An Evaluation of Root Resections: A Ten‐Year Study

Langer, Burton; Stein, Stephen D.; Wagenberg, Barry

doi:10.1902/jop.1981.52.12.719

Cited by 171 publications

(106 citation statements)

References 4 publications

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“…Sin embargo, a pesar de que algunos autores han informado de buenos resultados (38,39), cuando se evalúa el desempeño en el largo plazo se encuentran tasas de fracaso que van desde el 32% (40) hasta el 38% (41). A pesar de que la causa principal de fracaso fuese periodontal, es incierto si puede esperarse una alta incidencia de fracturas radiculares como lo sugieren algunos estudios (41,42).…”

Section: Desafíos Periodontalesunclassified

Restauraciones protésicas sobre dientes con soporte periodontal reducido

Vélez

Medina

2009

Av Odontoestomatol

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Osorio Vélez LS, Ardila Medina CM. Restauraciones protésicas sobre dientes con soporte periodontal reducidoAVANCES EN ODONTOESTOMATOLOGÍA/287 RESUMENCuando se involucra a los pacientes con enfermedad periodontal en un plan de tratamiento integral, se pretende, en primera instancia, controlar la enfermedad. Sin embargo, superado este objetivo, se espera y se requiere el reemplazo protésico de los dientes perdidos así como la rehabilitación de los remanentes en la mayoría de los casos. Considerando que la elección de los dientes pilares para un restauración protésica depende de la capacidad biológica del periodonto sano reducido de soportar a largo plazo la restauración, numerosas investigaciones se han diseñado para establecer los criterios determinantes en tal selección. Los resultados muestran que la principal limitación para el éxito de las restauraciones en pacientes con pocos pilares y una cantidad reducida de soporte periodontal, se relaciona con los factores biofísicos y técnicos y con el mantenimiento de la salud de los tejidos periodontales, más que con la cantidad de soporte periodontal. Palabras clave: Restauraciones protésicas, periodonto reducido. SUMMARYWhen it is intended to provide an integral treatment plan for patients with periodontal disease; it is aimed, at first, to control the illness. Nevertheless, once this objective has been overcome, it is expected and required, the prosthetic replacement of lost teeth as well as rehabilitation for remaining ones, in most of cases. Considering that the selection of the abutments for a prosthetic restoration depends on the biological capacity of their healthy reduced periodontal tissues supporting the restoration in the long term; a lot of research has been carried to establish the determining criteria for such selection. The results show that the limiting criteria for successful restorations in patients with few abutments and a reduced amount of periodontal support, is mainly related with biophysical and technical factors and with keeping healthy tissues, more than the periodontal support amount per se.

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Section: Desafíos Periodontalesunclassified

Restauraciones protésicas sobre dientes con soporte periodontal reducido

Vélez

Medina

2009

Av Odontoestomatol

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“…However, predictable regeneration cannot be achieved in advanced furcation invasions due to the complexity of furcation morphology [4]. Multiple modalities have been utilized over the years ranging from non-surgical therapy [3], surgical therapy utilizing regenerative methods using grafts and membranes [5,6,7] , root resection [8 ], tunnel procedure [9] with unpredictable success. The patients are most often offered options which are unpredictable, more invasive and expensive.…”

Section: Introductionmentioning

confidence: 99%

Furcal Obliteration for Advanced Furcation Invasions Using Glass – Ionomer Restorative Material.

Chacko¹,

Abraham²,

Jiyani³

et al. 2013

jemds

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Periodontal disease involving the furcation of multi-rooted tooth often complicates the treatment and prognosis of the affected tooth. Multiple modalities have been utilized over the years with unpredictable success. Class I and Class II Furcation invasions are amenable for regeneration; however, advanced invasions do not respond well to surgical techniques and are best treated by non-surgical mode or by extractions. Furcal obliteration by biocompatible material like GlassIonomer can seal the furcal niche and offer functional and maintainable state of teeth involved. The present case utilizes furcal obliteration method using Glass ionomer cement for grade III Furcal invasions in maxillary molar teeth. One year post operative follow up showed satisfactory results. This may prove to be an economical and less invasive option for advanced furcation involvements.

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“…Some investigators 4,5 reported that rootresected molars had more than 90% survival rate, whereas other investigators [6][7][8][9] reported that ~30% of resected molars failed over a 10-year period. Some investigators compared the prognosis of root-resection therapy to that of implant therapy.…”

Section: Introductionmentioning

confidence: 99%

“…The most important factors for the prognosis of root-resection therapy have been suggested. [4][5][6][7][8][9]12,13 The following should be considered when deciding which root should be retained: the amount of supporting tissue around the roots, the root and root canal anatomy in relation to the endodontic treatment, the periapical condition, and the mobility of each separated root. 13 Molars with minimal supporting bone or deep osseous craters in the furcation area are poor candidates for root-resection therapy as a result of the recurrent periodontal breakdown of resected molars.…”

Section: Introductionmentioning

confidence: 99%