Although advances in endodontics have made the treatment largely obsolete, our dentist and team can see you for a tooth hemisection in Carson, California. If you are struggling with a severely damaged or infected tooth, this treatment may be for you. For more information and to plan your appointment with Dr. Mina Abraham, call Carson Dental at 310-835-5550 today.
What is a Tooth Hemisection?
Essentially, a tooth hemisection involves removing half of a damaged tooth. When might you need to see our dentist for a tooth hemisection? First, you need to know that treatment is usually reserved for lower molars, and our dentist will let you know if it can be used on other teeth, if necessary. It can be used as part of an endodontic or periodontic treatment. You may need a hemisection for an unsuccessful root canal, a severe tooth fracture or bone loss surrounding a single tooth.
Our dentist will use a local anesthetic to insure that you remain comfortable during your visit. Our dentist will access the tooth through an incision in your gums to see if any of the roots can be saved. We will then remove the problem area of the tooth and close the incision. A dental crown will be placed to protect the tooth and restore its appearance and function. Call for your appointment today, and our dentist will be happy to see you for an examination to help you decide if this treatment is right for your smile.
FAQ About Tooth Hemisection
What is a tooth hemisection?
A tooth hemisection is a procedure that divides a multirooted tooth into separate sections so the damaged or diseased root and its corresponding portion of the crown can be removed. The healthy section may remain in place and be restored. This treatment is most commonly considered for certain molars that would otherwise require extraction.
Why might our dentist recommend a hemisection?
Dr. Abraham may consider hemisection when damage is limited to one root or one side of a multirooted tooth. Possible reasons include a root fracture, localized decay, infection, bone loss or an area that cannot be treated predictably through conventional root canal treatment alone.
How is hemisection different from root amputation?
Both procedures are intended to preserve part of a multirooted tooth, but they remove different structures. Root amputation removes one compromised root while retaining the crown above it. Hemisection divides the tooth and removes the affected root together with the corresponding crown portion. Dr. Abraham will determine which approach fits the tooth’s condition.
Does a tooth need root canal treatment before hemisection?
Root canal treatment is commonly completed before or in coordination with a hemisection because the procedure affects the internal tissues and root canal system. The exact sequence depends on the tooth and any previous treatment. Our dentist will evaluate the pulp, roots and surrounding bone before creating your personalized endodontic care plan.
How does our dentist determine whether the tooth can be saved?
Our dentist will examine the tooth, gums, bite and remaining healthy structure. Digital X-rays or other imaging may be used to evaluate the roots and supporting bone. The untreated section must have adequate stability, bone support and restorative potential for hemisection to provide a reasonable tooth-preserving option.
Will the remaining part of the tooth need a crown?
The retained section generally requires restoration after hemisection so it can withstand normal biting and chewing forces. Depending on the amount of healthy structure and the overall treatment plan, Dr. Abraham may recommend a dental crown or another restoration to protect and stabilize the remaining tooth.
What should I expect during recovery from a hemisection?
Temporary soreness, swelling or mild bleeding may occur after treatment. Our team will provide instructions for cleaning the area, managing discomfort and choosing foods that will not place unnecessary pressure on the surgical site. Contact us if pain or swelling worsens, bleeding continues or the treated tooth feels unstable when you bite.
How should I care for a tooth after hemisection?
Careful plaque control is essential because the shape of the restored tooth may require extra attention around the gumline. Follow the personalized home care instructions provided by our team and maintain regular dental cleanings and exams so Dr. Abraham can monitor the tooth, restoration and supporting tissues.
What happens if the tooth is not a candidate for hemisection?
If the remaining root, bone or crown cannot support a stable restoration, preserving part of the tooth may not provide a predictable result. Dr. Abraham may instead recommend a tooth extraction and discuss appropriate replacement options based on the location of the tooth, your oral health and your long-term goals.