Management of endodontic periodontic lesions with hemisection: Case reports

The connection between periodontal and endodontic diseases has been a topic of interest for many years. The simultaneous presence of pulpal pathosis and inflammatory periodontal disease complicates diagnosis and treatment planning, necessitating a comprehensive treatment approach that combines endodontic, periodontic, and prosthodontic interventions. This case report presents a multi-disciplinary approach for managing a combined endodontic-periodontic lesion. The objective is to illustrate the effectiveness of a multi-disciplinary treatment strategy for compromised teeth with endo-perio lesions. Hemisection and root resections are highlighted as preferred treatments to preserve the remaining portion of the molar with a sound periodontium. Hemisection is defined as the surgical division of a multi-rooted tooth at the furcation, permitting the removal of both the crown and root of the sectioned part as a single unit.