Hemisection for the Treatment of Advanced Endodontic Periodontal Lesion

The removal of a ischolar_main and the overlaying anatomic crown is referred to as a hemisection. A case with a complain of pain and bone loss till the apex of distal ischolar_main of 36 presented in the department of Endodontics, Government dental college, Shimla. The patient had increased desire to maintain the natural dentition. The decision was taken to hemi-sect the distal ischolar_main, as mesial bone and furcation bone was relatively unaffected. After phase I therapy, periodontal flap was reflected, area debrided and distal ischolar_main was resected. This article describes a procedure of hemisection in mandibular molar and its subsequent restoration. The key to long term success appear to be thorough diagnosis, selection of patients with good oral hygiene and careful surgical and restorative management.