Saving a Tooth Using Root Resection
In this episode of CDA Oasis Live, Dr. John O’Keefe, Director of Knowledge Networks CDA, invites Dr. Joel Fransen, endodontist from Richmond BC, to present a case study of a patient where a root resection was successfully used to save the tooth from extraction.
Dr. Fransen walks through the clinical details of the case and, citing evidence from a recent meta-analysis published in the Journal of Endodontics, argues that although such a procedure is often overlooked in favour of implants, there is enough evidence to suggest it is a rational treatment planning choice in certain cases.
“Implants are great if you can’t save a tooth, but nothing is better than the real thing. But it has to be the right patient and you have to be comfortable doing the procedure.”
- Class III furcation
- Deep class II furcal involvement
- Bone loss on one root – most commonly brought about by a vertical root fracture
- Sub gingival caries that are out of control and it is difficult to restore the area
- Apical root radiolucency that persists despite root canal treatment
- Large separated instruments or posts
- Resorption/resorptive defect
- If an implant or bridge is not an option for the patient
We hope you find the conversation useful. We welcome your thoughts, questions and/or suggestions about this post and other topics. Leave a comment in the box below or send us your feedback by email.
Until next time!
CDA Oasis Team