Abstract
Multirooted teeth in periodontitis patients are difficult to be treated with only conventional periodontal treatment (scaling and root planing). Multirooted teeth are difficult to access in furcation entrance sites and in teeth with anatomic problems like (severe curvature, developmental grooves, root flutings, accessory, or multiple canals). In these cases root resection has resulted into better outcomes, where one or more roots are removed at the level of furcation. This case report presents a root resection done in upper left first molar after flap debridement with follow up at 12 months and 18 months.
References
Park SY, Shin SY, Yang SM, et al. Factors influencing the outcome of root-resection therapy in molars: A 10-year retrospective study. J Periodontol. 2009 Jan;80(1):32-40.
Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multi rooted teeth. J Clin Periodontol. 1975;2(3):126-35.
Mokbel N, Kassir AR, Naaman N, et al. Root resection and hemisection revisited. Part I: A systematic review. Int J Periodontics Restorative Dent. 2019; 39(1):e11-e31.
Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the classification of periodontal and peri-Implant diseases and conditions. J Periodontol. 2018;89(S1):S173-82.
Carnevale G, Pontoriero R, di Febo G. Long‐term effects of root‐resective therapy in furcation‐involved molars. J Clin Periodontol. 1998;25;209-14
Desanctis M, Murphy KG. The role of resective periodontal surgery in the treatment of furcation defects. Periodontol 2000. 2003;154-68.
Falabella MEV, De-Souza RJS, Dornelas AHC, et al. Root resection in molars: Clinical evaluation for 10 years. Int J Odontostomat. 2021 Jun;15(2):492-8.