Extraction or Root Amputation

A 56-year-old man has discomfort associated with the tooth #3 one year and a half after root canal therapy (Fig.1: mesiobuccal root vertical fracture).  Since an implant is just placed at #19 and another one will be encouraged to be placed at #2 (Fig.2), root amputation may be a valid treatment modality (Fig.3,4).  After debridement and Clindamycin topical application, allograft/Osteogen is placed (Fig.5,6 (dashed line)), followed by Osteogen plug (Fig.7 *). Discomfort apparently shifts to the distobuccal root 9 months postop, while the MB defect seems to heal (Fig.8 *).  Extraction and implant is expected.

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Xin Wei, DDS, PhD, MS 1st edition 02/21/2017, last revision 12/03/2017