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Root amputation and perio-esthetics in salvaging a premolar.

Agarwal S, Saxena A, Chaubey KK, Agarwal M - J Indian Soc Periodontol (2015 Jul-Aug)

Bottom Line: Though, the tooth no. 14 was having Grade-I mobility, it was endodontically treated, buccal root was resected, osseous graft was applied over the deficient ridge area and lateral pedicle flap was displaced over the short root-trunk area to cover the surgical site.To our astonishment, the tooth survived, mobility was reduced and complete coverage with soft-tissue was observed.Uneventful healing with stable gingival margin was observed at 3-month interval, which remained stationary at 1-year follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India.

ABSTRACT
A 32-year-old patient with complete denudation of buccal root of tooth no. 14 was referred from the Department of Oral Surgery for opinion, as he was not willing for extraction. Patient's persistent urge to save the tooth, put forth a challenge, which motivated us to tweak the established techniques. The unusual presentation of the case and unexpected par-operative condition of the surgical site required out-of-box measures to deal with the situation. Though, the tooth no. 14 was having Grade-I mobility, it was endodontically treated, buccal root was resected, osseous graft was applied over the deficient ridge area and lateral pedicle flap was displaced over the short root-trunk area to cover the surgical site. To our astonishment, the tooth survived, mobility was reduced and complete coverage with soft-tissue was observed. Uneventful healing with stable gingival margin was observed at 3-month interval, which remained stationary at 1-year follow-up.

No MeSH data available.


Related in: MedlinePlus

Postoperative 3 months
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Figure 10: Postoperative 3 months

Mentions: Periodontal dressing was given over aluminium-foil on the site. The patient was discharged with postoperative instructions and medications (Amoxicillin 500 mg t.d.s for 5 days and paracetamol 625 mg b.d. for 3 days after the consultation with his treating physician), and chlorhexidine mouth-wash twice daily for 10 days. The patient was recalled after 10 days for suture removal and check-up [Figure 9]. There was no postoperative complication and healing was satisfactory. The defect created at the donor site was healing by secondary intention. The patient was instructed to use a soft toothbrush. He was monitored on a weekly schedule postoperatively, to ensure good oral hygiene of the surgical area. The re-evaluation of this area at 3-month follow-up showed no relapse or recession [Figure 10]. The healing was uneventful. The cervical abrasion on the buccal surface was restored with light cure composite resin. One year follow-up showed no recession and gingival margin appeared stable [Figure 11].


Root amputation and perio-esthetics in salvaging a premolar.

Agarwal S, Saxena A, Chaubey KK, Agarwal M - J Indian Soc Periodontol (2015 Jul-Aug)

Postoperative 3 months
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555806&req=5

Figure 10: Postoperative 3 months
Mentions: Periodontal dressing was given over aluminium-foil on the site. The patient was discharged with postoperative instructions and medications (Amoxicillin 500 mg t.d.s for 5 days and paracetamol 625 mg b.d. for 3 days after the consultation with his treating physician), and chlorhexidine mouth-wash twice daily for 10 days. The patient was recalled after 10 days for suture removal and check-up [Figure 9]. There was no postoperative complication and healing was satisfactory. The defect created at the donor site was healing by secondary intention. The patient was instructed to use a soft toothbrush. He was monitored on a weekly schedule postoperatively, to ensure good oral hygiene of the surgical area. The re-evaluation of this area at 3-month follow-up showed no relapse or recession [Figure 10]. The healing was uneventful. The cervical abrasion on the buccal surface was restored with light cure composite resin. One year follow-up showed no recession and gingival margin appeared stable [Figure 11].

Bottom Line: Though, the tooth no. 14 was having Grade-I mobility, it was endodontically treated, buccal root was resected, osseous graft was applied over the deficient ridge area and lateral pedicle flap was displaced over the short root-trunk area to cover the surgical site.To our astonishment, the tooth survived, mobility was reduced and complete coverage with soft-tissue was observed.Uneventful healing with stable gingival margin was observed at 3-month interval, which remained stationary at 1-year follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India.

ABSTRACT
A 32-year-old patient with complete denudation of buccal root of tooth no. 14 was referred from the Department of Oral Surgery for opinion, as he was not willing for extraction. Patient's persistent urge to save the tooth, put forth a challenge, which motivated us to tweak the established techniques. The unusual presentation of the case and unexpected par-operative condition of the surgical site required out-of-box measures to deal with the situation. Though, the tooth no. 14 was having Grade-I mobility, it was endodontically treated, buccal root was resected, osseous graft was applied over the deficient ridge area and lateral pedicle flap was displaced over the short root-trunk area to cover the surgical site. To our astonishment, the tooth survived, mobility was reduced and complete coverage with soft-tissue was observed. Uneventful healing with stable gingival margin was observed at 3-month interval, which remained stationary at 1-year follow-up.

No MeSH data available.


Related in: MedlinePlus