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All Journal Majalah Kedokteran Gigi Indonesia
Berty Maharani Febrianty
Specialist Conservative Dentistry Program, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
Dentistry

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Hemisection with restoration crown splinter zirconia using prefabricated fiber post-reinforcement Berty Maharani Febrianty; Gustantyo Wahyu Wibowo; Elisabeth Reni Nursari; Raphael Tri Endra Untara; Pribadi Santoso; Margareta Rinastiti
Majalah Kedokteran Gigi Indonesia Vol 12, No 1 (2026): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91560

Abstract

Hemisection is a conservative dental procedure performed to preserve a compromised tooth by removing the affected root while maintaining the remaining tooth structure and function. This case report describes the management of a 41-year-old female with pulp necrosis, periapical lesions, bifurcation perforation, and periodontitis involving the mandibular left first molar. The patient presented with recurrent pain and failure of a tooth-colored restoration placed two years earlier. Clinical and radiographic examinations revealed radiolucent lesions in the mesial and distal periapical regions, bifurcation perforation, and periodontal involvement. Root canal treatment was performed, followed by hemisection of the affected root. The remaining tooth was restored using a prefabricated fiber post and a zirconia crown. At follow-up, the patient was asymptomatic, with satisfactory restoration margins and proximal contact. Radiographic evaluation demonstrated reduced radiolucency and evidence of bone formation in the extraction socket. This case suggests that hemisection combined with endodontic treatment and restoration using a prefabricated fiber post and zirconia crown is an effective treatment option for preserving mandibular molars with pulp necrosis, periapical lesions, bifurcation perforation, and periodontitis.
Co-Authors Elisabeth Reni Nursari Gustantyo Wahyu Wibowo Margareta Rinastiti Pribadi Santoso Raphael Tri Endra Untara