HEMISECTION AS A CONSERVATIVE TREATMENT OPTION OF BIFURCATION PERFORATION: CASE REPORT

Regia Aristiyanto, Aqilla Tiara Kartikaningtyas

Abstract


Introduction: Hemisection is sectioning and removal of one root and its crown portion on multi-rooted teeth. Hemisection denotes a conservative treatment option for large bifurcation perforation, loss of periodontal attachment and was performed to maintain the original teeth structure. This case report aims is to present the management of hemisection of a mandibular first molar with crown rehabilitation. Case and Management: A 16-year-old male complained of pain while biting on his right lower teeth. Clinical examination showed deep caries on the occlusal surface, the tooth has a positive response on percussion and palpation tests. The mobility test was positive on the mesial root and crown. Based on periapical radiographic examination, there was a radiolucent feature extended to the bifurcation area. The diagnosis was pulp necrosis and symptomatic apical periodontitis accompanied by bifurcation perforation. Root canal treatment and hemisection were performed to remove infected tissue, and the remaining part of the teeth was restored with a porcelain-supported fixed prosthesis. Conclusion: Hemisection can be a suitable conservative treatment for teeth with extensive damage and has a good long-term prognosis.

Keywords


bifurcation perforation; endodontic surgery; hemisection

Full Text:

PDF

References


Bhosale M, Vijay P, Khandeparker S, Vijay R, Khandeparker S, Mutreja D, et al. Medico Research Chronicles. 2020;7(2394):108–11.

Kost WJ, Stakiw JE. Root amputation and hemisection. J Can Dent Assoc. 1991;

Chopra S, Bansal P, Bansal P. Journal of Advanced Medical and Dental Sciences Research |Vol. 8|Issue 1|. J Adv Med Dent Scie Res [Internet]. 2020;8(1):184–6. Available from: www.jamdsr.com

Tavsan O, Ozturk H, Simsek N. Hemisection: A modern endodontic approach as an alternative treatment for the extraction of molar teeth-case series. Ann Med Res. 2020;27(1):407.

Setzer FC, Shou H, Kulwattanaporn P, Kohli MR, Karabucak B. Outcome of Crown and Root Resection: A Systematic Review and Meta-analysis of the Literature. J Endod [Internet]. 2019;45(1):6–19. Available from: https://doi.org/10.1016/j.joen.2018.10.003

Schmitz JH, Granata S, Magheri P, Noè G. Single crowns on tooth root–resected molars: A retrospective multicentric study. J Prosthet Dent [Internet]. 2020;124(5):547–53. Available from: https://doi.org/10.1016/j.prosdent.2019.07.020

Megarbane J-M, Kassir A, Mokbel N, Naaman N. Root Resection and Hemisection Revisited. Part II: A Retrospective Analysis of 195 Treated Patients with Up to 40 Years of Follow-up. Int J Periodontics Restorative Dent. 2018;38(6):783–9.

Bhutada G. Hemisection as a Treatment Option A Case Report.

Rami D, Sethuraman R, Raval H, Piyaja A. Management of hemisected molar. J Integr Heal Sci. 2016;

Shugars DA, Bader JD, Phillips SW, White BA, Brantley CF. The consequences of not replacing a missing posterior tooth. J Am Dent Assoc. 2000;131(9):1317–23.

Guimarães Rocha EKT, Vanderlei AD, Beder Ribeiro CM, De Oliveira Lima AL, Dos Santos AF, Trindade Filho EM. Impact of tooth loss on quality of life. Pesqui Bras Odontopediatria Clin Integr. 2016;16(1):69–78.

Gupta S, Gupta B, Goyal R. Hemisection - An alternative treatment for vertically fractured mandibular molars: A case report. Indian J Public Heal Res Dev. 2012;3(4):177–80.

Behl AB. Hemisection of a Multirooted Tooth-A Case Report. Open Access Sci Reports [Internet]. 2012;1(6):1–3. Available from: https://www.omicsonline.org/scientific-reports/2161-1122-SR-336.pdf

Fujimoto J. Contemporary Fixed Prosthodontics. Journal of Prosthodontics. 2010.

Carnevale G, Pontoriero R, Hürzeler MB. Management of furcation involvement. Periodontol 2000. 1995;

Singh NR, Govind S, Kumari S. Management of Mandibular Molar Having Sub-Gingival Caries by Root Amputation : A Case Report. 2020;14(4):8874–7.

Gupta S, Goel M, Verma S, Sachdeva G. Salvaging an Endodontically Treated Mandibular Molar with a Furcation Perforation by Root Hemisection Followed by Fixed Prosthesis: A Case Report. Br J Med Med Res. 2017;20(5):1–7.




DOI: https://doi.org/10.33854/jbd.v8i1.626

DOI (PDF): https://doi.org/10.33854/jbd.v8i1.626.g311

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.