Chj. Basten et al., LONG-TERM EVALUATION OF ROOT-RESECTED MOLARS - A RETROSPECTIVE STUDY, The International journal of periodontics & restorative dentistry, 16(3), 1996, pp. 207-219
Thirty-two consecutively treated patients were included in this study
of 49 root-resected molars that were under regular recall of 3 to 6 mo
nths for a mean of 11.5 years (2 to 23 years). Treatment modalities fo
r ail patients were very similar Endodontic treatment was conservative
ly performed prior to resection with maximum preservation of tooth str
ucture. No threaded posts were used. Provisional restorations were in
place prior to periodontal therapy (pocket reduction with or without o
sseous surgery). Most patients were treated with complete-mouth recons
tructions. Ninety-two percent of ail resected molars survived an avera
ge of 12 years. Teeth failed because of recurrent caries or for endodo
ntic and strategic reasons. If proper treatment is rendered periodonti
cally involved molars can be maintained for a long period of time and
serve successfully as abutments in complete-mouth restorations. Great
care must be taken throughout the whole process of case selection, ree
valuation, and endodontic, periodontal, restorative, and maintenance t
herapies.