BICUSPIDIZATION-TWINNING A MOLAR TOOTH

Restoration of teeth is often confounded by caries, periodontal attachment loss or fracture, especially when it presents itself in the furcation area of multirooted teeth. Since such circumstances warrant a multidisciplinary approach, it imposes a special challenge on the dentist to conserve the affected teeth. Although regenerative therapy is the norm in such periodontally affected cases, usually the defects are not conducive for regeneration to be carried out. According to the present mandate, bicuspidization can be epitomized as a conservative form of resective surgery wherein the affected tooth is split into two halves along with the root portion. In this case report, class III furcation involvement of the right mandibular molar with advanced bone loss until the apical third of the root, was successfully treated by bicuspidization. The resultant 18 months follow up shows a restored tooth which is fully functional and without any biologic complications.