Bicuspidisation: Two is Better than None - A Case Report
PDF

Keywords

Bicuspidisation
furcation defects
hemisection
mandibular molar

Abstract

A periodontally compromised tooth with severe furcation involvement may as well be retained of their roots rather than its removal in toto. Bicuspidisation (Premolarisation) is a surgical technique of sectioning mandibular molar roots with their respective crown portions followed by rehabilitation with fixed prosthesis in the individual segments. This not only eliminates furcation involvement but also facilitates effective oral hygiene maintenance. The present case report demonstrates the successful management of grade III furcation involved mandibular molar by bicuspidisation followed by subsequent prosthodontic rehabilitation. It gives a better alternative to salvage a periodontally compromised tooth rather than opting for extraction.

PDF

References

Basaraba N. Root amputation and tooth hemisection. Dent Clin North Am. 1969 Jan;13(1):121-32.

Newman MG, Takei H, Klokkevold PR, Carranza FA. Newman and Carranza’s Clinical Periodontology. 13th ed. Amsterdam: Elsevier; 2019.

Bühler H. Survival rates of hemisected teeth: an attempt to compare them with survival rates of alloplastic implants. Int J Periodontics Restorative Dent. 1994;14(6):536-43.

Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, et al. Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth. Dent Traumatol. 2007 Apr;23(2):66-71.

Dalvi A, Sachdeva S, Saluja H, Haridas A. Art of salvaging: Bicuspidisation and bone grafting with platelet rich fibrin in mandibular left first molar – A case report. Matthews J Case Rep. 2017;2(2):032-6.

Farshchian F, Kaiser DA. Restoration of the split molar: Bicuspidisation. Am J Dent. 1988;1(1):21-2.

Basten CH, Ammons Jr WF, Persson R. Long-term evaluation of root-resected molars: A retrospective study. Int J Periodontics Restorative Dent. 1996 Jun;16(3):206-19.

Newell DH. The role of the prosthodontist in restoring root-resected molars: A study of 70 molar root resections. J Prosthet Dent. 1991;65(1):7-15.

Smukler H, Tagger M. Vital root amputation: A clinical and histological study. J Periodontol. 1976;47(6):324-30.

Bühler H. Evaluation of root-resected teeth. Results after 10 years. J Periodontol. 1988 Dec;59(12):805-10.