Tooth Hemisection in Salida, CO

At Relaxation Dental, we perform tooth hemisection procedures to remove the affected portion of a tooth while preserving the healthy structure, allowing you to maintain natural function and avoid tooth replacement options like implants or bridges.

If you have a multi-rooted tooth (such as a molar) with decay, fracture, or infection in only one root, a hemisection can help you keep the remaining portion of the tooth intact.

What Is a Tooth Hemisection?

A tooth hemisection is a surgical procedure in which one compromised root and its corresponding portion of the tooth are removed, while the remaining structure is preserved and restored.

This procedure is typically performed on lower molars, which have two roots, when one root is damaged beyond repair but the other remains healthy.

When Is a Tooth Hemisection Needed?

A hemisection may be recommended when:

• Severe decay or infection is present in only one root.
• A root fracture or resorption affects part of a multi-rooted tooth.
• Advanced gum disease (periodontitis) has caused bone loss around one root.
• A failed root canal treatment has compromised a portion of the tooth.

If the remaining root is strong and healthy, a hemisection can preserve the functional portion of your tooth rather than removing it entirely.

The Tooth Hemisection Procedure

This procedure is performed under local anesthesia and may take place in one or two visits depending on the complexity of the case.

Step 1: Preparation & Anesthesia

• The area is numbed to ensure comfort.
• If infection is present, antibiotics may be prescribed beforehand.

Step 2: Removing the Compromised Root

• A small incision is made in the gum to expose the affected root.
• The compromised root and portion of the tooth above it are carefully removed.

Step 3: Cleaning & Sealing the Tooth

• The remaining portion of the tooth is cleaned, reshaped, and sealed to prevent reinfection.
• If needed, a root canal may be performed on the preserved portion of the tooth.

Step 4: Restoration with a Dental Crown

• To strengthen and protect the remaining tooth, a custom dental crown is placed.
• This restores full function and aesthetics, allowing the tooth to function naturally.

After the procedure, patients can chew, speak, and smile confidently without needing tooth replacement options.

Recovery & Aftercare for Tooth Hemisection

Healing from a hemisection is typically quick and comfortable with minimal discomfort. To ensure a smooth recovery:

• Take prescribed pain medication or antibiotics as directed.
• Avoid chewing on the treated side for a few days.
• Maintain good oral hygiene but brush gently around the area.
• Attend follow-up visits to monitor healing and ensure the crown fits properly.

With proper care, a hemisection-treated tooth can last for many years, maintaining full function and stability.

Tooth Hemisection vs. Extraction & Replacement

A hemisection is often preferred over tooth extraction because it:

• Preserves part of your natural tooth, avoiding the need for tooth replacement.
• Prevents bone loss, which occurs when a tooth is completely removed.
• Saves money compared to dental implants or bridges.

However, if the remaining tooth structure is too weak to support function, extraction and tooth replacement may be the better option. We will assess your condition and recommend the best long-term solution for your oral health.