Tooth hemisection
MOLARS THAT ARE CONDEMNED TO EXTRACTION HAVE ANOTHER CHANCE, THANKS TO A HAEMISECTION PROCEDURE
Hemisection is the separation and removal of part of the crown and root of a tooth within which there is inflammation with irreversible pathological changes.
This procedure preserves the healthy part of the tooth, which will then undergo prosthetic restoration. Haemisection is an essential procedure in single-root lesions following, for example, fractures of the crown and roots of a tooth, deep caries or improper root canal treatment, which is the cause of periapical lesions.
Indications for treatment
Hemisection is a procedure performed when conservative treatment is no longer possible. Indications for a haemisection procedure are:
- periapical lesions at the roots,
- when endodontic treatment has not been successful,
- Periodontal such as bone loss,
- vertical fracture of the tooth and/or root,
- another disease process.
Contraindications to haemisection treatment:
- incorrectly performed endodontic treatment in both roots,
- periodontal disease (e.g. periodontitis) - leading to significant tooth loosening,
- lack of prosthetic restoration of the tooth.
Prosthetic rehabilitation
After a period of approximately 6 weeks after treatment, the properly treated endodontically the crown of the tooth is fitted with an inlay crown-root. On the prosthetic base prepared in this way, a prosthetic crown is placed, after a further 2-4 weeks, reconstructing functionally and aesthetically the entire space after the lost tooth.
