Hemisection dental surgery is a procedure in which a tooth with multiple roots is sectioned in halves. This procedure may be needed when there is bone. Patients are becoming more educated in the available treatments and will ask for services by name. This paper offers a treatment option that preserves tooth. This procedure helps in saving a tooth which otherwise would have been deemed for extraction. Hemisection refers to removal or separation of.

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How common is hemisection dental surgery?

Casting procedure was carried out using hrmisection techniques. Published online Aug Int J Dent Clin ;3: How to cite this URL: J Pak Dent Assoc ; It is indicated where one of the root of molar is unsalvageable due to caries, periodontitis, or iatrogenic mishaps [ 5 ].

Cuspal inclines are made less steep to reduce laterally directed forces and eliminate the nonworking contacts. Please review our privacy policy. Hemisection dental surgery is a procedure in which a tooth with two roots is cut in half.

Hemisection: A conservative management of periodontally involved molar tooth in a young patient

A terminal abutment molar with extensive decay may be unsuitable for restoration. Related articles Endo-perio lesion hemisection mandibular molar. It was a conservative approach aiming to retain as much original tooth structure as possible against the option of extraction of the natural tooth. The role of resective periodontal surgery in the treatment of furcation defects. Int J Contemp Dent ;2: Thus, it was diagnosed as chronic generalised gingivitis and localized periodontitis associated with lower left mandibular first molar.

Indian J Dent Sci ;9: A ray of hope for the hopeless: After appropriate local anaesthesia, a crevicular incision was made from first premolar to second molar region.


Preservation of a hopeless tooth is possible by selecting patients with good oral hygiene, and careful surgical and hemksection management. Advanced Search Users Online: Hemisections are becoming less common, as recent technological advances mean that root canal therapy fails less frequently. Fixed partial denture Click here to view. When the tooth lose part of its root support, it will require a restoration to permit it to function independently or ototh as an abutment for fixed partial denture or splint.

Advances in dentistry, as well as the increased desire of patients to maintain their dentition, have led to treatment of teeth that once would have been removed.

Hemisection: A conservative management of periodontally involved molar tooth in a young patient

Hemisections cannot be performed on smaller teeth because they lack the strength and stability required to remain functional after the procedure. Journal List Case Rep Toorh v.

The most common procedure is the root canal, which is necessary when the soft tissues inside your teeth become inflamed or diseased. This will also help in maintenance of gingiva by making it self-cleansable. Periodontal support of mesial root of 36 was good. A year-old girl reported to the Department of Pedodontics and Preventive Dentistry, with a chief complaint of pain in the lower right back tooth region since 10 days.

How to cite this article: J Conserv Dent ; Contraindications include the presence of a strong abutment tooth adjacent to the proposed hemisection, which could act as an abutment to a prosthesis. Periodontal Dressing Click here to view.

J Nat Sci Biol Med. Hemisection is a treatment option for saving a mandibular molar which is in advanced rooth of periodontal disease of one root.


Hemisection as an alternative treatment for resorbed hemisectioon tooth — A case report. Hemisection as a treatment option: J Can Dent Assoc ; Mandibular master cast was mounted using interocclusal record.

After reflection of flap, bony defect was evident and curettage and debridement were done. Interproximal bone loss was seen between 36 and There are plenty of prosthetic teeth restorations available, but none is preferable to a healthy natural hemjsection.

The retained root is endodontically treated and the furcations area is made self-cleansable by removing the lip of root carefully. Int J Dent Clin ;3: Care was taken not to traumatize bone and adjacent tooth while removing the mesial root. Root stumps were present with lower heemisection first molar [ Figure 1a ]. Related articles Fixed partial denture furcation involvement hemisection.

What is hemisection dental surgery? | Endodontic Surgery – Sharecare

Hemisection- A case report. This case report describes a simple procedure of hemisection in a mandibular tooht with socket preservation with help of an alloplastic bone graft and subsequent restoration of the tooth with fixed prothesis.

Endodontic phase involved intentional gooth canal treatment of 36 in a conventional manner Figure 2. The resulting space is packed with dental filler and the tooth is sealed with a crown. A modified fixed partial denture design is fabricated to splint the remaining portion of the tooth to adjacent teeth.

Sutures were placed, and COE pack surgical dressing was done. Hemisection of tooth done Click here to view.