The conventional prowess termed hemisection: 2 case reports

  • Sumit Munjal Department of Prosthodontics and crown & bridge, Dr. BR Ambedkar Institute of Dental sciences & Hospital, Hariom nagar, Bihar, India
  • Seema Munjal Department of Periodontics, Career Post Graduate Institute of dental sciences & Hospital , Lucknow, Uttar Pradesh, India
Keywords: Hemisection, Resection, Furcation involvement, Endodontic mishap

Abstract

Hemisection is a logical surgical option for treatment of a seemingly hopeless mandibular molar. Being a suitable alternative to extraction and implant therapy, it should be informed to each patient whenever indicated. The conservative demands have increased in dental practice and so have the pathological resorptions, root fractures and procedural accidents in endodontics. One case presented here was treated for furcation pathology and the other is reported with endodontic over instrumentation. A Perio- Prosthodontic management is demonstrated in both situations with an acceptable prognosis. For the reason that periodontal problems around resected molars have a tendency to recur, a sound diagnosis combined with a prudent case selection is a must. DOI:10.21276/AOHDR.1885 

References

1. Pontoriero R, Lindhe J. Guided tissue regeneration in the treatment of degree III furcations in maxillary molars. J Clin Periodontal 1995; 22; 810-812.

2. Kost WJ, Stakiw JE. Root amputation and hemisection. J Can Dent Assoc. 1991;57 (1):42-5.

3. Saad MN, Moreno J, Crawford C. Hemisection as an alternative treatment for decayed multirooted terminal abutment: a case report. J Can Dent Assoc. 2009; 75: 387-90.

4. Siqueira JF Jr. Aetiology of root canal treatment failure: why well treated teeth can fail. Int Endod J 2001;34 (1):1-10.

5. Northway WM. The nuts and bolts of hemisection treatment: managing congenitally missing mandibular second premolars. Am J Orthod Dentofacial Orthop. 2005; 127: 606-10.

6. Abdallah F, Kon S, Ruben MP. The furcation problem: etiology, diagnosis, therapy and prognosis. J West Soc periodontal 1987; 35: 129-41.

7. Buhler H. Survival rates of hemisected teeth: an attempt to compare them with survival rates of alloplastic implants. Int J Periodontics Restorative Dent. 1994;14: 536-43.

8. Fugazzotto PA. A comparison of the success of root resected molars and molar position implants in function in a private practice: results of up to 15-plus years. J Periodontol. 200; 72: 1113-1123.

9. Green EN. Hemisection and root amputation. J Am Dent Assoc 1986; 112: 511-18.

10. Zafiropoulos GG, Hoffmann O, Kasaj A, Willershausen B, Deli G, Tatakis DN. Mandibular molar root resection versus implant therapy: a retrospective nonrandomized study. J Oral Implantol. 2009;35: 52-62.
Published
2018-03-24
Issue
Vol 2 No 1 (2018)
Section
Case Reports

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