The development of an augmentation endodontic-endosseous implant and a technique for its use: A postoperative evaluation

Abstract

The endosseous-endodontic implant technique has important periodontal and prosthodontic considerations. Since all the teeth treated in the study were condemned because of advanced periodontoclasia, retention of the roots required periodontal therapy. Reduction of local irritating factors must precede surgery, and osseous recontouring is accomplished during the implant surgical procedure. Certainly prosthetic dentistry is concerned with the retention of a prosthesis and the achievement of optimum function under existing biomechanical limitations. The augmentation of root support addresses this concern. An additional consideration in the retention of roots otherwise condemned is the preservation of alveolar bone to maintain ridge integrity. Finally, in the saving of a root to serve as an abutment, there is the preservation of the sensory receptors in the periodontal ligament. Thus, a more exquisite sensory feedback mechanism for prosthesis function is permitted. The endodontic-endosseous implant serves as a retention device while allowing for continued proprioception. This type of feedback is invaluable in determining positional awareness in the use of a denture.