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[Root resection in the era of dental implants]
1Dept. of Periodontology, School of Graduate Dentistry Rambam Health Care Campus, Haifa, Israel.
Refu'At Ha-Peh Veha-Shinayim (1993)
|September 21, 2012
Summary
Root resection is a viable treatment for furcation defects, offering a good prognosis when cases are carefully selected and managed. Dental implants should be considered only after conservative options fail or are unsuitable.
Area of Science:
- Periodontal Therapy
- Oral Surgery
Context:
- Furcation defects present significant challenges in periodontal therapy.
- Treatment options include non-surgical debridement, surgery, and regenerative techniques.
Purpose:
- To review the literature on root resection prognosis and alternatives for furcated molars.
- To present guidelines, indications, and contraindications for root resection.
Summary:
- Root resection is a relevant modality for furcation defects.
- Proper case selection, surgical technique, prosthetic treatment, and supportive care yield a good 5-year prognosis.
- Extraction and implants are last resorts.
Impact:
- Provides evidence-based guidance for clinicians managing furcation defects.
- Highlights the importance of conservative treatment before considering implants.
- Aims to improve tooth prognosis and prosthetic outcomes.