Patient presented with a periodontal pocket along side mesial root, with a diagnosis of fracture mesial root. Options discussed; extraction of whole tooth or hemisection of mesial root. Patient wanted to save as much tooth as possible. An implant was not an option. I told patient, if the tooth was hemisected, not to restore the tooth until it was stable with no periodontal pockets.
|Immediate post operative x-ray|
Distal root is stable.
|8 mo check appointment|
Mesial root socket has healed. Patient is asymptomatic and distal root is firm. Patient can either have a single unit crown or three unit bridge.
Hemisections are an option when the patient has choices on treatments including implantation. If a patient desires tooth retention, then this option of hemisection is a good choice. I do not think full coverage is necessary until the remaining root is stable and periodontally sound.