Patient Education: Root Banking

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We want to provide you with important information regarding your upcoming dental procedure known as root banking. This procedure is recommended for patients who are experiencing complications related to osteonecrosis of the jaw (ONJ), including medication-related osteonecrosis of the jaw (MRONJ) or osteoradionecrosis (ORN).

What is Root Banking?

Root banking is a surgical procedure aimed at preserving the roots of a compromised tooth while removing the crown (visible portion) of the tooth. This approach is often chosen to manage ONJ and ORN cases, where the integrity of the jawbone is a concern.

Why is Root Banking Recommended?

Root banking is recommended in cases where complete extraction of a tooth may pose risks, such as potential damage to surrounding structures like nerves or blood vessels. By removing only the crown of the tooth and leaving the roots embedded in the jawbone, we aim to preserve the surrounding bone and reduce the risk of further complications.

Procedure Overview:

During the root banking procedure:

  • You will be given local anesthesia to ensure you are comfortable and pain-free during the procedure.
  • The visible portion of the affected tooth will be carefully removed, leaving the roots intact within the jawbone.
  • Any diseased or necrotic tissue will be meticulously cleaned from the exposed root surfaces.
  • The roots may be coated with a biocompatible material to promote healing and reduce the risk of infection.
  • The surgical site will be closed with sutures, and postoperative instructions will be provided to aid in your recovery.

Postoperative Care:

After the procedure, it's essential to follow postoperative instructions carefully, including:

  • Maintaining good oral hygiene to promote healing and prevent infection.
  • Avoiding manipulation of the surgical site and adhering to dietary restrictions as advised.
  • Taking any prescribed medications as directed, including pain relievers and antibiotics.
  • Attending follow-up appointments to monitor your progress and ensure optimal healing.

Risks and Benefits:

While root banking can help preserve jawbone integrity and manage ONJ or ORN, it's essential to understand that like any surgical procedure, there are potential risks involved. Your dental team will discuss these risks with you and answer any questions you may have before proceeding with the treatment.


Your comfort and well-being are our top priorities, and we are here to support you throughout your dental journey. If you have any concerns or questions about the root banking procedure or your overall treatment plan, please don't hesitate to reach out to us.