• Sittidej Nincharoen
• Sunphat Namano

Restorative treatment planning is often confounded when periodontal attachment loss, caries or tooth fracture involves the furcation area of the multirooted molars. Although such involvement invariably diminishes the long-term prognosis of the affected teeth, extraction is not always a good option. Root resection, which removes the involved root plus its associated crown portion, is one of several treatment modalities that can be used in such cases. This paper reports a patient having a fixed bridge restoration by using a lower molar and a resected tooth of a lower molar as abutments. For this case, the semi-precious alloy is the metal of choice and the pontic design is the sanitary pontic for the easily cleaning purpose. The patient was recalled every 6 months. After 3 years and 3 months (until the date of this report), the restoration is still in good condition, no pain on both abutments, no mobility and no carious lesion beyond the margin. Patient can clean his teeth very well so there is no plaque accumulation around the restoration.

(CU Dent J 2003;26:43-51)