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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Closer the furcation opening to the cemento-enamel junction, better the prognosis for retained root. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.

Sutures were placed, and COE pack surgical dressing was done. How is a tooth hemisection performed?

Mesial root extracted Click here to view. Hemisected tooth portion Click here to view.

Post cementation instructions regarding periodontal maintenance were given. An innovative approach for treating vertically fractured mandibular molar-hemisection with socket preservation. Case Rep Dent Roots of mandibular molars show concavity, mostly on distal root.

Hemisection with socket preservation surgery as an alternative treatment tor vertically fractured mandibular molars: Tooth hemisection and restoration an alternative to extraction: J Interdiscip Dentistry ;1: Though these alternatives are effective under the right circumstances, they can be expensive to implement.

Root stumps were present with lower left first molar [ Figure 1a ]. Hemisection denotes the removal of compromised root and the associated crown portion with the loss of periodontal attachment and is performed to maintain the original tooth structure and attain the fixed prosthesis.


What is hemisection dental surgery?

Please review our privacy policy. Hence, any defect in the root either mesial or distal, extraction is the most common treatment planned.

J Pak Dent Assoc. These teeth are the major standpoint for occlusion, and also have a wide pericemental area. J Int Acad Periodontol ; Open in toorh separate window. None, Conflict of Interest: Other indications include vertical root fracture confined to a single root of a multirooted tooth or any severe destructive process that is confined to a single root, including caries, external root resorption, and trauma.

This procedure though daunting can be easily achieved and maintained successfully.

Recall was done periodically to assure the healing and success of the restoration. None, Conflict of Interest: Endodontic Therapy, 5 th ed.

Wax pattern was fabricated, sprued, and invested. Tooth preparation was done in relation to 35, distal root of 36 and 37 to receive a porcelain fused to metal restoration Figure 5. Case Rep Dent ; The surgical site was then allowed to heal with no occlusal stress on distal root for 4 weeks.

The use of hemisection to retain a compromised tooth offers a prognosis comparable to any other tooth with endodontic treatment. Tooth Hemisection A hemisection is a specialized dental procedure where half of an injured natural tooth is removed. Related articles Endo-perio lesion hemisection mandibular molar.

Hemisections cannot be performed on smaller teeth because they lack the strength and stability required to remain functional after hemisetcion procedure. There are plenty of prosthetic teeth restorations available, but none is preferable to a healthy natural tooth. Report of a case with hemsiection results. To halt the progression of disease and to prevent the recession of the jawbone, part of the tooth may be removed through a hemisection.


Desanctis M, Murphy KG. Root resection under the surgical field employed for extraction of impacted tooth and management of external resorption. Journal of Prosthetic Dentistry.

What is hemisection dental surgery? | Endodontic Surgery – Sharecare

Casting procedure was carried out using standard techniques. If you have any questions or concerns about hemisections, please contact your dentist. A study of 70 molar root resections. Hemisection-A relevant, practical and successful treatment option. J Int Oral Health ;3: Metal framework was tried in the patient’s mouth followed by ceramic build up and bisque try in.

Support Center Support Center. Care was tooty not to traumatize bone and adjacent tooth while removing the mesial root.

Hemisection: A conservative approach Arora A, Arya A, Singhal RK, Khatana R – Indian J Dent Sci

J Adv Oral Res. Odontoplasty was performed to remove the developmental ridges, and mesial aspect of distal root was contoured in such a way so as to facilitate oral hygiene measures. The keys to long term success include thorough diagnosis, selection of patients with good oral hygiene, careful surgical and restorative management.

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