Hemisection—Corrective Endodontic Surgery: A Case Report

Shanmugapriya Kesavamoorthy; Vinay G Kumar; Vinoo S Ramachandran; Sibi Swamy; Surya S Sudhakar; Sneha S Kumar; VK Vijay

doi:10.5005/jp-journals-10047-0136

SEARCH WITHIN CONTENT

Online First

Hemisection—Corrective Endodontic Surgery: A Case Report

Shanmugapriya Kesavamoorthy, Vinay G Kumar, Vinoo S Ramachandran, Sibi Swamy, Surya S Sudhakar, Sneha S Kumar, VK Vijay

Keywords : Case report, Distal root, Endodontic surgery, Hemisection, Mandibular molar, Pressure-induced external root resorption, Root resection

Citation Information : Kesavamoorthy S, Kumar VG, Ramachandran VS, Swamy S, Sudhakar SS, Kumar SS, Vijay V. Hemisection—Corrective Endodontic Surgery: A Case Report. J Oper Dent Endod 2023; 8 (2):41-46.

DOI: 10.5005/jp-journals-10047-0136

License: CC BY-NC 4.0

Published Online: 27-09-2024

ARTICLE
REFERENCES

Abstract

The removal or separation of a mandibular molar root along with a portion of the crown is called hemisection. This treatment option is appropriate when there is irreparable decay, resorption, perforation, or periodontal damage limited to one root while the other root remains healthy. Hemisection helps preserve the tooth attachment apparatus and surrounding bone, and may aid in the placement of a fixed prosthesis. In this case report, hemisection was successfully done to save pressure-induced resorption of the distal root of the mandibular second molar. The combination of hemisection and prosthetic rehabilitation resulted in a satisfactory outcome. Through careful planning and precise surgical management, the negative consequences of tooth loss can be avoided.

PDF Share

Setzer FC, Shou H, Kulwattanaporn P, et al. Outcome of crown and root resection: A systematic review and meta-analysis of the literature. J Endod 2019;45(1):6–19. DOI: 10.1016/j.joen.2018.10.003.
Saraf AA, Patil AC. Hemisection. World J Dent 2015;4(3):180–187. DOI: 10.5005/jp-journals-10015-1228.
Mir DM, Manan DR. Hemisection as a neoconservative approach for the treatment of a grossly carious permanent mandibular first molar. Int J Appl Dent Sci 2020;6(1):263–266.
Sharma S, Sharma R, Ahad A, et al. Hemisection as a conservative management of grossly carious permanent mandibular first molar. J Nat Sci Biol Med 2018;9(1):97–99. DOI: 10.4103/jnsbm.JNSBM_53_17.
Babaji P, Sihag T, Chaurasia VR, et al. Hemisection: A conservative management of periodontally involved molar tooth in a young patient. J Nat Sci Biol Med 2015;6(1):253–255. DOI: 10.4103/0976-9668.149212.
McGuire MK, Nunn ME. Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival. J Periodontol 1996;67(7):666–674. DOI: 10.1902/jop.1996.67.7.666.
Dannewitz B, Krieger JK, Hüsing J, et al. Loss of molars in periodontally treated patients: A retrospective analysis five years or more after active periodontal treatment. J Clin Periodontol 2006;33(1):53–61. DOI: 10.1111/j.1600-051X.2005.00858.x.
Langer B, Stein SD, Wagenberg B. An evaluation of root resections. A ten-year study. J Periodontol 1981;52(12):719–722. DOI: 10.1902/jop.1981.52.12.719.

PDF Share