What type of dentist performs dental root amputation?

Jonathan H. Ross, DDS

It will depend on the situation and the level of skill of the dentist. Since a root amputation is sometimes indicated on a perio/endo lesion (severe bone loss around a root from the tip of the root to the gum line), the periodontist or endodontist may perform the root amputation. Endodontists often will perform a root amputation at the time of root canal treatment if it is necessary. Other times the periodontist may perform a vital root amputation (prior to the root canal treatment). The two dentists may coordinate treatment with the RCT being performed first, wait to see the extent of bone regeneration, then one or the other may perform the root amputation.

Two important things about root amputations: I do not advise on them unless it is to save an important tooth supporting a newer bridge; and the crown of the involved tooth must be properly contoured to avoid food entrapment which would lead to a cavity and the ultimate loss of the tooth. The patient must be advised to perform meticulous oral hygiene or the root amputation will fail. And the resultant bony defect where the root was removed may make future implant placement more difficult.

An endodontist performs dental root amputation, also known as dental root resection. Endodontics is a dental specialty where the dentist treats the dental pulp, the inside of the tooth.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.