J Interdiscip Dentistry
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CASE REPORT
Year : 2020  |  Volume : 10  |  Issue : 3  |  Page : 141-144

Salvaging a tooth with radisection: A case report with 3-year long-term follow-up


1 Department of Conservative Dentistry and Endodontics, SRM Dental College, SRM Institute of Science and Technology, Bharathi Salai, Ramapuram, Chennai, Tamil Nadu, India
2 Private Practioner, Maratha Mandal's Nathajirao G. Halgekar Institute of Dental Sciences and Research Centre, Belagavi, Karnataka, India
3 Maratha Mandal's Nathajirao G. Halgekar Institute of Dental Sciences and Research Centre, Belagavi, Karnataka, India

Correspondence Address:
Dr. Monisha P Khatri
Department of Conservative Dentistry and Endodontics, SRM Dental College, Bharathi Salai, Ramapuram Campus, Chennai - 600 089, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jid.jid_45_20

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The successful management of endodontically involved teeth depends on adequate biomechanical preparation and obturation in adherence to a satisfactory coronal seal. However, challenges such as extensive carious involvement, periodontal attachment loss, and iatrogenic mishaps which include ledges, blocked canals, and instrument separation compromise the salvation of the teeth. Treatment options for such mishaps in multirooted teeth can range from endodontic treatment alone, combined endodontic-periodontic treatment, or extraction in cases with poor prognosis. One such treatment in case of file fracture or extensive periodontal involvement in maxillary molars could be root resection, also known as radisection. This procedure offers an economically viable treatment option for the patient to preserve the natural tooth. This article highlights a case report of root resection in maxillary molar with endodontic, periodontic, and prosthetic management with resultant successful oral rehabilitation along with a follow-up of 3 years.


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