T. Hempton et C. Leone, A REVIEW OF ROOT RESECTIVE THERAPY AS A TREATMENT OPTION FOR MAXILLARY MOLARS, The Journal of the American Dental Association, 128(4), 1997, pp. 449-455
Restorative treatment planning is often confounded when periodontal at
tachment loss, caries or tooth fracture involves the furcation area of
the tri-rooted maxillary molars. Although such involvement invariably
diminishes the long-term prognosis of the affected teeth, extraction
is not always an option, Root resective therapy, which removes the inv
olved root plus its associated crown portion (trisection), is one of s
everal treatment modalities that can be used in such cases. This artic
le reviews the indications and contraindications for root resective th
erapy, describes the technique of surgical trisection and presents a c
ase in which combined resective, endodontic and prosthetic management
resulted in a successful outcome.