A new approach to vital root resection.

Area of Science:

• Dentistry
• Periodontology
• Endodontics

Background:

• Periodontal disease often necessitates surgical intervention.
• Maxillary molars with severe periodontal involvement may require root resection.
• Preserving tooth vitality is a key consideration in complex dental procedures.

Purpose of the Study:

• To evaluate the efficacy of combining vital root resection with periodontal surgery.
• To compare simultaneous versus staged surgical approaches for maxillary molar treatment.
• To assess the long-term outcomes of vital root resection in conjunction with periodontal procedures.

Main Methods:

• Ten cases involved periodontal surgery followed by immediate vital buccal root resection on maxillary molars.
• The exposed pulpal area was treated with calcium hydroxide, zinc oxide, and eugenol, then sealed with amalgam.
• Two cases were performed in reverse order: root resection first, then periodontal surgery.
• All cases were monitored for 1 to 3 years.

Main Results:

• The combined vital root resection and periodontal surgery approach yielded favorable results.
• Outcomes were comparable to cases where periodontal surgery was performed at a separate, earlier appointment.
• No significant differences were noted between the simultaneous and staged treatment groups over the evaluation period.

Conclusions:

• Simultaneous vital root resection and periodontal surgery is a viable and effective treatment option for maxillary molars.
• This combined approach offers comparable results to staged procedures, potentially improving treatment efficiency.
• The findings support the integration of vital root resection into periodontal surgical planning.