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Related Experiment Videos

Vital root amputation. A clinical and histological study.

H Smukler, M Tagger

    Journal of Periodontology
    |June 1, 1976
    PubMed
    Summary

    Delaying endodontic therapy for two weeks after root amputation shows good clinical and histological results. This approach is viable when preoperative endodontics isn

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    Area of Science:

    • Endodontics and Periodontics
    • Oral Surgery
    • Dental Research

    Background:

    • Periodontal disease often necessitates surgical interventions like root amputation.
    • The timing of endodontic therapy relative to root amputation is a critical clinical consideration.
    • Maintaining pulp vitality and minimizing adverse effects are key goals in treating periodontally involved teeth.

    Purpose of the Study:

    • To evaluate the clinical and histological outcomes of delaying endodontic therapy for two weeks post-root amputation without pulp dressing.
    • To assess the feasibility and safety of performing endodontics after a two-week delay following vital intentional root amputation.
    • To determine if periodontal status and altered tooth morphology impact definitive endodontic treatment.

    Main Methods:

    • Vital intentional root amputation was performed on periodontally involved teeth.
    • Endodontic therapy was intentionally delayed for two weeks post-surgery without pulp dressing.
    • Clinical and histological assessments were conducted to evaluate treatment effects.
    • Preparation of the cut tooth surface during root amputation was performed to aid oral hygiene.

    Main Results:

    • Endodontic therapy prior to root amputation remains the preferred treatment.
    • Delaying endodontic therapy for two weeks post-root amputation yielded favorable clinical and histological results without significant adverse effects.
    • Definitive endodontic treatment was successfully performed two weeks after surgery, irrespective of periodontal condition or tooth form.
    • Preparation of the cut surface facilitated oral hygiene post-operatively.

    Conclusions:

    • While preoperative endodontics is ideal, a two-week delay is a viable alternative when necessary.
    • The described approach for delayed endodontics post-root amputation is safe and effective.
    • Surgical root amputation and subsequent endodontic treatment can be performed successfully in periodontally compromised teeth.
    • Anatomical factors, specifically the distobuccal root of the maxillary first molar, may predispose it to periodontal issues requiring root amputation.

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