title: Hemisection: A Treatment Option for an Endodontically treated Molar with Vertical Root Fracture.
abstract: Vertical root fractures (VRF) in endodontically treated teeth have long been reported and pose diagnostic difficulties. A hemisection/root resection procedures removes the fractured fragments completely, and retains a portion of the compromized tooth offers a predictable treatment option. The key to this rests in ideal case selection involving balancing all indications and contraindications. The success of the treatment depends on careful case selection based on a firm set of guidelines. This article presents a case with VRF in an endodontic treated molar. This article describes the case of a 65-year-old man with a VRF on the mesial root and a healthy periodontium supporting the distal root making it ideal for retention as well as restoration and support of the final prosthesis. Also, the patient was motivated to try and save as much of the tooth as possible. Postoperatively no untoward complication was reported making it an alternative treatment option in patients with VRF in a molar, willing to retain the remaining tooth portion. With all other factors balanced, it allows for retaining the remaining intact portion of the tooth structure.
authors.affiliation: Associate Professor, Department of Periodontics, JSS Dental College and Hospital, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, India, e-mail: anithas27@yahoo.com.
authors.forename: S
authors.initials: S
authors.lastname: Anitha
authors.affiliation: Department of Periodontics, JSS Dental College and Hospital, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, India.
authors.forename: Deepika S C
authors.initials: DS
authors.lastname: Rao
mesh_terms: D018786:Bone Substitutes / Q000737:chemistry / Q000627:therapeutic use; D002516:Ceramics / Q000737:chemistry; D003442:Crowns; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008963:Molar / Q000293:injuries* / Q000601:surgery; D010347:Patient Care Planning; D013524:Surgical Flaps / Q000601:surgery; D019227:Tooth Apex / Q000293:injuries; D019237:Tooth Cervix / Q000293:injuries; D014082:Tooth Fractures / Q000601:surgery*; D014092:Tooth Root / Q000293:injuries* / Q000601:surgery; D019553:Tooth, Nonvital / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: C022107:Bioglass; D018786:Bone Substitutes
keywords: Hemisection; Periodontal abscess; Synthetic bone Grafts; Surgical therapy; Vertical root fractures