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Case Reports
. 2024 Jun 11;16(6):e62127.
doi: 10.7759/cureus.62127. eCollection 2024 Jun.

Hemisection: A Paradigm Shift in Prolonging Tooth Viability

Khyati Manik  1 , Anuja Ikhar  1 , Aditya Patel  1 , Manoj Chandak  1 , Nikhil Mankar  1 , Jay Bhopatkar  1 , Mrudula Shinde  2
Affiliations
Case Reports

Hemisection: A Paradigm Shift in Prolonging Tooth Viability

Khyati Manik et al. Cureus. .

Abstract

Splitting a molar means removing or separating the root and the accompanying crown portion. Hemisection of a damaged tooth aids in preserving the tooth structure and the existing alveolar bone surrounding the preserved root while also enabling the installation of a fixed prosthesis. This case report defines hemisection as an effective modality for preserving carious mandibular first molars with periodontal and periapical pathology.

Keywords: cbct; dental canal; hemisection; mandibular molar; root resection.

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Conflict of interest statement

Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. (A) Preoperative radiograph of tooth number 46; (B) working length of tooth number 46; (C) master cone selection of the mesial root of tooth 46; (D) obturation of the mesial root of tooth 46
Figure 2
Figure 2. Postoperative endodontic restoration of tooth number 46
Figure 3
Figure 3. (A) Hemisection of the distal root of tooth number 46; (B) postoperative radiograph of tooth 46
Figure 4
Figure 4. Postoperative clinical photograph of tooth number 46
Figure 5
Figure 5. Occlusal view of the porcelain-fused-to-metal prosthesis of tooth number 46
Figure 6
Figure 6. Follow-up radiograph after six months
See this image and copyright information in PMC

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