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Vital hemisection of a mandibular second molar: a case report
Journal of the American Dental Association (1939)
|April 1, 1981
Summary
A vital hemisection on a molar tooth, performed a year prior to extraction, remained asymptomatic. This case highlights the pulp's remarkable regenerative capabilities in dental healing.
Area of Science:
- Endodontics
- Regenerative Dentistry
- Oral Surgery
Background:
- Vital pulp therapy aims to maintain pulp vitality and function.
- Hemisection is a surgical procedure involving the removal of a root and the overlying crown of a multi-rooted tooth.
- Maintaining pulp vitality post-surgical intervention is crucial for long-term tooth prognosis.
Observation:
- A molar tooth underwent a vital hemisection procedure.
- The treated molar remained clinically asymptomatic for one year post-procedure.
- No signs of infection, inflammation, or pain were reported during the follow-up period.
Findings:
- The pulp demonstrated significant regenerative potential despite the surgical trauma.
- The tooth maintained its vitality and asymptomatic status for an extended period.
- Successful preservation of pulp vitality contributed to the tooth's favorable clinical outcome.
Implications:
- This case underscores the potential for pulp regeneration and self-repair.
- Vital hemisection can be a viable treatment option when pulp vitality is preserved.
- Further research into regenerative endodontic procedures is warranted to explore similar outcomes.