Tooth Saving Procedures

Intentional Replantation

This is the purposeful removal of a tooth in order to repair a defect or because of a prior treatment failure and thereafter the return of the tooth to its’ original socket.  While this procedure is usually a treatment “of last resort,” success rates have been shown to approach 95%. Unlike other treatment alternatives, case selection is critical when deciding whether this is truly a viable course of action for you.

Root Amputation

This is the surgical removal of the tooth’s root.  Dr. Nichols will do this when the root cannot be healed and in order to save the remaining roots of the tooth and the tooth itself.  If this is not done, it could lead to infection.  The goal of a dental root amputation is to save a tooth with otherwise extensive challenges to maintaining healthy bone and tooth structure, should the root in question be maintained.

Hemisection

This is the surgical removal of one root and its’ coronal (biting surface) portion, when a tooth has two roots.  A hemisection is done when decay, infection or bone loss extends into the area between the roots.  This procedure is typically performed on the lower molars, which have two roots. 

Root Resection

Each of the front teeth have a single root. When a periapical cyst (infection) or bone loss extends more than half the length of the root, Dr. Nichols could remove the affected area of the root and leave the crown of the tooth intact.  This procedure is called a root resection.