Case Study Hemisection

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HEMISECTION: A CASE REPORT

ABSTRACT
The loss of posterior molar can result is several undesirable sequelae including shifting of teeth, collapse of the vertical dimension of occlusion, super eruption of opposing teeth, loss of supporting alveolar bone and a decrease in chewing ability. The treatment options to replace severely damaged and possibly unrestorable teeth include removable partial denture, fixed partial denture and dental implants. A guiding principle should be to try and maintain what is present.
This case report presents one treatment option available in cases of molars affected by extensive periodontal lesions that threaten the loss of the tooth. Hemi-section of the affected tooth allows the preservation of tooth structure,
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Hemisection has been used successfully to retain teeth with furcation involvement. However, it is not free from few disadvantages associated with it. As with any surgical procedure, it can lead to pain and anxiety. Root surfaces that are reshaped by grinding in the furcation or at the site of hemisection are more susceptible to caries.The terms "root amputation" and "hemi-section" are known collectively as "root resection."
According to Newell16 the advantage of the amputation, hemisection or bisection is the retention of some or the entire tooth. However, the disadvantage is that the remaining root or roots must undergo endodontic therapy and the crown must undergo restorative management. Park et al.15 have suggested molars that are having questionable prognosis can maintain the teeth without detectable bone loss for a long-term period by hemisection but patient should maintain a good oral
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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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