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Root Banking

Root Banking

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Preoperative Considerations

Consent:

  • Possible inadvertent extraction especially if small roots
  • Discuss risk & benefit if ORN or MRONJ

Anesthesia/Positioning:

  • Reclined in clinic
  • Supine in OR
  • Oral or nasal tube OK

Other:

  • Ensure RCT has been performed on the roots that will be banked, can discuss timing of this with endodontist

Armamentarium:

  • Surgical handpiece
  • Carbide or diamond round bur (large preferred, up to 5mm)

Technique

Postoperative Considerations

Immediate:

  • Reinforce oral hygiene to facilitate soft tissue closure over roots

Follow Up:

  • Reinforce oral hygiene to facilitate soft tissue closure over roots
  • Inform patient that roots may slowly erupt out of alveolus

Operative Note

CLINIC

Using high-speed rotary instruments, the coronal portion of the affected tooth was carefully drilled away, leaving behind the roots embedded in the jawbone. Care was taken to preserve as much surrounding bone as possible and minimize trauma to the adjacent soft tissues. Following removal of the coronal portion of the tooth, the exposed roots were inspected for any remaining necrotic or diseased tissue. Thorough debridement and irrigation of the root surfaces were performed to remove any debris or contaminants till the level of the alveolus. All sites were irrigated copiously with NS.

OPERATING ROOM 

Surgeon(s): ***

Assistant Surgeon(s):  ***

Preoperative Diagnosis: ***

Postoperative Diagnosis: Same

Procedure(s): ***

Anesthesia: General

Implants: None

Specimen:***

Drains: None

Fluids: See anesthesia record

EBL: Minimal

Complications: None

Counts:  Correct x2

Indications: ​***

Findings: As expected

Procedure in Detail:

The patient was seen in the preoperative holding area with a H&P was updated, consents were verified, surgical site marked, and all questions and concerns related to the proposed procedure were discussed in detail.  The patient was transferred to the operating room by the anesthesia team.  The patient underwent general anesthesia with endotracheal intubation. Tegaderms were placed over the eyes. The patient was prepped and draped in the standard fashion for maxillofacial procedures.  A time-out was performed and the procedure began.

Using high-speed rotary instruments, the coronal portion of the affected tooth was carefully drilled away, leaving behind the roots embedded in the jawbone. Care was taken to preserve as much surrounding bone as possible and minimize trauma to the adjacent soft tissues. Following removal of the coronal portion of the tooth, the exposed roots were inspected for any remaining necrotic or diseased tissue. Thorough debridement and irrigation of the root surfaces were performed to remove any debris or contaminants till the level of the alveolus. All sites were irrigated copiously with NS.

The patient's face was then cleaned and the posterior pharynx was suctioned. An OG tube was used to suction out the contents of the stomach. Tegaderms were removed from the eyes. Dressings were placed. The patient was then transferred back to the care of the anesthesia team for extubation and recovery.

Coding

  • No specific Current Dental Terminology (CDT) code specifically designated for root banking
  • D7240- Coronectomy

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