Vital root resection with advanced periodontitis--case reports.

Furca of multi-rooted teeth are sometimes affected by advanced periodontitis and supporting tissue is almost lost around one of two or two of three roots, while the remaining root or roots are supported by a relatively intact periodontium. In these situations, the procedure of root resection has usually been carried out. Though the necessity of prior or simultaneous endodontic treatment will be considered concomitantly, it is not clear the good periodontal results can be obtained in such cases by these endodontic treatments. If the technique of vital root resection should be indicated to these cases, the vitality of the tooth would be retained and the damage would be minimal. The technique of vital root resection and two periodontally successful clinical cases are presented. This technique appears appropriate in cases in which a multi-rooted tooth is afflicted with a hopeless periodontitis involving one or two roots.