Evaluation of Corrective Surgery Versus Dental Implants in Compromised Mandibular Molars

Clinical and Radiographic Outcomes of Corrective Surgery Versus Dental Implant Treatment for Management of Compromised Permanent Mandibular Molars (An In-vivo Study)

This study seeks to assess the clinical, radiographic, and patient-reported outcomes of hemisection versus implant over a 12 months period, generating robust evidence to guide clinical decision-making and enhance patient care.

Inclusion Criteria:

• Good oral hygiene and motivation for follow-up care.
• Ability to understand and sign informed consent.
• Localized Root/Periodontal Disease: Severe attachment loss or bone loss (e.g., severe localized periodontitis) affecting the mesial root, while the other root remains healthy.
• Furcation Involvement: Class II or III furcation involvements where the disease cannot be treated by conventional methods.
• Vertical root fracture confined to the mesial root.
• Non-treatable perforation in the mesial root.
• Extensive sub-gingival root caries affecting the mesial root.
• Extensive un-treatable internal and external root resorption related to the mesial root.

Exclusion Criteria:

• Uncontrolled systemic diseases (e.g., diabetes mellitus, bleeding disorders, immunosuppression).
• Fused or poorly shaped roots,
• Active periodontal or endodontic infection at adjacent teeth that may interfere with treatment outcomes.
• Severe bruxism or occlusal parafunction.
• History of radiation therapy in the head and neck region.
• Pregnancy or lactation.
• Poor compliance or inability to attend follow-up visits.
• Smoking more than 10 cigarettes per day.