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Prosthetic considerations with periodontal root resective therapy, Part 2. Hemisections
L H Silverstein1, M E Moskowitz, D Kurtzman
1Medical College of Georgia, Augusta, USA.
Dentistry Today
|April 29, 2000
Summary
Hemisection is a dental procedure that removes one root and crown of a molar tooth. This technique can successfully retain teeth for restorative support when proper diagnostic, endodontic, surgical, and prosthetic methods are used.
Area of Science:
- Dentistry
- Oral Surgery
- Prosthodontics
Background:
- Hemisection involves removing a root and its overlying crown as a single unit.
- This procedure is commonly performed on maxillary or mandibular molars.
- It serves to retain teeth essential for restorative abutments or occlusal support.
Purpose of the Study:
- To describe the indications and techniques for hemisection.
- To highlight the importance of integrated diagnostic, endodontic, surgical, and prosthetic approaches.
- To emphasize the predictability of results when these techniques are properly applied.
Main Methods:
- Diagnostic evaluation including radiographic and clinical assessment.
- Endodontic treatment of the remaining root structure.
- Surgical removal of the non-restorable root and crown portion.
- Prosthetic restoration to ensure occlusal function and support.
Main Results:
- Successful retention of the molar tooth is achieved.
- Restored function and stability of the dental arch.
- Predictable outcomes demonstrated through meticulous technique application.
Conclusions:
- Hemisection is a viable treatment option for preserving molar teeth.
- Proper execution of all phases of treatment is critical for success.
- This procedure offers a predictable means of maintaining teeth for restorative and occlusal purposes.