Root Resorption: Surgical Therapy

Infection-related external resorptions

  • Extraction – for very severe resorptions.
  • Implant after extraction
  • Root apex resection (surgical procedure in which the root apex of a previously root-treated tooth and the inflamed surrounding area of the root apex are removed) – in combination with endodontic therapy (“therapy of the inside of the tooth”) in the case of apical (“located at the root apex”) resorption.
  • Osteotomy (cutting of bone or the removal of a bone fragment) – removal of
    • Root remnants remaining after resorption.
    • Fractured teeth (broken teeth)
    • Impacted teeth (jammed teeth), the pressure of which initiated the resorption.
  • Surgical crown lengthening – exposure of the defect in the cervical root third with relocation of the mucoperiosteal flap (mucosa-bone flap) apically; defect restoration by means of filling therapy.

Internal resorptions

  • Periodontal surgery
    • Imaging of suprabony perforations and adhesive closure.
    • Presentation of infrabony perforations and coverage with MTA (mineral trioxide aggregate).