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Root reshaping: an integral component of periodontal surgery
1Department of Periodontics, Medical College of Virginia School of Dentistry, Richmond, Virginia, USA.
Summary
This study introduces root reshaping as a surgical alternative to traditional crown lengthening for restoring lost biologic width. This technique minimizes bone removal and improves root surface anatomy for better tissue integration.
Area of Science:
- Periodontology
- Restorative Dentistry
Background:
- Biologic width is crucial for periodontal health, and its loss requires intervention.
- Traditional crown lengthening often involves significant osseous resection.
Observation:
- Invasion of the junctional and/or connective tissue attachment necessitates restoring lost biologic width.
- Root surface irregularities and close root proximity can complicate restorative procedures.
Findings:
- Root reshaping combined with conservative bone removal offers an alternative to osseous resection.
- This technique minimizes bone removal, smooths root surfaces, and can improve furcation defects.
- It enhances gingival contours and creates adequate space for restorative materials.
Implications:
- Root reshaping provides a conservative surgical option for managing biologic width invasion.
- This approach can lead to improved periodontal health and more predictable restorative outcomes.
- It offers a viable alternative for cases with close root proximity and specific root surface anatomy.