection and risk factors are explained to prevent complications and failures.

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Further reading

  1. Kher U, Tunkiwala A (eds.), Partial extraction therapy in implant dentistry. https://doi.org/10.1007/978-3-030-33610-3_5 PET for Multirooted Teeth

  2. Cardaropoli D, Tamagnone L, Roffredo A et al (2014) Relationship between the buccal bone plate thickness and the healing of post-extraction sockets with/without ridge preservation. Int J Periodont Restor Dent 34:211

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  3. Akin R (2016) A new concept in maintaining the emergence profile in immediate posterior implant placement: the anatomic harmony abutment. J Oral Maxillofac Surg 74(12):2385–2392

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  4. Finelle G, Sanz-Martín I, Knafo B, Figué M, Popelut A (2019) Digitalized CAD/CAM protocol for the fabrication of customized sealing socket healing abutments in immediate implants in molar sites. Int J Comput Dent 22(2):187–204

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  5. Gluckman H, Salama M, Du Toit J (2016) Partial extraction therapies (PET). Part 1: maintaining alveolar ridge contour at pontic and immediate implant sites. Int J Periodontics Restorative Dent 36:681–687

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  6. Huwais S, Meyer EG (2017) A novel osseous densification approach in implant osteotomy preparation to increase biomechanical primary stability, bone mineral density, and bone-to-implant contact. Int J Oral Maxillofac Implants 32:27–36

    Article  Google Scholar 

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Correspondence to Udatta Kher.

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Kher, U., Tunkiwala, A. Partial Extraction Therapy procedure for multi-rooted teeth. Clin Dent Rev 5, 8 (2021). https://doi.org/10.1007/s41894-021-00096-0

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