Divide and save by hemisection: A report of two cases

Abstract

Advances in dentistry as well as the increased desire of patients to maintain their dentition have led to the treatment of teeth that once would have been removed. In order to carry out this present day mandate, periodontally diseased teeth with severe bone loss may well be retained by removal of one or more of their roots. Treatment of multirooted teeth with lesions of varying degrees within the interradicular space has been one of the most challenging problems in periodontal therapy. It has been proposed that the reduced success rate of conservative nonsurgical and surgical therapy of furcation lesions is most likely related to the anatomical characteristics of the furcation area interfering with adequate instrumentation. Thus, tooth resection procedures are used to preserve as much tooth structure as possible rather than sacrificing the whole tooth. The aim of this article is to present a report of bicuspidization and root amputation as a treatment option for Grade II and Grade III furcation involvement.