Case Report: Radicular Amputation as an Alternative to Tooth Extraction

Vertical root fracture represents a challenging clinical condition that is frequently associated with poor prognosis and often leads to tooth extraction as the treatment of choice. However, alternative therapeutic approaches aimed at preserving natural dentition should be considered. This report presents a clinical case of root amputation in a mandibular molar 4.6, which was diagnosed as a complete vertical root fracture based on clinical and radiographic findings. As an alternative to extraction, root amputation of the affected mesial root was performed. The evaluation of this treatment modality remains challenging due to the heterogeneity of clinical criteria and indications reported in the literature. Nevertheless, root amputation may represent a favorable therapeutic option in selected cases, particularly in molars presenting with a localized vertical root fracture involving a single root. This case highlights the potential of conservative surgical approaches to achieve long-term preservation.