Background : Root perforation results in the communication between root canal walls and periodontal space (external tooth surface). It is commonly caused by an operative procedural accident or pathological alteration (such as extensive dental caries, and external or internal inflammatory root resorption). The diagnosis of dental pulp and/or periapical tissue previous to root perforation is an important predictor of prognosis. Case : A female patient came to Dental Conservative University of Airlangga with complaints of perforated lower left molars. On the objective examination obtained negative vitality test, positive on bite test. On radiographic examination, a radiolucent on bifurcation was performed Case management : The tooth was treated by hemisection. Root canal treatment was carried out in the distal canals. Afterwards, the tooth was split mesio-distally. The mesial root was extracted, and the distal root was retained and restored with PFM Crown. Discussion : Hemisection is a useful alternative treatment to extraction to save the multi-rooted teeth by endodontic approach, which includes the root canal treatment of the remaining roots and restoring them with suitable restorative material to splinting it with the adjacent tooth to decrease the risk of displacement followed by a fixed prosthodontic prosthesis to maintain the occlusal balance. Conclusion : Hemisection with subsequent prosthetic rehabilitation can be a viable alternative to retain severely decayed mandibular molar.

Background: Nowadays, people has considered the importance of dental health, both in terms of functional and aesthetic improvements. Complex caries lesion of anterior teeth are a major problems that require aesthetic management due to patient’s confidence. Purpose : The aim is to present a case of anterior maxillary teeth with complex caries treated with endodontic and restoration treatment to recover its optimal function aesthetically. Case A 18-year-old female patient with multiple caries on anterior maxillary teeth. She felt unconfidence about her performance. 13 class IV black caries lesion, 12 radicular tooth, 11 and 21  previously endodontic treated with metal post. 22 class V Black carieus lesion, 23 class III Black caries lesion. Case management:. 13, 12 and 22 were managed with root canal treatment and followed by fiber post insertion. 11 and 21 were previously endodontic treated and retreated with prefabricated fiber post. 23 with moderate caries was managed with crown. All anterior maxillary teeth had crown lengthening before. And all crown materials were made with Lithium Disilicate. Conslussion : Anterior maxillary teeth with severed multiple caries, successfully managed with optimal result. Restoring its function, form aesthetically and improve her quality of life.

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.