Hemisection: Two case reports

Falakaloğlu, Seda; Adıgüzel, Özkan; Öztekin, Faruk; Değer, Yalçın; Ozdemir, Gokhan

doi:10.5577/intdentres.2016.vol6.no1.4

Cited by 1 publication

(1 citation statement)

References 4 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Complete crown preparation causes more damage to hard tissue and sometimes create improper gingival margins, which might affect periodontal health. 1,11 The prognosis of teeth with hemisection varies, with several studies reporting a success rate of the hemisection procedure approximately 88% with follow-up periods up to 23 years. Significant factors affecting the long-term success of these procedures include case selection depending on roots remaining after this procedure and failure rates increased when molars have less than 50% bony support.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%