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9409046853
e-ISSN: 2394-2967
British Journal of Medical and Health Research

British Journal of Medical and Health Research

Published

Salvaging Hopeless Teeth by Hemisection: Two Case Reports with 1-Year Follow-up

Published in September 2026 Issue 09 (Vol. 13, Issue 9, 2026)

Salvaging Hopeless Teeth by Hemisection: Two Case Reports with 1-Year Follow-up - Issue cover

Abstract

Background: Endo-periodontal lesions (EPL) present considerable diagnostic and therapeutic challenges. Hemisection, when appropriately indicated, serves as a conservative alternative to extraction in multirooted teeth. Case Presentation: This report presents two separate cases in which mandibular molars exhibit EPL with localized root damage. Following comprehensive endodontic and periodontal evaluation, the non-salvageable distal root was resected, and the remaining mesial root was preserved. Treatment included nonsurgical root canal therapy, full-thickness flap surgery, debridement, hemisection and socket preservation using demineralized freeze-dried bone allograft (DFDBA), platelet-rich fibrin (PRF), and a collagen membrane. Both cases were rehabilitated with a fixed partial denture. 12-month postoperative follow-up of both cases demonstrated successful clinical and radiographic outcomes, including stable periodontal parameters and restored function. Conclusion: Hemisection remains a viable option for preserving function and natural dentition in selected cases of EPL with localized root damage.

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Authors (4)

Nancy Budakoti

Dr. Ziauddin Ahmad Dental Coll...

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Afaf Zia

Dr. Ziauddin Ahmad Dental Coll...

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Aisha Samreen

Dr. Ziauddin Ahmad Dental Coll...

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Adeela Majid

Dr. Ziauddin Ahmad Dental Coll...

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BJMHR9130002

BJMHR-13-000060

18-29

2026-09-01

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How to Cite

Budakoti & Zia & Samreen & Majid (2026). Salvaging Hopeless Teeth by Hemisection: Two Case Reports with 1-Year Follow-up. British Journal of Medical and Health Research, 13(9), 18-29. https://bjmhr.com/articles/BJMHR9130002

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