Vital root resection with regenerative retrograde vital pulp therapy: A case report

This case report presents a minimally invasive dental procedure to preserve tooth function and vitality. A 56-year-old patient reported swelling and pain in the upper right part of her mouth. Examination of tooth #3 revealed an acute gum infection and a likely root fracture in one of the roots. The treatment involved vital root resection, which removes only the damaged root, and regenerative pulp therapy to enhance healing. The regenerative pulp therapy used bioactive materials, including an amnion-chorion membrane and bioceramics, to support tissue regeneration. After 6 months, the patient showed successful bone healing, and gum recession around the treated area was corrected with a connective tissue graft. At the 18-month follow-up, the tooth remained vital and free of symptoms, with no signs of further infection or damage. This case highlights the potential of combining vital root resection and regenerative pulp therapy as a less invasive, cost-effective alternative to traditional methods, allowing the tooth to be preserved while maintaining its natural function.