Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin
Background: The developments in endodontics have created opportunities for patients to maintain functional teeth for longer. Surgical endodontic treatment, such as hemisection, has become a more conservative treatment than complex treatments, such as removable or fixed partial dentures or implants....
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2025-03-01
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| Series: | Dental Journal |
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| Online Access: | https://e-journal.unair.ac.id/MKG/article/view/53856 |
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| author | Kun Ismiyatin Cinitra Anindya Olivia Vivian Widjaja Singgih Harseno Ahmad Afif Dzulfiqar Tengku Natasha Eleena binti Tengku Ahmad Noor |
| author_facet | Kun Ismiyatin Cinitra Anindya Olivia Vivian Widjaja Singgih Harseno Ahmad Afif Dzulfiqar Tengku Natasha Eleena binti Tengku Ahmad Noor |
| author_sort | Kun Ismiyatin |
| collection | DOAJ |
| description | Background: The developments in endodontics have created opportunities for patients to maintain functional teeth for longer. Surgical endodontic treatment, such as hemisection, has become a more conservative treatment than complex treatments, such as removable or fixed partial dentures or implants. Purpose: The aim of this treatment is to preserve the remaining tooth structure through a hemisection procedure and socket preservation using an alloplastic bone graft and platelet-rich fibrin (PRF). Case: A female patient presented with mastication pain and a large carious tooth in the right mandibular first molar and wanted to save the tooth. Examination showed deep caries and perforation in the bifurcation area of the tooth with loss of the distal crown. However, the mesial root could be preserved, thus hemisection was proposed. Case management: A root canal treatment was performed on the mesial root, followed by separation of the mesial and distal roots, and, finally, distal root extraction. A mixture of PRF and bone graft was used for socket preservation. The tooth was restored with a splinted zirconia crown. Conclusion: Hemisection with socket preservation using alloplastic bone graft and PRF represents a more conservative treatment option for molar teeth with extensive caries. This approach exhibits a good long-term prognosis and enhances the bone healing process. |
| format | Article |
| id | doaj-art-617fb59e39884207a04d6bb5877fc138 |
| institution | Kabale University |
| issn | 1978-3728 2442-9740 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Dental Journal |
| spelling | doaj-art-617fb59e39884207a04d6bb5877fc1382025-08-20T03:24:32ZengUniversitas AirlanggaDental Journal1978-37282442-97402025-03-0158110010610.20473/j.djmkg.v58.i1.p100-10652018Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrinKun Ismiyatin0https://orcid.org/0000-0002-0727-662XCinitra Anindya1Olivia Vivian Widjaja2Singgih Harseno3Ahmad Afif Dzulfiqar4Tengku Natasha Eleena binti Tengku Ahmad Noor5https://orcid.org/0009-0005-4833-2738Department of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Conservative Dentistry, Faculty of Dentistry, Universitas Muhammadiyah Surabaya, IndonesiaResident of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaResident of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaResident of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaMalaysian Armed Forces Dental Officer, 609 Armed Forces Dental Clinic, Kem Semenggo, Kuching, Serawak, Malaysia; Membership of Faculty of Dental Surgery, Royal College of Surgeon, Edinburgh University, United KingdomBackground: The developments in endodontics have created opportunities for patients to maintain functional teeth for longer. Surgical endodontic treatment, such as hemisection, has become a more conservative treatment than complex treatments, such as removable or fixed partial dentures or implants. Purpose: The aim of this treatment is to preserve the remaining tooth structure through a hemisection procedure and socket preservation using an alloplastic bone graft and platelet-rich fibrin (PRF). Case: A female patient presented with mastication pain and a large carious tooth in the right mandibular first molar and wanted to save the tooth. Examination showed deep caries and perforation in the bifurcation area of the tooth with loss of the distal crown. However, the mesial root could be preserved, thus hemisection was proposed. Case management: A root canal treatment was performed on the mesial root, followed by separation of the mesial and distal roots, and, finally, distal root extraction. A mixture of PRF and bone graft was used for socket preservation. The tooth was restored with a splinted zirconia crown. Conclusion: Hemisection with socket preservation using alloplastic bone graft and PRF represents a more conservative treatment option for molar teeth with extensive caries. This approach exhibits a good long-term prognosis and enhances the bone healing process.https://e-journal.unair.ac.id/MKG/article/view/53856bone grafthemisectionhuman and healthplatelet-rich fibrin |
| spellingShingle | Kun Ismiyatin Cinitra Anindya Olivia Vivian Widjaja Singgih Harseno Ahmad Afif Dzulfiqar Tengku Natasha Eleena binti Tengku Ahmad Noor Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin Dental Journal bone graft hemisection human and health platelet-rich fibrin |
| title | Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin |
| title_full | Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin |
| title_fullStr | Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin |
| title_full_unstemmed | Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin |
| title_short | Hemisection with socket preservation using alloplastic bone graft and platelet-rich fibrin |
| title_sort | hemisection with socket preservation using alloplastic bone graft and platelet rich fibrin |
| topic | bone graft hemisection human and health platelet-rich fibrin |
| url | https://e-journal.unair.ac.id/MKG/article/view/53856 |
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