Root amputation to save tooth No 3

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Posted on By Mohamed Fouda In Periodontics

This patient presented with endo treated 2 and 3 requesting crowns
Tooth 3 had an 8 mm deep pocket distally with restoration margin in an unfavorable location
New cores were placed on both teeth with fiber post on 3 then initial prep done and temporary crowns placed
Disto-buccal root of 3 was resected to resolve the periodontal issue and create enough space for the crown margin to be placed on sound tooth structure respecting the biologic width

Pre operative X ray
Surgery showing a traumatic root resection

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Mohamed, nice treatment option. Please upload follow pics!


Thank you Jorge, will keep you updated


Dental root amputation is the dental procedure which is used in the management of periodontal disease, tooth decay and root fractures. In this procedure, the tooth are removed surgically in order to eliminate the disease.
The procedure is performed in the following cases:
1. Bone defects.
2. Horizontal fracture of a root.
3. Root in extremely unfavorable position.
4. Severe tooth decay.
5. A root canal.


Root amputations can only be performed on teeth that are otherwise healthy – the tooth in question must have a healthy tooth surface, strong bone support, and healthy underlying gums. Prior to performing your root amputation, our dentist will need to perform a root canal treatment to remove the pulp, including the blood vessels and nerves. During your root amputation procedure, our dentist will cut deep into the tooth to fully expose the roots. The root will be sectioned off and removed, and the entire area will be cleansed and sealed to kill any remaining bacteria. We will finish your treatment by placing a crown to restore the structure, appearance, and strength of the tooth. I know this from, and if you want to know all about this you can visit this website.


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