Hemisection endodontic surgery is a specialized procedure that involves dividing a tooth in half and removing one of the root sections. This is often performed when a tooth's root canal treatment is unsuccessful or when a significant portion of the tooth is damaged or diseased.


What is Hemisection?

Hemisection is a conservative procedure to preserve a tooth that might otherwise need to be extracted. It is typically performed on molars, which have multiple roots. By removing the affected root and its corresponding crown, the dentist can save the remaining portion of the tooth.


When is Hemisection Necessary?

Hemisection may be considered in several situations:

Failed root canal treatment: If a root canal treatment has been unsuccessful due to infection, inflammation, or other complications.
Severe tooth decay: When a large portion of the tooth is damaged by decay.
Cracked or fractured teeth: If a tooth is cracked or fractured in a way that cannot be repaired with other methods.
Periodontal disease: When gum disease has progressed, it affects the tooth's supporting structures.


The Hemisection Procedure

The hemisection procedure typically involves the following steps:
Anesthesia: The dentist will administer local anesthesia to numb the area around the tooth.
Gum incision: A small incision is made in the gum tissue to access the tooth.
Tooth sectioning: The tooth is carefully divided into two sections using a surgical bur.
Root removal: The affected root and its corresponding crown are removed.
Cleaning and disinfection: The remaining tooth is thoroughly cleaned and disinfected to remove bacteria or debris.
Filling and restoration: The remaining root canal is filled, and a crown or filling is placed on the tooth to restore its function and appearance.


Recovery Process

After a hemisection procedure, following your dentist's post-operative care instructions is essential. This typically includes:
Taking prescribed medications: Follow your dentist's instructions for taking pain relievers or antibiotics.
Avoiding strenuous activity: Rest and avoid strenuous activities for a few days.
Maintaining oral hygiene: Brush and floss gently around the treated area.
Eating soft foods: Avoid hard or crunchy foods that could irritate the healing site.
Following up with your dentist: Schedule follow-up appointments to monitor the healing process and ensure the procedure's success.


Benefits of Hemisection

Preservation of natural teeth: Hemisection allows you to retain a natural tooth that might otherwise need to be extracted.
Improved function: A well-restored tooth can improve your chewing and oral health.
Enhanced aesthetics: A hemisection can help maintain the natural appearance of your smile.
Risks and Complications
While hemisection is generally a successful procedure, there are potential risks and complications, including:
Infection: There is a risk of infection in the area of the surgery.
Sensitivity: The remaining tooth may be sensitive to hot or cold temperatures.
Fracture: In rare cases, the remaining tooth may fracture.
Failure: The procedure may fail if the remaining root canal becomes infected or the crown becomes loose.


Choosing a Qualified Endodontist

Hemisection is a complex procedure that requires specialized skills and experience. It's essential to choose an endodontist who is qualified and experienced in performing this type of surgery.
Mountain View Endodontics
Mountain View Endodontics is a leading endodontic practice specializing in root canal treatments and surgeries. Their experienced endodontists are committed to providing high-quality care and ensuring patient satisfaction.
If you are considering hemisection endodontic surgery, Mountain View Endodontics can provide the expert care and guidance you need to make an informed decision.


Conclusion


Hemisection endodontic surgery can be a valuable option for preserving a tooth that would otherwise need to be extracted. By understanding the procedure, risks, and benefits, you can decide whether hemisection is the right choice.