Different extra-coronal restoration options of hemisected teeth on structurally compromised mandibular molar: Report of two cases

Sobrina Mohamed Khazin; Siti Hajar Omar

doi:10.31436/ijohs.v4i1.187

Authors

Sobrina Mohamed Khazin Restorative Dentistry Department, Kulliyyah of Dentistry, International Islamic University Malaysia, Bandar Indera Mahkota, 25200, Kuantan, Pahang, Malaysia.
Siti Hajar Omar Restorative Dentistry Department, Faculty of Dentistry, Universiti Sains Islam Malaysia, Level 15, Tower B, Persiaran MPAJ, Jalan Pandan Utama, 55100, Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.31436/ijohs.v4i1.187

Keywords:

cracked teeth, mesially cantilevered bridge, root caries, socket preservation

Abstract

Structurally compromised teeth tend to be extracted due to its their poor prognosis, however, hemisection may serve as an alternative option in selected cases. This case report is aimed to discuss two cases of hemisected mandibular molars with two different approaches for post-hemisection restoration. Case 1 presents with terminal tooth 37 diagnosed with a cracked tooth involving severe bone loss on the mesial root. The tooth was hemisected and restored with a mesially cantilevered full ceramic crown. Case 2 presents with root caries on an endodontically treated tooth 46 on a patient with bruxism, with an inadequate ferrule on the distal segment. The tooth was hemisected utilizing the socket preservation technique, and the tooth was restored with a conventional fixed-fixed bridge with a second abutment on tooth 47.

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