particular case is absolutely below the standard of care. You may get away with it in this case, but you may not. People need to understand that leaving roots behind is justified in very few instances. Just because you cannot remove them is never an excuse to just throw in the towel and tell the patient they will be "OK." My partner acts as an expert to our state board and reviews cases like this 3-4 times per year. The patient ends up pissed because they want an implant and need another surgery prior or develop an infection or lasting pain, etc. The treating dentist loses every time. In this particular case leaving roots behind is not up to the standard of care. Period. ■ 1/6/2018 jsk070 If you ever "give up," which Member Since: 10/03/13 you will (it will happen), don't Post: 29 of 30 freak out and give up. Refer to an oral surgeon you have a good relationship with and take care of the fees associated with it. I've given up on three extractions in three years. 1. 2. Root tip was too close to sinus Sinus pneumatization (Man ... I learned my lesson on that one.) 3. Lower anterior that was just ankylosed, and I was afraid of damaging adjacent teeth so refer out. All three referred out and the OS took care of it and patient was fine. I would never leave a root tip behind. ■ 1/6/2018 What's your extraction protocol? Search: "Hyped Up" This Townie had some hesitation before extracting in this case and left a portion of the root behind. What would you have done? To share your thoughts and observations, go to dentaltown.com and search the message boards for "hyped up"-this conversation will be one of the top results. FREE FACTS, circle 30 on card dentaltown.com \\ MARCH 2018 51http://www.premusa.com http://www.dentaltown.com/messageboard/thread.aspx?a=11&s=2&f=173&t=304951&g=1 http://www.dentaltown.com