Hemisection in an Era of Implants

Singh, Munishwar

doi:10.23880/oajds-16000181

Cited by 3 publications

(1 citation statement)

References 1 publication

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“…If dental caries are limited to one root, a hemisection procedure can be performed. Yet, in the present case, the roots have inaccessibility to maintain the procedure [9], as in this case, the mesial and distal roots are endodontically treatable [10]. Hence, the bicuspidization method seemed to be the most applicable option [1].…”

Section: Discussionmentioning

confidence: 99%

Bicuspidization of Necrosis Mandibular Second Molar With Grade II Furcation Involvement

Sandjoko¹,

Fitriningtyas²,

Rinastiti³

et al. 2021

Advances in Health Sciences Research

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Innovations in dental science and the higher patient expectations that appear when the periodontal disease affects the furcation area have led to a more conservative treatment approach to save teeth. Bicuspidization is a surgical procedure performed to separate the mesial and distal roots of molars with its crown portion, where both segments are then retained individually. This separation eliminates the existence of a furcation and facilitates an effective oral hygiene practice. This procedure will maintain the dentition with a hopeless periodontal prognosis. The objective was to describe the conservative management of a grade II furcation-involved molar, with good oral and general conditions, by bicuspidization procedure. The condition of the tooth and its supporting tissue were in accordance with the success factors of bicuspidization. A 59-year old female patient complained about her lower molar. The clinical examination showed the necrotic pulp in tooth 47. The radiographic view showed a radiolucency on the occlusal of teeth, spreading to the furcation area. Bicuspidization was performed to maintain the molar. The roots were separated mesial and distal. Prefabricated fiber post was used, and the crown was restored with porcelain fused to metal (PFM) in two smaller crown portions. This bicuspidization produces a satisfying result, as inflammation was not found, and both the occlusion and gingiva are in normal condition. Bicuspidization may be a suitable alternative to extraction and implant, which should be discussed with patients during the consideration of treatment options. The prognosis of the tooth with bicuspidization depends on the supporting bone, the restoration, and the patient's oral hygiene. This case report presents the successful bicuspidization.

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Section: Discussionmentioning

confidence: 99%

Bicuspidization of Necrosis Mandibular Second Molar With Grade II Furcation Involvement

Sandjoko¹,

Fitriningtyas²,

Rinastiti³

et al. 2021

Advances in Health Sciences Research

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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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Management of Root Perforation : A Case Report

Panggono

Hafiz

Yuanita

2022

CDJ

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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.

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Hemisection in an Era of Implants

Cited by 3 publications

References 1 publication

Bicuspidization of Necrosis Mandibular Second Molar With Grade II Furcation Involvement

Bicuspidization of Necrosis Mandibular Second Molar With Grade II Furcation Involvement

Hemisection of a severely decayed mandibular molar: Case report

Management of Root Perforation : A Case Report

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