Root Amputation: A Prudent Alternative to Tooth Extraction

Compromised teeth often pose a significant challenge to the clinician, complicating the treatment plan and compromising long term prognosis. Upper molar teeth showing periodontal attachment loss, caries or fractures involving the furcation area are prime examples of such challenges. Treatment option for affected teeth can be roughly divided into maintenance of the tooth through root resection therapy, or extraction and replacement. Root resection therapy involves removal of the diseased root along with its coronal portion while retaining the relatively healthy parts. The indication, contra-indications and technique of root resection therapy are described in this case report of an upper molar in which combined resection, endodontic and prosthetic management resulted in a successful outcome.