J Dent Rehabil Appl Sci.  2016 Sep;32(3):232-239. 10.14368/jdras.2016.32.3.232.

Revisiting root resection treatment in the age of dental implants

• Joo JY
• Kwon EY
• Lee JY

• KMID: 2357852
• DOI: http://doi.org/10.14368/jdras.2016.32.3.232

Abstract

PURPOSE
In this paper, we introduce a wide clinical application of root resection therapy and additional benefits on the next prosthetic or dental implant treatment procedures in the age of dental implants.
MATERIALS AND METHODS
Additional clinical benefits of root resection were monitored by clinical and radiographic evaluation.
RESULTS
No complication was reported in all the cases, and the favorable results of root resection were maintained for long period.
CONCLUSION
In compromised multirooted teeth, variety clinical treatment modality should be considered for enhancing the reconstruction of alveolar ridge around root resected in preparation for next implantation.

Keyword

periodontitis; amputation; molar; dental implant

MeSH Terms

Alveolar Process
Amputation
Dental Implants*
Molar
Periodontitis
Tooth
Dental Implants

Figure

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  Fig. 1 Radiographic and clinical view of case 1. Initial examination (A), shortly after root resection (B) and 7 months after root resection (C, D). Note the restoration of the alveolar ridge around mesial root of #46 and harmonious ridge contour (C, D).

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  Fig. 2 Radiographic and clinical view of case 2. Initial examination (A), shortly after prosthetic treatment (B), and 3 years after treatment (C, D). Note the perfect restoration of vertical alveolar ridge around mesial root of #46 after 3 years after root resection (hemisection).

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  Fig. 3 Radiographic and clinical view of case 3. Initial examination (A) and after subgingival scaling and root planing (B). Severely compromised periodontal condition and mucogingival problem are remarkable (A, B). Note the good periodontal condition around mesial root of #46 and distal root of #47 and spontaneous correction of mucogingival problem after root resection (C, D).

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  Fig. 4 Initial radiographic view of case 4. Note severe loss of periodontal attachment around multiple molars and mandibular incisors inspite of her age. She was diagnosed with localized aggraessive periodontitis.

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  Fig. 5 Radiographic view of case 4. Shortly after endodontic treatment (A, B) and 8 months after root resection (C, D). Note the healing of alveolar socket after root resection and favorable vertical ridge level around distal roots of #36, 46.

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  Fig. 6 Clnical view 1 year after root resection. Periodontal condition around #36, 46 is well maintained.

Reference

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