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Bone resorption
2- Alveolar process: Which forms and supports the teeth sockets. It consists of the alveolar bone proper, facial and lingual plates. It is never in a static state.
- Functional factors: Include the frequency, intensity, direction and duration of the force applied to the bone. - Prosthetic factors: Include 1- The occlusal form of the teeth 2- Denture base material 3- V D
The procedure of retaining roots as a means of preventing resorpation of the ridge is called root submergence. The root of the tooth is cut to 2mm below the level of the alveolar bone and covered completely with gingival tissue flap.
4) Inexpensive procedure
5) No need for special home care
Mandibular premolars and canines are the best teeth for submergence because: 1- The mandibular teeth are more important because of the difficulty in stabilizing of the lower denture. 2- Canines and premolars provide the most suitable position in the arch. 3- There is a greater concentration of sensory receptors in the ligaments of these teeth.
4- The root canal treatment is a simple in these teeth. 5- Canine is the last tooth to be lost. 6- Canine has an adequate root dimension.
the residual root b) Endodontic treatment of the residual root c) Endodontic treatment of the root which is intentionally extracted and then replanted and submerged d) Pulpectomy is performed in the residual root and submerged without root canal therapy
Closure was affected by a continuous horizontal mattress suture to ensure version of the edge.
VR ETR
Mattress suture
B- Prosthetic procedure: Conventional complete dentures were constructed after 6 weeks from surgical operation. N B: P I P was used at the insertion appointment to detect pressure areas. These areas were relieved as indicated.
In sufficient reduction in root height Improper contouring of the retained root Insufficient tissue for perfect closure
Prosthetic factors:
a) Abnormal denture pressure from ill fitted denture base b) Inadequate balanced denture occlusion
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