The removal of a root and the overlaying anatomic crown is referred to as a hemisection. A case with a complain of pain and bone loss till the apex of distal root of 36 presented in the department of Endodontics, Government dental college, Shimla. The patient had increased desire to maintain the natural dentition. The decision was taken to hemi-sect the distal root, as mesial bone and furcation bone was relatively unaffected. After phase I therapy, periodontal flap was reflected, area debrided and distal root was resected. This article describes a procedure of hemisection in mandibular molar and its subsequent restoration. The key to long term success appear to be thorough diagnosis, selection of patients with good oral hygiene and careful surgical and restorative management.
Prinz H. Dental chronology. Philadelphia Lea & Febiger,1945;119
Farrar JN. Radical and heroic treatment of alveolar abscess by amputation of roots of teeth. Dent Cosmos 1884;26:79-81.
Kost WJ, Stakiw JE. Root amputation and hemisection. J Can Dent Assoc 1991; 57(1):42–5.
Bühler H. Survival rates of hemisected teeth: an attempt to compare them with survival rates of alloplastic implants. Int J Periodontics Restorative Dent 1994; 14(6):536–543.
Rapoport RH, Deep P. Traumatic hemisection and restoration of a maxillary first premolar: a case report. Gen Dent 2003; 51(4):340-342.
Kryshtalskyj E. Root amputation and hemisection. Indication, technique and restoration. J Can Dent Assoc 1986; 52(4):307–8.
Bashutski JD, Wang HL. Common implant esthetic complications. Implant Dent 2007; 16(4):340–8
Newman, Takei, Fermin A Carranza. Furcation: Involvement and treatment; Willium F IN: Clinical Periodontology, X edition, WB Saunder's Co, 200:996.
Kurtzman GM, Silverstein LH, Shatz PC. Hemisection as an alternative treatment for vertically fractured mandibular molars. Compend Contin Educ Dent 2006; 27(2):126–9.
Baston CH, Ammons WF, Persson R: Long term evaluation of root resected molars: A retrospective study: Int J Periodont Restor Dent 1996;16(3):207.
Carnevale G, Difebo G, Toyelli MP: A retrospective analysis of the periodontal- Prosthetic treatment of molars with interradicular lesions; Int J Periodont Restor Dent 1991; 11:189-205.
Carnevale G, Pontoricro R, Di febo G. Long term effect of root resective therapy in furcation involved molars.-A 10 year longitudinal study J Clin. Periodontol 1998;25:209- 14.
