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Vital root resection with advanced periodontitis--case reports.

K Inagaki¹, H Yagi, Y Ono

¹Department of Periodontology, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan.

Aichi-Gakuin Dental Science

|January 1, 1990

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Vital root resection offers a conservative approach for advanced periodontitis in multi-rooted teeth. This technique preserves tooth vitality and minimizes damage when only some roots are periodontally compromised.

Area of Science:

Dentistry
Periodontology
Endodontics

Background:

Advanced periodontitis can affect furcations in multi-rooted teeth, leading to significant supporting tissue loss around specific roots.
Traditional approaches often involve root resection, but the necessity and efficacy of concurrent endodontic treatments remain unclear for achieving good periodontal outcomes.

Observation:

When periodontitis affects only one or two roots of a multi-rooted tooth, while other roots maintain a healthy periodontium, a specific surgical approach may be considered.
The technique of vital root resection aims to retain the tooth's vitality, offering a less invasive alternative to complete extraction or traditional root resection.

Findings:

The presented technique of vital root resection was successfully applied in two clinical cases.

Related Experiment Videos

These cases demonstrate the feasibility and periodontal success of vital root resection in managing advanced periodontitis affecting specific roots of multi-rooted teeth.

Implications:

Vital root resection is a viable and appropriate treatment option for multi-rooted teeth with advanced periodontitis localized to one or two roots.
This conservative approach can help preserve tooth structure and function, potentially improving long-term periodontal health in selected cases.