Introduction: Hemisection involves sectioning of a periodontally involved mandibular molar so as to remove the involved root and save the. 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. Advances in dentistry, as well as the increased desire of patients to maintain their dentition, have lead to treatment of teeth that once would have been removed.
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A ray of hope for the hopeless: None, Conflict of Interest: The management, treatment and long-term retention of mandibular molar teeth with furcation involvement have always been a challenge in periodontal therapy. Hemisection has been used successfully to retain teeth with furcation involvement.
The term hemisection refers to the sectioning of a molar tooth, with the removal hemisetion an unrestorable root which may be affected by periodontal, endodontic, structural cracked rootsor caries. 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.
Hemisection represents a form of conservative procedure, which aims at retaining as much of the original tooth structure as possible.
It may be a suitable alternative to extraction. Hemisection of the affected tooth allows the preservation of tooth structure, alveolar bone and cost savings time and money over other treatment options.
The preservation of posterior abutment teeth permits oral rehabilitation with fixed bridges instead of removable prosthesis. The keys to long term success appear to be thorough diagnosis followed by interdisciplinary approach with endodontic, surgical and prosthetic procedures.
Preservation of a hopeless tooth is possible by selecting patients with good oral hygiene, and careful surgical and restorative management. How to cite this article: Hemisection of mandibular molar with socket preservation.
What is hemisection dental surgery?
How to cite this URL: Pre-Operative tooth Click here to view. IOPA radiograph Click here to view. Hemisection of tooth done Click here to view. Hemisected tooth Click here to view.
Hemisection: A conservative management of periodontally involved molar tooth in a young patient
Hemisected tooth portion Click here to view. Bone graft placed in the defect Click here to view. Sutures placed Click here to view. Periodontal Dressing Click here to view. Post-operative view with fixed prosthesis Click here to view. Root amputation and tooth hemisection. Dent Clin North Am ; The role of the prosthodontist in restoring root resected molars: A study of 70 molar root resections.
J Prosthet Dent ; Hemisection as an alternative treatment for vertically fractured mandibular molars. Compend Contin Educ Dent ; Endodontic Therapy, 5 hemisdction ed. Root amputation and hemisection. J Can Dent Assoc ; J Interdiscip Dentistry ;1: Hemisection-A relevant, practical and successful treatment option.
J Int Oral Health ;3: Akki S, Mahoorkar S. Tooth hemisection and restoration an alternative to extraction-A case report. Int J Dent Clin ;3: An innovative approach for treating vertically fractured mandibular molar-hemisection with socket preservation.
J Interdiscip Dentistry ;2: Tolth resection under the surgical field employed for extraction of impacted tooth and management of external resorption. J Conserv Dent ; Factors influencing the outcome of root-resection therapy in molars: A year retrospective study. Hemisection of teeth with questionable prognosis. Report of a case with seven-year results.
J Int Acad Periodontol ; Related articles Fixed partial denture furcation involvement hemisection.