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Published on: October 18, 2021
Mandibular molar root resection versus implant therapy: a retrospective nonrandomized study.
Gregory-George Zafiropoulos1, Oliver Hoffmann, Adrian Kasaj
1Department of Operative Dentistry, University of Mainz, Germany.
The Journal of Oral Implantology
|April 30, 2009
Summary
For periodontitis patients with mandibular molars, implants showed fewer complications than hemisection. Implants offer a more predictable outcome for these challenging cases, reducing the risk of future issues.
Area of Science:
- Dentistry
- Periodontology
- Implantology
Background:
- Periodontal disease often affects mandibular molars, complicating treatment decisions.
- Choosing between hemisection and dental implants for these teeth is challenging.
Purpose of the Study:
- To compare the outcomes of hemisection versus dental implants for periodontally compromised mandibular molars.
- Evaluate complication rates and long-term success in a private practice setting.
Main Methods:
- Retrospective chart review of 56 hemisected teeth (Group H) and 36 implants (Group I).
- Patients were followed for at least 4 years post-treatment.
- Complication occurrence, timing, and clinical attachment level (CAL) loss were analyzed.
Main Results:
- 89% of implants and 68% of hemisected teeth remained complication-free.
- Hemisection (Group H) showed a higher incidence of overall and nonsalvageable complications (P = .027, P = .013).
- Complicated cases in both groups experienced greater CAL loss per year (p < 0.015).
Conclusions:
- Hemisected mandibular molars in periodontitis patients are more prone to complications than implants.
- Dental implants appear to be a more reliable treatment option for periodontally involved mandibular molars.