Posterior Maxillary Prosthetic Treatment with Molar Hemisection – A case report

Abil Kurdi,Hanoem Eka Hidayati

doi:10.20473/ijdm.v1i1.2018.22-26

Abstract

Background: Hemisection is an alternative treatment option for maintaining tooth with multiple root that indicated for extraction. Purpose: To reported tooth with multiple root indicated by extraction to be used as a fixed-fixed bridge abutment by extracting the infected root and maintain the healthy one. Case: A 53-year-old woman with caries in upper 1st molar teeth in mesiobuccally root that can’t be maintained. Patients refuse the teeth to be extracted. Case Management: Hemisection treatment was performed on 26 mesiobuccal root, with the addition of bone graft. After the healing process, fixed-fixed bridges were made on 25, 26, 27, 28, with PFM on 25, 26, 27 and full cast crowns on 28 as the material. Discussion: Hemisection as a conservative treatment, can be an option for multiple root teeth that has been indicated for extraction but still have root that can be maintained. Conclusion: Teeth performed by hemisection treatments can be used as abutments with attention to the selection of patients to achieve long-term success.

Highlights

The development in dentistry is currently leads to conservative treatment
If a tooth with multiple roots has a caries that involved in one root, a hemisection procedure can be performed
Hemisection of multiple root teeth has a good prognosis. This tooth can be used as an abutment for bridge dentures

Summary

INTRODUCTION

The purpose of the treatment is to maintain teeth for as long as possible but with consideration of periodontics, endodontics and prosthodontics for case selection.[1]. If a tooth with multiple roots has a caries that involved in one root, a hemisection procedure can be performed. Hemisection is a conservative way of preserving tooth. This procedure aims to maintain as much tooth structure as possible. The purpose of this article was to reported tooth with multiple root indicated by extraction to be used as a fixedfixed bridge abutment by extracting the infected root and maintain the healthy one. Intra-orally, there was a loss of teeth 16 and 27, a caries, tartar, and reddish of the gingival.

CASE MANAGEMENT

DISCUSSION