Tooth Hemisection involves the removal of one half of the entire tooth structure. This procedure is done when periodontal disease has reached the roots of the gum, which is called bifurcation. This is seldom done but there are certain occasions why this needs to be performed. It is a great alternative in treating the tooth rather than replacing it with a bridge or dental implant which cost greater than tooth Hemisection. However, certain consideration should be weighed before retaining the natural teeth; if the extent of bone decay and or loss makes it impossible for probable restoration, then the extraction and replacement will be great alternative. Tooth Hemisection is only made necessary when a there is a failure with root canal therapy. Nowadays, these teeth problems become rare due to new technological advancements in dental care but is still needed when there is a serious vertical fracture in the tooth.
Before this treatment is done, the dentist first examines the gums and teeth through the x-ray device to determine the extent of decay or bone loss. After such, the patient is administered anesthesia. The dentist will make small cuts on the gums around the tooth to expose the roots. When the roots are uncovered, the dentist will now separate the roots and remove the part that cannot be restored. After this part is removed, the remaining part will be cleaned by washing it lightly with sterile saline solution. Sometimes stitches are required to close the cut. A provisional filling or crown will be used to cover the tooth and then will be later replaced with a permanent crown. It may take an hour or more to perform the procedure, depending on the amount of decay and if there are other treatment that should be done during tooth Hemisection.
After the treatment, the patient may experience gum swelling and discomfort for twenty-four to forty-eight hours. The patience is then advised to avoid chewing on the affected tooth until the stitches are detached and to gargle with an antimicrobial mouth wash. After seven to ten days, the patient will have to go back to the dentist to have the gum stitches be removed. The teeth expert will also check if the gums have healed properly.
After a few months, when the tooth has been completely healed, the temporary crown will be replaced with a permanent one. A crown may be one that fits both half of the root that allows space for dental care.
However, there are some major drawbacks for this treatment. If a certain tooth is hemisected, it may become more difficult to have it cleaned. Also, it may become more fragile because there is only one solid root as its foundation. It may weaken and becomes more susceptible to fractures or cracks. If this happens, it may need extraction or replacement.
If a few days after this dental procedure is done and there is still constant pain and swelling present, the patient may need to see his/her dentist at once