Operative dental treatments
Indication for tooth extraction
Tooth extraction
Tooth removal with root separation
Hemisection
Surgical tooth removal
Root tip resection
Operative treatment of cysts
Inflammations and abscesses
Diseases of the oral cavity
Treatment of injuries
Interdisciplinary surgical procedures

Hemisection

Tooth 46 – mesial root with apical inflammation

A hemisection is a surgical procedure usually performed at the lower molars for the conservation of a root. The roots are separated with a mill. One root is then removed. Due to the opening of the pulpal cavity during root separation, the remaining root must be provided with a canal filling and possibly supplied with a pin-stump structure. The remaining root serves as cantilever bridge for further prosthetic treatment.

Further indications for a hemisection are:

  • Massive subgingival root caries
  • Extensive parodontitis profunda at one root only
  • Tooth fractures, in which one root is still worthy of conservation
Separated roots in tooth 46
Mesial root is removed
Complete prosthetic provision with inclusion of the remaining root