MULTIDISCIPLINARY APPROACH IN ORAL REHABILITATION OF A PATIENT WITH HEMISECTION PERFORMED MANDIBULAR MOLAR TOOTH DUE TO ENDODONTIC REASON – A CASE REPORT

Year 2014, Volume: 41 Issue: 2 - Volume: 41 Issue: 2, 115 - 119, 01.05.2014

Nilsun Bagış Füsun Arpak Nejat Arpak

Abstract

Hemisection is the surgical process by which a multi rooted tooth, usually a mandibular molar is converted into a single rooted tooth by the removal of one root and the associated portion of the crown. Generally prosthetic restoration completed after hemisection procedures. Prosthetic restoration may be single crown or bridge abutment. It is possible to utilize a segment of multirooted tooth even though retention of the entire tooth is impossible due to advanced periodontal disease, carious lesion or endodontic failure. For this reason, when an extraction is indicated for a lower molar tooth because of a problem related to one of its roots, hemisection or root amputation may be an alternative therapy. In this case report, hemisection performed on mandibular first molar tooth due to endodontic and periodontal reasons and after ortodontic treatment approach are presented.

Keywords

Hemisection, periodontics, orthodontics, multidisiplinary treatment

ENDODONTİK NEDENLE MANDİBULAR MOLAR DİŞİNE HEMİSEKSİYON UYGULANAN HASTANIN ORAL REHABİLİTASYONUNDA MULTİDİSİPLİNER YAKLAŞIM - OLGU SUNUMU

Abstract

Hemiseksiyon, sıklıkla mandibular molar dişler olmak üzere çok köklü dişin iki parçaya ayrılarak, bir kökün kronu ile birlikte çıkarılması olarak tanımlanır. Genellikle, hemiseksiyon prosedürünü takiben, tek kron veya köprü protetik restorasyonu uygulanır. Endodontik başarısızlık, derin caries varlığı, ilerlemiş periodontal hastalık gibi nedenlerle umutsuz görünen çok köklü dişlerin bir bölümü sağlıklı ise, ağızda tutulması düşünülebilir. Bu nedenle bir mandibular molar dişin, sadece tek kökünde bulunan hasar nedeniyle çekimi gerektiğinde, ampütasyonu alternatifleri unutulmamalıdır. Bu vaka raporunda, endodontik ve periodontal nedenle hemiseksiyon uygulanmış mandibular molar diş ve sonrasında uygulanan ortodontik tedavi yaklaşımı sunulmuştur

Keywords

periodontoloji, ortodonti, multidisipliner tedavi Hemiseksiyon

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