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Case Report: Radicular Amputation as an Alternative to Tooth Extraction
Alejandro Álvarez-Sagües1, Cristina Pérez1, Azogue Ramos1
1Dentistry Department, Faculty of Medicine, San Pablo CEU University, Madrid, Spain.
Case Reports in Dentistry
|July 22, 2026
Summary
Root amputation can save teeth with vertical root fractures. This case study shows root amputation as a viable alternative to extraction for mandibular molars, preserving natural dentition.
Area of Science:
- Dentistry
- Endodontics
- Oral Surgery
Background:
- Vertical root fractures (VRFs) often lead to tooth extraction due to poor prognosis.
- Conservative treatments for VRFs are sought to preserve natural dentition.
Purpose of the Study:
- To present a clinical case of root amputation for a mandibular molar with a vertical root fracture.
- To evaluate root amputation as a conservative alternative to extraction in selected VRF cases.
Main Methods:
- Diagnosis of a complete vertical root fracture in a mandibular molar (tooth 4.6) using clinical and radiographic findings.
- Surgical intervention involving root amputation of the affected mesial root.
Main Results:
- The case demonstrates successful preservation of the natural tooth following root amputation.
- Root amputation was performed as an alternative to extraction for a localized VRF.
Conclusions:
- Root amputation may be a favorable therapeutic option for selected molars with localized vertical root fractures.
- Conservative surgical approaches like root amputation can achieve long-term tooth preservation in cases of VRF.