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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The dental surgeon cuts the tooth in half to remove the damaged bone and any damaged root or crown. There are a wide variety of circumstances that favor a hemisection, including: On further enquiry, patient did not give any significant medical and previous dental history.

What is hemisection dental surgery?

Root amputation and tooth hemisection. After appropriate local anaesthesia, a crevicular incision was made from first premolar tooyh second molar region. Hemisection has been used successfully to retain teeth with furcation involvement.

None, Conflict of Interest: Mandibular master cast was mounted using interocclusal record. Prognosis and mortality of root-resected molars. At 1 month recall visit, healing was uneventful with the absence of mobility. How to cite this URL: Factors influencing the outcome of root-resection therapy in molars: If you hemiseftion any questions or concerns about hemisections, please contact your dentist.

Therapeutic planning, operative sequence, and pluridisciplinarity exerted in this case illustrate the importance of specialized knowledge and professional communication. Hemisections cannot be performed on smaller teeth because they lack the strength and stability required to remain functional after the procedure.


Removal hemusection the affected root will help in retaining hekisection remaining tooth structure. The roots of the tooth are examined and separated into two sections.

Roots of mandibular molars show concavity, mostly on distal root. J Nat Sci Biol Med.

Management of furcation involvement. Akki S, Mahoorkar S. Alternatively, if the decay is limited to one root, a hemisection procedure may be possible.

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

Is Teeth Whitening Safe? Then, the restoration of hemisected tooth was planned with fixed partial denture in relation to 35, mesial root of 36 and At this point, the dentist can definitively determine whether one of the roots can be saved, or if both should be discarded.

Results after ten years. Closer the furcation opening to the cemento-enamel junction, better the prognosis for retained root.

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

Napte B, Raghavendra SS. Treatment options included extraction of 36 followed by placement of implant, fixed partial denture or removable partial denture. Related articles Endo-perio lesion hemisection mandibular molar. The role of the prosthodontist in restoring root resected molars: Since hemisected teeth fail by root fractures, it is important to restore them adequately by an extracoronal restoration [ 4 ]. 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.

It is thus a conservative option with acceptable prognosis [ 6 ]. A hemisection can save the firmly affixed portion, and a partial crown can be placed to add stability. Hemisection — A window of hope for a perishing tooth.

Tooth Hemisection | Alexandria, VA |

Shukla P, Grover D. Author information Article notes Copyright and License information Disclaimer. This case report describes a simple procedure of hemisection in a mandibular molar with socket preservation with help of an alloplastic bone graft and subsequent restoration of the tooth with fixed prothesis. Patient did not wish to have the tooth removed, so a conservative toith option was opted which included hmisection of the distal root of 36 followed by prosthetic replacement.


A modified fixed partial denture design is fabricated to splint the remaining portion of the tooth to adjacent teeth. Recall was done periodically to assure the healing and success of the restoration. Hemisectipn prognosis with 36 was good and vitality test was positive. Is an hdmisection restoration better than a fixed partial denture to replace single missing teeth?

Int J Clin Dent Sci. The dentist tries to save most of the tooth, leaving a healthy root or roots, and the crown. Hemisection of teeth with questionable prognosis.

It may be a suitable alternative to extraction. Mandibular toothh molars are the most commonly extracted teeth due to dental caries and periodontal disease. Also the tooth showed grade II mobility and was sensitive to percussion. A hemisection can only be performed on molars, which are the larger, flatter teeth at the rear of the mouth.

However, to determine candidacy for a hemisection, the dentist will first examine teeth to look for signs of disease and decay.

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