Hemisection Case Study

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ABSTRACT
Infections of periodontal or endodontic origin may result in increased periodontal probing depths with attachment loss adjacent to the root surface, bleeding on probing, suppuration, swelling of the gingiva ,tooth mobility, angular bone loss and pain on percussion. These signs and symptoms may be caused by plaque-associated periodontitis which begins at the margin of the gingiva and proceeds apically or by endodontic infections that enter the periodontal ligament at the apical foramen or through lateral or accessory canals and proceed coronally. The loss of posterior molars as a result of periodontal or endodontic infection leads to migration of teeth, collapse of the arch, supra eruption of opposing teeth, loss of supporting
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Hemisection refers to the sectioning of mandibular molar into two halves followed by removal or separation of diseased root with its accompanying crown portion.1 The procedure of hemisection represents a form of conservative management to retain maximum tooth structure as possible.2
Hemisection of either a maxillary or mandibular molar is often a means of retaining teeth needed for restorative abutments or occlusal support. This treatment can produce predictable results as long as proper case selection is followed by interdisciplinary approach with endodontic, surgical and prosthetic procedures.3. The results are durable, and success rates are high if certain basic considerations are taken into account. Periodontal, prosthodontic and endodontic assessment for appropriate selection of cases is important. In periodontics this procedure is indicated in class II furcation involvement and if there is considerable bone available to one
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Hemisection is one of the treatment options for preserving remaining part of molar having sound periodontium. The prognosis for hemisection is similar to routine endodontic procedures provided that case selection has been performed correctly and the restoration is of an acceptable design relative to the occlusal and periodontal needs of the patient as it was in this case. Thus, present case report demonstrates the successful management of hemisection of 36 with occlusal rehabilitation with fixed partial

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