Hemisection a Preservative Approach to Endodontic-Periodontic Lesion: Case Report

Endodontic–periodontal lesions present the challenges to the clinician as far as diagnosis, prognosis and treatment planning is concerned. One treatment modality in such cases involves separation of two roots in the furcation area with selected removal of one root. This decision is based on the extent and pattern of bone loss, root trunk and root length, ability to eliminate the osseous defect, and endodontic and restorative considerations. This procedure represents a form of conservative treatment, aiming to retain as much of the original tooth structure as possible. The results are predictable and success rates are high in such cases. This case report presents two clinical cases of advanced endodontic-periodontal lesions treated with hemisection followed by restoration.