Hemisectomy: A ray of hope for a periodontally and cariously involved mandibular first molar

Abstract

Hemisectomy refers to the removal of a root with the associated crown portion of two-rooted teeth, commonly the mandibular molars, due to its high predilection for extraction due to dental caries and periodontal disease. Hemisectomy of a mandibular molar may be an appropriate treatment option when caries or resorption is limited to one root, while the other is healthy; thus, preserving the tooth structure, and alveolar bone and promoting affordability over other treatment possibilities. This article entails a procedure for Hemisectomy in a mandibular first molar and its ensuing restoration with a fixed prosthesis. Hemisectomy and prosthetic reintegration yielded an acceptable result.