Management of periodontally compromised mandibular molar with Hemisectioning: A case report

• Main Authors: Bandu Napte, Srinidhi Surya Raghavendra
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Journal of International Clinical Dental Research Organization
• Subjects: Endo-perio lesion; hemisection; mandibular molar
• Online Access: http://www.jicdro.org/article.asp?issn=2231-0754;year=2014;volume=6;issue=2;spage=130;epage=133;aulast=

Introduction: Hemisection involves sectioning of a periodontally involved mandibular molar so as to remove the involved root and save the remaining tooth. This procedure helps in saving a tooth which otherwise would have been deemed for extraction. Hemisection refers to removal or separation of root with its accompanying crown portion of two-rooted teeth, most commonly mandibular molars. Method: In this case report, an advanced Endo-Perio lesion on a left mandibular first molar was successfully treated by root-canal treatment and hemisection. This procedure helps preserve the tooth structure, alveolar bone and promote cost savings over other treatment options. Conclusion: Hemisection is a treatment option for saving a mandibular molar which is in advanced stage of periodontal disease of one root. Removal of the affected root will help in retaining the remaining tooth structure.