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Fixed restoration of sectioned mandibular molar teeth
David M Bohnenkamp1, Lily T Garcia
1Department of Prosthodontics, University of Texas Health Science Center, San Antonio Dental School San Antonio, Texas, USA.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|January 13, 2005
Summary
Sectioning multirooted mandibular molars can save compromised teeth. Successful treatment requires favorable root anatomy, bone support, and careful prosthodontic planning, offering an alternative to extraction.
Area of Science:
- Dentistry
- Prosthodontics
- Periodontology
Background:
- Mandibular molars with severe periodontal disease or caries often present complex restorative challenges.
- Compromised multirooted teeth necessitate careful evaluation for potential salvageable treatment options.
Observation:
- Successful restoration of sectioned mandibular molars depends on adequate bone support, root morphology, and inter-root space.
- Favorable endodontic prognosis and sufficient remaining tooth structure after caries removal are critical.
- Achieving adequate resistance and retention form post-preparation is essential for long-term success.
Findings:
- Fixed restoration of sectioned mandibular molars is a viable alternative to extraction, removable partial dentures, or dental implants.
- Hemisection or bicuspidization requires meticulous planning and execution.
Implications:
- An interdisciplinary approach involving diagnostics, endodontics, periodontal therapy, and prosthodontics is recommended.
- Careful patient selection and treatment planning are key to preserving natural dentition.