Hemisection

Saraf, Adish Anand

doi:10.5005/jp-journals-10015-1228

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…7 The function of a post will decrease fracture resistance and increase the adequate retention intracanal as the foundation restoration in the tooth because in hemisection procedure will remove a lot of hard tissue teeth, so that important to use post in hemisection cases. 10 The endodontic treatment has to be maintained with restoration in the remaining parts of the coronal. It is crucial to successful treatment.…”

Section: Discussionmentioning

confidence: 99%

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Hemisection with crown splinter in perforation mesial canal wall first molar mandible: a case report

et al. 2021

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Background: Untreated progressive inflammatory periodontal disease can affect attachment loss until bifurcation or trifurcation of multirooted teeth. Hemisection in multirooted is removal of compromised root preserve the good one then restorative coronal part with a fixed prosthesis. It is the treatment option for preserving the remaining part of healthy root who having sound periodontium. The study aimed to describe a case of a hemisection is presented for a tooth where only the mesial root of a mandibular molar was affected.Case presentation: a 22 years old female comes to RSGM Prof. Soedomo with moderate pain and gum swelling. Perforation in mesial root canal wall in the objective examination. In radiograph, there were radiolucent in mesial root, bifurcation and fracture instrument left in mesial apical root canal. The conditions that can't approach in non-surgical treatment such as fracture instrument, severe vertical bone loss, caries, internal or external resorption in furcation or one root, and furcation lesion, can be treated with surgical approach hemisection as alternative before axtraction teeth. Hemisection treatment includes root canal treatment of the remaining roots, intracanal retention with fiber post then restorative the coronal part use restorative material and splinting with the adjacent tooth to decrease the risk of displacement. Fixed prosthodontic prosthesis to maintain the occlusal balance.Conclusion: hemisection is a feasible treatment option because more practical and conservative for periodontal-endodontic lesions rather than extraction teeth.

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Section: Discussionmentioning

confidence: 99%

“…Maintenance protocols, the health of the supporting periodontal soft and hard tissues and the patient's oral hygiene are critical in achieving a high long-term success rate. 2, 10 .…”

Section: Discussionmentioning

confidence: 99%

Hemisection with crown splinter in perforation mesial canal wall first molar mandible: a case report

et al. 2021

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“…Contraindications include the presence of a strong abutment tooth adjacent to the proposed hemisection, which could act as an abutment to prosthesis. 7 The remaining root may be inoperable for the necessary root canal treatment. Also, fusion or proximity of the roots may prevent their separation.…”

Section: Discussionmentioning

confidence: 99%

Hemisection: A Savior for Hopeless Teeth

Mittal¹,

Amit²,

Mehta³

et al. 2016

Journal of Mahatma Gandhi University of Medical Sciences and Technology

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Hemisection refers to the sectioning of a molar tooth with the removal of unrestorable root (along with the crown part) which maybe affected by periodontal, endodontic, structural (cracked roots), or caries. The treatment strategy involves a combined periodontal, endodontic and prosthodontic assessment and evaluation because in hemisection, like any other treatment, appropriate case selection is the most important factor determining the long-term success. How to cite this article Mittal P, Prasad AB, Raisingani D, Amit, Mehta P, Soni D, Khurana D. Hemisection: A Savior for Hopeless Teeth. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):30-34.

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Hemisection of a severely decayed mandibular molar: Case report

Ongkowijoyo

Mooduto

Dinari

et al. 2020

CDJ

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Introduction: Dental implants gained popularity as the treatment to replace grossly decayed teeth. However, with the increasing evidence and the difficulty to manage complications associated with dental implants, clinicians are pushed to opt for a more conservative approach. Case report: A male patient with a chief complaint of frequent food impaction in a severely decayed mandibular molar wished to retain his tooth. Upon thorough examination, the carious lesion extended to furcal area that rendered the distal root unsalvageable. However the mesial root can be retained; thus, hemisection was proposed. Management: Root canal treatment was carried out in the mesial canals. Then, the tooth was split mesio-distally.The distal root was extracted, and the mesial root was retained. Subsequently, the tooth was restored with PFM crown.Conclusion: Hemisection with subsequent prosthetic rehabilitation can be a viable alternative to retain severely decayed mandibular molar.

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Hemisection

Abstract: Resective therapy has been utilized in the treatment of furcation defects for over 100 years. This review article emphasis on the predisposing factors, indications, contraindications, diagnosis and treatment protocol for hemisection of mandibular molars.

Cited by 5 publications

References 27 publications

Hemisection with crown splinter in perforation mesial canal wall first molar mandible: a case report

Hemisection with crown splinter in perforation mesial canal wall first molar mandible: a case report

Hemisection: A Savior for Hopeless Teeth

Hemisection of a severely decayed mandibular molar: Case report

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