Root Amputation – Specialized Endodontic Surgery in Midwest City
At Endodontics and Dental Implants of Oklahoma, we offer advanced procedures such as root amputation to preserve natural teeth that might otherwise require extraction. This surgical endodontic treatment is used to remove one diseased or damaged root from a multi-rooted tooth—typically a molar—while preserving the healthy portion of the tooth.
As part of our commitment to clinical excellence in Endodontics Oklahoma, we perform root amputations with precision, using state-of-the-art technology and evidence-based techniques to ensure successful outcomes and long-term tooth function.
What Is Root Amputation?
Root amputation is a microsurgical procedure that involves the removal of one root from a multi-rooted tooth, most commonly a molar. The goal is to eliminate infection or structural damage affecting a single root while maintaining the rest of the tooth and surrounding bone.
This procedure allows patients to retain their natural teeth and avoid more invasive alternatives such as extraction and replacement with implants or bridges.
When Is Root Amputation Recommended?
Root amputation may be indicated when:
- One root is affected by persistent infection or decay
- A vertical fracture is present in a single root
- There is localized bone loss around one root due to periodontal disease
- Previous endodontic treatment has failed in only one root
- Structural damage or resorption compromises part of the root system
For a root amputation to be viable, the remaining roots and crown of the tooth must be structurally sound and free of disease.
Procedure Overview
Diagnostic Evaluation
Before recommending root amputation, we conduct a thorough examination, including digital X-rays and CBCT scans, to assess the condition of the tooth and supporting structures.
Root Canal Treatment
Root canal therapy is completed on the affected tooth prior to or during the amputation procedure. This step ensures that all infected tissue is removed and the internal canals are sealed.
Surgical Amputation
Under local anesthesia and magnification (microscope-assisted), a small incision is made in the gum tissue to expose the root area. The diseased root is surgically separated and removed from the tooth. The area is then cleaned, disinfected, and sutured.
Postoperative Care
Patients are given clear aftercare instructions, including guidelines for oral hygiene, diet, and follow-up. Healing typically occurs over a few weeks, and the tooth can continue to function normally with proper restoration and care.
Advantages of Root Amputation
- Preserves the natural tooth and maintains occlusion
- Prevents the need for extraction and tooth replacement
- Eliminates infection from a localized root issue
- Cost-effective alternative to full tooth replacement
- Often completed in fewer appointments than extraction plus implant
Is Root Amputation Right for You?
Not every tooth is a candidate for root amputation. It is typically reserved for patients who:
- Have multi-rooted teeth (usually upper or lower molars)
- Wish to retain their natural tooth whenever possible
- Have adequate periodontal support and remaining healthy roots
- Do not present extensive damage across the entire tooth
Our team will evaluate your specific case and discuss all available treatment options.