Hemisection with platelet rich fibrin: A novel approach

Abstract

Since time immemorial, endodontics have proved to be an ultimate tooth savior. Hemisection is a conservative procedure where a part of hopeless multi-rooted teeth, with better retention, is preserved rather than saving the tooth as a whole. But with time, the extraction socket shows alveolar ridge resorption thus complicating the prosthetic procedure. Thus, a new technique of socket preservation evolved preventing such dimensional changes in postextraction socket. This case report shows grossly carious first and second mandibular left molar with furcation involvement in the second molar of a healthy 25-year-old male patient. Following endodontic treatment and hemisection, autologous platelet-rich fibrin was placed in the extraction socket, and the patient was followed at 1, 3, 6, and 12 months for hard- and soft-tissue evaluation, clinically and radiographically. The fixed prosthesis was placed at the end of 3rd month. Radiographs at 6th and 12th months showed little resorptive changes with better healing, occlusion, and function clinically.