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Hemisection for the Treatment of Advanced Endodontic Periodontal Lesion


Affiliations
1 Department of Conservative Dentistry, H.P.G.D.C & H, Shimla, Himachal Pradesh, India
2 Department of Periodontology, M.N.D.A.V. Dental College, Solan, Himachal Pradesh, India
 

The removal of a root and the overlaying anatomic crown is referred to as a hemisection. A case with a complain of pain and bone loss till the apex of distal root of 36 presented in the department of Endodontics, Government dental college, Shimla. The patient had increased desire to maintain the natural dentition. The decision was taken to hemi-sect the distal root, as mesial bone and furcation bone was relatively unaffected. After phase I therapy, periodontal flap was reflected, area debrided and distal root was resected. This article describes a procedure of hemisection in mandibular molar and its subsequent restoration. The key to long term success appear to be thorough diagnosis, selection of patients with good oral hygiene and careful surgical and restorative management.

Keywords

Periodontitis, Permanent Dental Restoration, Surgery.
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  • Hemisection for the Treatment of Advanced Endodontic Periodontal Lesion

Abstract Views: 64  |  PDF Views: 7

Authors

Ashu Gupta
Department of Conservative Dentistry, H.P.G.D.C & H, Shimla, Himachal Pradesh, India
Saroj Thakur
Department of Conservative Dentistry, H.P.G.D.C & H, Shimla, Himachal Pradesh, India
Rambhika Thakur
Department of Periodontology, M.N.D.A.V. Dental College, Solan, Himachal Pradesh, India

Abstract


The removal of a root and the overlaying anatomic crown is referred to as a hemisection. A case with a complain of pain and bone loss till the apex of distal root of 36 presented in the department of Endodontics, Government dental college, Shimla. The patient had increased desire to maintain the natural dentition. The decision was taken to hemi-sect the distal root, as mesial bone and furcation bone was relatively unaffected. After phase I therapy, periodontal flap was reflected, area debrided and distal root was resected. This article describes a procedure of hemisection in mandibular molar and its subsequent restoration. The key to long term success appear to be thorough diagnosis, selection of patients with good oral hygiene and careful surgical and restorative management.

Keywords


Periodontitis, Permanent Dental Restoration, Surgery.