Hemisection dental surgery is a procedure in which a tooth with multiple roots is sectioned in halves. This procedure may be needed when there is bone. 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. This procedure helps in saving a tooth which otherwise would have been deemed for extraction. Hemisection refers to removal or separation of.

Author: Melrajas Doule
Country: Paraguay
Language: English (Spanish)
Genre: Education
Published (Last): 18 April 2004
Pages: 414
PDF File Size: 17.72 Mb
ePub File Size: 14.8 Mb
ISBN: 174-4-16198-858-2
Downloads: 14982
Price: Free* [*Free Regsitration Required]
Uploader: Vudoshura

Endodontic Therapy, 5 th ed. Int J Dent Clin ;3: How to cite this URL: Hemisectipn Procedure Diagnostic impressions were made with irreversible hydrocolloid impression material.

The keys to long term success include thorough diagnosis, selection of patients with good oral hygiene, careful surgical and restorative management. In this case report, an advanced Endo-Perio lesion on a left mandibular first molar was successfully treated by root-canal hfmisection and hemisection. Please review our privacy policy. J Can Dent Assoc ; After appropriate local anaesthesia, a crevicular incision was made from first premolar to second molar region.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. IOPA radiograph Click here to view. It is thus a conservative option with acceptable prognosis [ 6 ]. Another advantage of a hemisection is that it is a cost-effective and highly predictable procedure. Hemisection may be a suitable alternative to extraction and implant therapy and should be discussed with patients during consideration of treatment options.

A terminal abutment molar with extensive yemisection may be unsuitable for restoration. Root amputation and hemisection. After 15 days of obturation, hemisection was carried out Figure 3.


Napte B, Raghavendra SS. Diagnostic impressions were made with irreversible hydrocolloid impression material and diagnostic casts were obtained. A hemisection is a specialized dental procedure where half of an injured natural tooth is removed.

Hemisection: A Window of Hope For Freezing Tooth

Tooth hemisection and restoration an alternative to extraction-A case report. Hemisection of tooth done Click here to view. Hemisection of teeth with questionable prognosis. Pain was dull aching and intermittent in nature, which aggravated on mastication. Hemisections cannot be performed on smaller teeth because they lack the strength and stability required to remain functional after the procedure. Related articles Fixed partial denture furcation involvement hemisection.

Also, fusion or proximity of the roots may prevent their separation [ 2 ]. Metal framework ototh tried in the patient’s mouth followed by ceramic build up and bisque try in.

Int J Clin Dent Sci. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. J Can Dent Assoc. Damage to the pulp chamber — When the floor of the pulp chamber is punctured or perforated, the tooyh mechanisms of the tooth are susceptible to oral bacteria.

Hemisection: A Window of Hope For Freezing Tooth

Preservation of a hopeless tooth is possible by selecting toohh with good oral hygiene, and careful tooty and restorative management.

Root stumps were present with lower left first molar [ Figure 1a ]. IOPA showed grade III furcation defect with periodontal bone loss more along the distal root as compared with mesial root and periapical rarefaction with both the roots. None, Conflict of Interest: J Indian Dent Assoc ;4: If one root is deemed to be healthy, the dentist removes the corresponding root and thoroughly cleanses the gap with saline solutions.


Hemisection of mesial root was done [ Figure 2a ] followed by splinting of second premolar, first molar and second molar with composite resin [ Figure 2b ]. This procedure may be needed when there is bone loss, or dental decay between the roots, due to gum periodontal disease.

The procedure itself will be performed under local anesthetic and generally takes around 30 minutes.

Though these alternatives are effective under the right circumstances, they can be expensive to implement. Hemisections are becoming less common, as recent technological advances mean that root canal therapy fails less frequently. A window of hope for freezing tooth. 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.

Roots of mandibular molars show concavity, mostly on distal root.

A case-report and review. Hemisection-A relevant, practical and successful treatment option. Case Rep Dent ; This procedure though daunting can be easily achieved and maintained successfully.