Hemisection: A modern endodontic approach as an alternative treatment for the extraction of molar teethcase series

Hemisection: A modern endodontic approach as an alternative treatment for the extraction of molar teethcase series

Hemisection is the separation of the whole tooth from the mesial to distal in the upper molars and premolars and from the buccal tolingual in the lower molars, and removal of the pathological root together with the crown. Hemisection is an appropriate treatmentoption when caries, resorption, iatrogenic complication or periodontal damage is limited to one root and the other root is relativelyhealthy. Hemisection of the affected tooth helps to preserve alveolar bone which surrounding the tooth structure and supports fixeddentures. Therefore, when a molar tooth should be extracted only because of damage at one root, hemisection or root amputationtreatment alternatives should be kept in mind. This case series describes hemisection as a successful treatment method to recoverteeth with iatrogenic complications and irretrievable root caries were limited to single root.

___

  • 1. Basaraba N. Root amputation and tooth hemisection. Dent Clin North Am 1969;13:121-32.
  • 2. Sharma S, Tewari RK, Mishra SK, et al. Conservative management of grossly carious mandibular first molar with a hemisection approach: A case report. General Dentistry 2015;63:19-21.
  • 3. Yuh DY, Cheng GL, Chien WC, et al. Factors affecting treatment decisions and outcomes of rootresected molars: a nationwide study. J Periodontol 2013;84:1528-35.
  • 4. Carnevale G, Di Febo G, Tonelli MP, et al. A retrospective analysis of the periodontal-prosthetic treatment of molars with interradicular lesions.Int J Periodontics Restorative Dent 1991;11:189-205.
  • 5. DeSanctis M, Murphy KG. The role of resective periodontal surgery in the treatment of furcation defects. Periodontology 2000;22:154-68.
  • 6. Weine FS. Endodontic Therapy. 5th ed 1996;154‑68. 7. Behl AB. Hemisection of a Multirooted Tooth-A Case Report. 2012;1:336.
  • 8. Bashutski JD, Wang HL. Common implant esthetic complications. Implant Dentistry 2007;16:340-8.
  • 9. Kost WJ, Stakiw JE. Root amputation and hemisection. Journal 1991;57:42-5.
  • 10. Jacobs R, Bou Serhal C, van Steenberghe D. The stereognostic ability of natural dentitions versus implant-supported fixed prostheses or overdentures. Clin Oral Investig 1997;1:89-94.
  • 11. Rapoport RH, Deep P. Traumatic hemisection and restoration of a maxillary first premolar: a case report. General Dentistry 2003;51:340-2.
  • 12. Basten CH, Ammons WF, Jr Persson R. Long-term evaluation of root-resected molars: a retrospective study. J Esthet Restor Dent 1996;16:206-19.
  • 13. Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multirooted teeth. Results after 5 years. J Clin Periodontol 1975;2:126-35.
  • 14. Erpenstein H. A 3-year study of hemisectioned molars. J Clin Periodontol 1983;10:1-10.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi