I Don't Always Amputate Roots, But When I Do...

Root amputation is not a commonly performed procedure in my practice, but when it is, I like for it to look like this.  In this case, the tooth is non-mobile - despite the bone loss around the DB root.  While the distal margin is open, it is not carious and patient is not planning to replace the crown at this time.  Pt understands that this procedures extends the life of the tooth.  I explain that the short term prognosis is good. If the tooth does well, then replacement of the crown can be considered.

PreOp and PostOp of DB Root Amputation

DB root is floating - with no buccal bone

DB root removed and contoured to a cleansable form.