{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:45:02Z","timestamp":1784637902909,"version":"3.55.0"},"reference-count":53,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background\/Objective: Root resective procedures are well established tooth-preserving techniques used when pathology is confined to one root of a multirooted tooth or in the furcation area. Although in recent years implant therapy has become a standard approach in many cases, the rising incidence of peri-implantitis has renewed interest in classical conservative treatment alternatives, such as hemisection, root resection and bicuspidization. The aim of this study is to present clinical cases in which hemisection and bicuspidization were performed to maintain compromised molars in function and achieve long-term outcomes. Methods: This retrospective case series study was conducted in a private dental practice and included three patients treated between 2009 and 2017. The presented cases involved molar teeth exhibiting a vertical fracture or extensive subgingival carries in one root while the remaining root(s) demonstrated favourable periodontal, endodontic and restorative prognosis. An interdisciplinary approach was followed in each case, involving comprehensive clinical and radiographic evaluation including cone beam computed tomography when indicated. The clinical treatment included an endodontic approach (primary treatment or retreatment if required) followed by hemisection or bicuspidization and placement of a permanent prosthetic rehabilitation with full-coverage restoration designed to optimize proper load distribution. Clinical and radiographic follow-up examination was done up to six years in case one, after six months in case two and up to six years in case three. Results: The teeth remained in function through their respective follow-up periods. Clinical and radiographic assessments, according to predefined success criteria, demonstrated periodontal stability (probing depth \u2264 4 mm), no evidence of secondary caries or root fracture, absence of clinical symptoms, normal tooth mobility and masticatory function, absence or reduction in periradicular radiolucency, and stable bone levels. Conclusions: Resective techniques require an interdisciplinary approach, namely, careful case selection, lege artis endodontic treatment, precise surgical technique, and appropriate prosthetic rehabilitation, in order to provide predictable and long-term outcomes. Within the limitations of this case series, resective techniques appeared to be a reliable and predictable alternative to extraction and implant placement in carefully selected clinical cases.<\/jats:p>","DOI":"10.3390\/dj14020122","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T15:57:11Z","timestamp":1771603031000},"page":"122","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Root Resective Procedures: A Case Series of Tooth Hemisection and Bicuspidization with Prosthetic Rehabilitation in Contemporary Dental Practice"],"prefix":"10.3390","volume":"14","author":[{"given":"Sofia","family":"Sokratous","sequence":"first","affiliation":[{"name":"Dental School, National and Kapodistrian University of Athens, Thivon 2, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2590-3348","authenticated-orcid":false,"given":"Andreas","family":"Krokidis","sequence":"additional","affiliation":[{"name":"Dental School, National and Kapodistrian University of Athens, Thivon 2, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos P.","family":"Kerezoudis","sequence":"additional","affiliation":[{"name":"Dental School, National and Kapodistrian University of Athens, Thivon 2, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"ref_1","first-page":"135","article-title":"Radical and heroic treatment of alveolar abscess by amputation of roots of teeth","volume":"26","author":"Farrar","year":"1884","journal-title":"Dent. Cosm."},{"key":"ref_2","unstructured":"Carnevale, G., Pontoriero, R., and Lindhe, J. (2015). Treatment of furcation-involved teeth. Clinical Periodontology and Implant Dentistry, John Wiley & Sons. [5th ed.]."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"180","DOI":"10.5005\/jp-journals-10015-1228","article-title":"Hemisection","volume":"4","author":"Saraf","year":"2013","journal-title":"World J. Dent."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"511","DOI":"10.14219\/jada.archive.1986.0050","article-title":"Hemisection and Root Amputation","volume":"112","author":"Green","year":"1986","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1902\/jop.1981.52.12.719","article-title":"An Evaluation of Root Resections: A Ten-Year Study","volume":"52","author":"Langer","year":"1981","journal-title":"J. Periodontol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"783","DOI":"10.11607\/prd.3797","article-title":"Root Resection and Hemisection Revisited. Part II: A Retrospective Analysis of 195 Treated Patients with Up to 40 Years of Follow-Up","volume":"38","author":"Megarbane","year":"2019","journal-title":"Int. J. Periodontics Restor. Dent."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1111\/j.1600-051X.1998.tb02430.x","article-title":"Long-term Effects of Root-resective Therapy in Furcation-involved Molars: A 10-year Longitudinal Study","volume":"25","author":"Carnevale","year":"1998","journal-title":"J. Clin. Periodontol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1902\/jop.2009.080316","article-title":"Factors Influencing the Outcome of Root-Resection Therapy in Molars: A 10-Year Retrospective Study","volume":"80","author":"Park","year":"2009","journal-title":"J. Periodontol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1902\/jop.1954.25.3.213","article-title":"Elimination of Periodontal Pockets by Root Amputation","volume":"25","author":"Messinger","year":"1954","journal-title":"J. Periodontol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"492","DOI":"10.4067\/S0718-381X2021000200492","article-title":"Root Resection in Molars: Clinical Evaluation for 10 Years","volume":"15","author":"Falabella","year":"2021","journal-title":"Int. J. Odontostomat."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/S0011-8532(22)02949-4","article-title":"Root Amputation and Tooth Hemisection","volume":"13","author":"Basaraba","year":"1969","journal-title":"Dent. Clin. N. Am."},{"key":"ref_12","unstructured":"Weine, F.S. (2004). Endodontic Therapy, Mosby. [6th ed.]."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"El Chaar, E. (2022). Root Amputation. Practical Techniques in Periodontics and Implant Dentistry, Wiley.","DOI":"10.1002\/9781119793588"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1111\/j.1600-051X.2012.01918.x","article-title":"Survival of Molar Teeth after Resective Periodontal Therapy\u2014A Retrospective Study","volume":"39","author":"Lee","year":"2012","journal-title":"J. Clin. Periodontol."},{"key":"ref_15","first-page":"307","article-title":"Root amputation and hemisection. Indications, technique and restoration","volume":"52","author":"Kryshtalskyj","year":"1986","journal-title":"J. Can. Dent. Assoc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"819","DOI":"10.4103\/ijdr.IJDR_91_18","article-title":"Root Resection\u2014Exploring Ways beyond Extraction","volume":"31","author":"Pal","year":"2020","journal-title":"Indian J. Dent. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"870","DOI":"10.14219\/jada.archive.1972.0445","article-title":"Radectomy of Multirooted Teeth","volume":"85","author":"Bergenholtz","year":"1972","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1111\/j.1600-051X.1975.tb01734.x","article-title":"Periodontal Treatment of Multi Rooted Teeth.: Results after 5 Years","volume":"2","author":"Hamp","year":"1975","journal-title":"J. Clin. Periodontol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1902\/jop.1975.46.1.1","article-title":"Clinical Observations Following Root Amputation in Maxillary Molar Teeth","volume":"46","author":"Klavan","year":"1975","journal-title":"J. Periodontol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1902\/jop.2001.72.8.1113","article-title":"A Comparison of the Success of Root Resected Molars and Molar Position Implants in Function in a Private Practice: Results of up to 15-Plus Years","volume":"72","author":"Fugazzotto","year":"2001","journal-title":"J. Periodontol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.prosdent.2019.07.020","article-title":"Single Crowns on Tooth Root\u2013Resected Molars: A Retrospective Multicentric Study","volume":"124","author":"Schmitz","year":"2020","journal-title":"J. Prosthet. Dent."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1902\/jop.1999.70.9.1098","article-title":"Treatment of molar furcation involvement using root separation and a crown and sleeve-coping telescopic denture. A longitudinal study","volume":"70","author":"Hou","year":"1999","journal-title":"J. Periodontol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1902\/jop.1988.59.12.805","article-title":"Evaluation of Root-Resected Teeth: Results after 10 Years","volume":"59","year":"1988","journal-title":"J. Periodontol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1007\/s00784-017-2220-1","article-title":"Retention of Molars after Root-Resective Therapy: A Retrospective Evaluation of up to 30 Years","volume":"22","author":"Derks","year":"2018","journal-title":"Clin. Oral Investig."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1016\/j.prosdent.2023.05.037","article-title":"Survival Analysis of Root-Resected Molars from 1 to 13.4 Years: A Retrospective Cohort Study","volume":"133","author":"Oh","year":"2025","journal-title":"J. Prosthet. Dent."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/0022-3913(91)90039-Y","article-title":"The role of the prosthodontist in restoring root-resected molars: A study of 70 molar root resections","volume":"65","author":"Newell","year":"1991","journal-title":"J. Prosthet. Dent."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1177\/0022034518792567","article-title":"Trends in Dental Implant Use in the U.S., 1999\u20132016, and Projections to 2026","volume":"97","author":"Elani","year":"2018","journal-title":"J. Dent. Res."},{"key":"ref_28","first-page":"384","article-title":"The role of root resection in the age of dental implants","volume":"27","author":"Minsk","year":"2006","journal-title":"Compend. Contin. Educ. Dent."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.14219\/jada.archive.2013.0030","article-title":"Tooth Preservation or Implant Placement: A Systematic Review of Long-Term Tooth and Implant Survival Rates","volume":"144","author":"Levin","year":"2013","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"S158","DOI":"10.1111\/jcpe.12334","article-title":"Peri-implant health and disease. A systematic review of current epidemiology","volume":"42","author":"Derks","year":"2015","journal-title":"J. Clin. Periodontol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1034\/j.1600-0501.2000.011S1146.x","article-title":"Biological Complications with Dental Implants: Their Prevention, Diagnosis and Treatment","volume":"11","author":"Lang","year":"2000","journal-title":"Clin. Oral Implants Res."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.joen.2018.10.003","article-title":"Outcome of Crown and Root Resection: A Systematic Review and Meta-Analysis of the Literature","volume":"45","author":"Setzer","year":"2019","journal-title":"J. Endod."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"99","DOI":"10.11607\/jomi.2014suppl.g2.2","article-title":"Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutments supporting fixed prostheses","volume":"29","author":"Zembic","year":"2014","journal-title":"Int. J. Oral Maxillofac. Implant."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1034\/j.1600-0501.000.00934.x","article-title":"Long-term implant prognosis in patients with and without a history of chronic periodontitis: A 10-year prospective cohort study of the ITI Dental Implant System","volume":"14","author":"Karoussis","year":"2003","journal-title":"Clin. Oral Implant. Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1111\/iej.13300","article-title":"PRICE 2020 Guidelines for Reporting Case Reports in Endodontics: Explanation and Elaboration","volume":"53","author":"Nagendrababu","year":"2020","journal-title":"Int. Endod. J."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1111\/iej.13737","article-title":"Present Status and Future Directions: Vertical Root Fractures in Root Filled Teeth","volume":"55","author":"Patel","year":"2022","journal-title":"Int. Endod. J."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"rjaf051","DOI":"10.1093\/jscr\/rjaf051","article-title":"Restorative Option for Hemisected Root Canal Treated Mandibular Molar: Two Case Reports","volume":"2025","author":"Lin","year":"2025","journal-title":"J. Surg. Case Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/0022-3913(80)90127-4","article-title":"Restoration of root-resected teeth","volume":"44","author":"Appleton","year":"1980","journal-title":"J. Prosthet. Dent."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1038\/s41415-024-7430-8","article-title":"An Introduction to Dental Implants","volume":"236","author":"Addy","year":"2024","journal-title":"Br. Dent. J."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Diaz, P., Gonzalo, E., Villagra, L.J.G., Miegimolle, B., and Suarez, M.J. (2022). What Is the Prevalence of Peri-Implantitis? A Systematic Review and Meta-Analysis. BMC Oral Health, 22.","DOI":"10.1186\/s12903-022-02493-8"},{"key":"ref_41","first-page":"e59967","article-title":"Hemisection: A Boon for the Hopeless Tooth","volume":"16","author":"Khetan","year":"2024","journal-title":"Cureus"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1111\/j.1365-2591.2012.02020.x","article-title":"Mesiobuccal Root Resection in Endodontic\u2013Periodontal Combined Lesions","volume":"45","author":"Oh","year":"2012","journal-title":"Int. Endod. J."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"947","DOI":"10.5005\/jp-journals-10024-3152","article-title":"Saving a Natural Tooth in the Implant Era: A Case Report on Noninvasive Surgical Root Amputation","volume":"22","author":"Alkahtany","year":"2021","journal-title":"J. Contemp. Dent. Pract."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"4","DOI":"10.22271\/oral.2024.v10.i2a.1916","article-title":"Restoration of a Hemisected Molar in the Era of Implants: A Case Report","volume":"10","author":"Topcu","year":"2024","journal-title":"Int. J. Appl. Dent. Sci."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"355","DOI":"10.4103\/jcd.jcd_31_23","article-title":"Hemisection: Partial Preservation of Compromised Tooth","volume":"26","author":"Saluja","year":"2023","journal-title":"J. Conserv. Dent."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"91","DOI":"10.17932\/IAU.DENTAL.2015.009\/dental_v010i10010","article-title":"Rehabilitation of Mandibular Molar Teeth with Single Crown Prosthesis After Root Resection and Hemisection Applications Due to Vertical Root Fracture: Two Case Reports","volume":"10","year":"2015","journal-title":"Ayd\u0131n Dent. J."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1902\/jop.1977.48.8.478","article-title":"The Role of Vital Root Resection in Periodontics","volume":"48","author":"Gerstein","year":"1977","journal-title":"J. Periodontol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/S0099-2399(84)80060-6","article-title":"Vital Root Resection in Maxillary Molar Teeth: A Longitudinal Study","volume":"10","author":"Filipowicz","year":"1984","journal-title":"J. Endod."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1902\/jop.1976.47.6.324","article-title":"Vital Root Amputation: A Clinical and Histological Study","volume":"47","author":"Smukler","year":"1976","journal-title":"J. Periodontol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/0030-4220(69)90182-0","article-title":"Vital root resection","volume":"27","author":"Haskell","year":"1969","journal-title":"Oral Surg. Oral Med. Oral Pathol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/S0011-8532(22)00685-1","article-title":"Hemisection\u2014Technique and restoration","volume":"18","author":"Abrams","year":"1974","journal-title":"Dent. Clin. N. Am."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1016\/S0022-3913(89)80034-4","article-title":"Management of Root-Amputated Maxillary Molar Teeth: Periodontal and Prosthetic Considerations","volume":"61","author":"Schmitt","year":"1989","journal-title":"J. Prosthet. Dent."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"4444","DOI":"10.18203\/2394-6040.ijcmph20233492","article-title":"Stress Control and Bicuspidization","volume":"10","author":"Devi","year":"2023","journal-title":"Int. J. Community Med. Public Health"}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/14\/2\/122\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T16:16:13Z","timestamp":1771604173000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/14\/2\/122"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":53,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["dj14020122"],"URL":"https:\/\/doi.org\/10.3390\/dj14020122","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,20]]}}}