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Prosthetic Considerations with Periodontal Root Resective Therapy Part 2 Prosthetic Considerations with Periodontal Root Resective Therapy Part 2

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Marc E. Moskowitz, DDS, David Kurtzman, DDS, Peter C. Shatz, DDS, Russell E. Gornstein, DDS, MS

Date Added:

9/1/1999


Summary:

The treatment of advanced furcation lesions may require the removal of a portion of the crown and its associated root, or resection of only one root from a multi rooted tooth. This resective-type of therapy is a definitive treatment because it predictably enables clinicians to better access the remaining tooth structure for periodontal and subsequent prosthetic therapy. The morphology of tooth preparation for hemisective periodontal therapy is critical to facilitate the patient's ability to perform optimal long-term maintenance of this affected area. Prosthetic treatment planning is often complicated when periodontal attachment loss, caries, or tooth fracture involves the furcation area of the multirooted molars. Although such involvement invariably diminishes the long-term prognosis of the affected teeth, extraction is not necessarily an option. Hemisective periodontal therapy, which involves removal of the involved root and its associated crown portion, is one of several treatment modalities that can be used in such cases.

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