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.

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J Conserv Dent ; Occlusal table is reduced in size in order to decrease the forces on the retained hemisected root. Other indications include vertical root fracture confined to a single root of a multirooted tooth or any severe destructive process that is confined to a single root, including caries, external root resorption, and trauma.

Compendium of Continuing Education in Dentistry. The keys to long term success include thorough diagnosis, selection of patients with good oral hygiene, careful surgical and restorative management. Parmar G, Vashi P. J Interdiscip Dentistry ;1: This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.

Tooth Hemisection | Alexandria, VA |

Conclusion Therapeutic planning, operative sequence, and pluridisciplinarity exerted in this case illustrate the importance of specialized knowledge and professional communication. This article has been cited by other articles in PMC. In such cases, the treatment options are limited and may include a removable partial denture or a dental implant to replace the missing tooth [ 1 ]. Root canal therapy failure — During root canal therapy, the pulp and inner workings of the tooth are removed.


J Nat Sci Biol Med. J Interdiscip Dent ;2: A ray of hope for the hopeless: Rapoport RH, Deep P. A window of hope for freezing tooth. J Int Acad Periodontol ; On intraoral examination, tooth was tender on percussion and deep caries was present in relation to lower right first and second molar teeth with a deep periodontal pocket on the mesial surface of the first molar. A study of 70 molar root resections.

Hemisection of teeth with questionable prognosis. Report of a case with seven-year results.

The root and crown on the affected side are removed completely. Prosthodontic Phase Restoration of Hemisected Hmeisection Diagnostic impressions were made with irreversible hydrocolloid impression material and diagnostic casts were obtained. Endodontics includes surgery on the roots of teeth a If you have any questions or concerns about hemisections, please contact your dentist.

Prognosis and mortality of root-resected molars. Endodontic phase involved intentional root canal treatment of 36 in a conventional manner Figure 2.

Hemisection: A Window of Hope For Freezing Tooth

Vertical fractures — When a healthy molar has sustained a vertical injury either due to trauma or decay, a hemisection may be hemieection to save the healthy section of the tooth.

J Interdiscip Dentistry ;2: Endodontic Phase Endodontic phase involved intentional root canal treatment of 36 in a conventional manner Figure 2. Periodontal prognosis with 36 was good and vitality test was positive. Footnotes Source of Support: Will I need time off work if I have hemisection dental surgery?

Hemisection: A Window of Hope For Freezing Tooth

J Interdiscip Dent ;1: Hemisection may be a suitable alternative to extraction and implant therapy and should be discussed with patients during consideration hemisfction treatment options. The roots of the tooth are examined and separated into two sections. Hemisection of mesial root was done [ Figure 2a ] followed by splinting of second premolar, first molar and second molar with composite resin [ Figure 2b ].


Napte B, Raghavendra SS. How is a tooth hemisection performed? A year retrospective study. Abstract Hemisection is sectioning of multi-rooted teeth with its crown portion, with the loss of periodontal attachment and is performed to retain the original tooth structure and attain the fixed prosthodontic prosthesis.

Open Access Sci Rep. Management of periodontally compromised mandibular molar with Hemisectioning: Root resection under the surgical field employed for extraction of impacted tooth and management of external resorption. After reflection of flap, bony defect was evident and curettage and debridement were done. Hemisection as an alternative treatment for resorbed multirooted tooth: Management of periodontally involved molars with extensive decay is a challenging and is limited to dental extraction and replacement with implants.


Hemisection: A conservative management of periodontally involved molar tooth in a young patient

Pre-Operative tooth Click here to view. Hemisection as a treatment option: Factors influencing the outcome of root-resection therapy in molars: The resulting space is packed with dental filler and the tooth is sealed with a crown.

National Center for Biotechnology InformationU. Hence, any defect in the root either mesial or distal, extraction is the most common treatment planned.