Hemisection as a Conservative Management Strategy for Instrument Separation Followed by Prosthetic Rehabilitation

Continual advances in the field of dentistry, along with a growing desire among patients to preserve their dentition, have resulted in the management of teeth that would have otherwise been extracted. Various procedural errors, like instrument separation, could be a reason for endodontic failure and/or the extraction of teeth where the retrieval is not possible. However, with newer approaches, only the diseased portion of the tooth can be removed after the non-surgical root canal treatment, followed by a fixed prosthesis to reinforce the remaining component of the tooth to neighbouring teeth. Although being an arduous task, this treatment can be completed and maintained effectively. This series of case reports illustrates the two scenarios where hemisection was used as a treatment strategy, followed by prosthetic rehabilitation.