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Root amputation and perio-esthetics in salvaging a premolar

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 techn...

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Autores principales: Agarwal, Swati, Saxena, Aishwarya, Chaubey, Krishna Kumar, Agarwal, Mukund
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555806/
https://www.ncbi.nlm.nih.gov/pubmed/26392697
http://dx.doi.org/10.4103/0972-124X.153473
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author Agarwal, Swati
Saxena, Aishwarya
Chaubey, Krishna Kumar
Agarwal, Mukund
author_facet Agarwal, Swati
Saxena, Aishwarya
Chaubey, Krishna Kumar
Agarwal, Mukund
author_sort Agarwal, Swati
collection PubMed
description 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.
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spelling pubmed-45558062015-09-21 Root amputation and perio-esthetics in salvaging a premolar Agarwal, Swati Saxena, Aishwarya Chaubey, Krishna Kumar Agarwal, Mukund J Indian Soc Periodontol Case Report 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. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4555806/ /pubmed/26392697 http://dx.doi.org/10.4103/0972-124X.153473 Text en Copyright: © Journal of Indian Society of Periodontology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Agarwal, Swati
Saxena, Aishwarya
Chaubey, Krishna Kumar
Agarwal, Mukund
Root amputation and perio-esthetics in salvaging a premolar
title Root amputation and perio-esthetics in salvaging a premolar
title_full Root amputation and perio-esthetics in salvaging a premolar
title_fullStr Root amputation and perio-esthetics in salvaging a premolar
title_full_unstemmed Root amputation and perio-esthetics in salvaging a premolar
title_short Root amputation and perio-esthetics in salvaging a premolar
title_sort root amputation and perio-esthetics in salvaging a premolar
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555806/
https://www.ncbi.nlm.nih.gov/pubmed/26392697
http://dx.doi.org/10.4103/0972-124X.153473
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