Hemisection: A conservative approach

Arora, Anshul; Arya, Ashtha; Singhal, Rajnish K; Khatana, Rachit

doi:10.4103/ijds.ijds_7_17

Cited by 6 publications

(4 citation statements)

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“…Teeth with adjacent roots or fused roots, insufficient bone support for the remaining root, and bad oral hygiene are not options to do hemisection treatment. [7][8][9] The limitation in this case was operator did not try the non surgical approach first before surgical approach such as perforation treatment using MTA or Biodentine and retrieval broken file because there was no endodontic microscop and endodontic scaller for retrieval broken file. In this case, the roots were not closely adjacent, and adequate bone support in the healthy root, so surgical approach hemisection may be a suitable treatment option.…”

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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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%

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

et al. 2021

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“…These treatment methods use a multidisciplinary approach. One such therapy is hemisection, which integrates principles from prosthodontics, oral surgery, endodontics, periodontics, and restorative dentistry [ 1 ]. A multi-rooted tooth undergoes surgery in which the healthy section of the crown and its associated root are left in place at the level of the furcation, retaining the tooth's integrity within the socket.…”

Section: Introductionmentioning

confidence: 99%

Hemisection: A Different Approach From Extraction

Taori¹,

Nikhade²,

Mahapatra³

2022

Cureus

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Hemisection is the sectioning of teeth with multiple roots, the removal of the damaged root and its associated crown piece, and the preservation of the healthy root (with crown). When periodontal, resorption, perforation, or caries damage is limited to one root and the other root is still largely healthy, this treatment option may be taken into account. The right case selection is the most important component in determining the long-term success in such cases. This case report details the hemisection of a mandibular molar with root caries, followed by appropriate restoration.

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“…Contraindications include strong abutment tooth adjacent to the proposed hemisected tooth, which could act as an abutment to a prosthesis, the remaining root may be inoperable for root canal treatment. Also, fusion or proximity of the roots may prevent their separation [5,6].…”

Section: Introductionmentioning

confidence: 99%

Hemisection as an Alternative Management for Mandibular First Molar With Bifurcation Lesion and Root Fracture: A Case Report

Karimah¹,

Hutami²,

Nugraheni³

et al. 2021

Advances in Health Sciences Research

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Modern advances in dentistry have provided the opportunity for patients to maintain a functional dentition for lifetime. Hemisection is a conservative way of preserving tooth. This procedure is an endodontic treatment performed by removing of the one or more roots and existing crown structure to increase retention of the remaining teeth and to correct defected dental roots that are not possible to maintain. The purpose of this study was to report a case of hemisection management in teeth with bifurcation lesion. A 24-year-old female patient complained of pain and discomfort arising from the right mandibular first molar during mastication. 2 years ago, the patient underwent endodontic treatment. Based on the clinical examination, a deep cavity and failed restoration were found in tooth 46. Radiographic view showed a radiolucency on distal root, bifurcation and fracture line in mesio-cervical region. Endodontic retreatment was performed by cementing prefabricated fiber post on distal root canal and hemisection procedure was performed in the mesial root. The tooth was restored with splinted zirconia crown. Hemisection procedure and final restoration showed a good result. Hemisection was an alternative treatment in this case. Tooth can be preserved in economical way. Case selection is essential in performing sequences of procedure for the success of treatment.

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Hemisection: A conservative approach

Cited by 6 publications

References 0 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 Different Approach From Extraction

Hemisection as an Alternative Management for Mandibular First Molar With Bifurcation Lesion and Root Fracture: A Case Report

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