Hemisection for Multi-Rooted Tooth Preservation in St Margarets

Initial Consultation and Assessment for Hemisection

At London Dental Specialists, our hemisection procedure begins with a thorough consultation and assessment. This crucial first step ensures we can determine if hemisection is the most appropriate treatment for preserving your multi-rooted tooth.

During your initial visit, our experienced endodontists will:

• Conduct a comprehensive oral examination, focusing on the affected tooth and surrounding structures


• Take detailed X-rays and possibly 3D imaging to assess the tooth's root structure and bone condition


• Review your medical and dental history to ensure you're a suitable candidate for the procedure


• Discuss your symptoms and concerns to understand the full extent of the problem

Based on this assessment, we'll determine if hemisection is the best course of action for preserving your tooth. Our specialists will explain:

• The benefits of hemisection compared to full tooth extraction


• The step-by-step process of the hemisection procedure


• Expected outcomes and recovery time


• Any potential risks or complications

We believe in empowering our patients with knowledge, so we encourage you to ask questions and voice any concerns during this consultation.

Preparing for Your Hemisection

If hemisection is deemed appropriate, we'll create a personalised treatment plan. This may include:

• Preliminary treatments such as scaling and root planing to ensure optimal gum health


• Root canal treatment on the portion of the tooth to be retained


• Scheduling the hemisection procedure at a time convenient for you

We'll provide you with pre-operative instructions to ensure you're fully prepared for the procedure. This may include guidance on:

• Medications to avoid before the procedure


• Dietary restrictions on the day of the treatment


• Arranging transportation home after the procedure

At London Dental Specialists, we're committed to providing you with the highest standard of care throughout your hemisection journey, starting from this initial consultation and assessment phase.

Custom Treatment Plan for Hemisection

At London Dental Specialists, we create a bespoke treatment plan for your hemisection procedure. This plan is tailored to your specific dental needs and ensures the best possible outcome for preserving your multi-rooted tooth.

Key Components of Your Hemisection Treatment Plan

• Detailed Imaging Analysis: We thoroughly examine 3D scans and X-rays to map out the precise location for the hemisection.


• Root Canal Treatment: If necessary, we perform root canal therapy on the portion of the tooth to be retained.


• Surgical Approach: We determine the most suitable surgical technique based on your tooth's anatomy and condition.


• Restoration Planning: We outline the post-hemisection restoration process, which may include crowns or bridges.

Pre-Operative Preparations

Your treatment plan will include specific pre-operative instructions:

• Antibiotic regimen (if required)


• Dietary restrictions before the procedure


• Oral hygiene protocol to follow


• Any necessary adjustments to current medications

The Hemisection Procedure

We'll explain each step of the hemisection process:

1. Administration of local anaesthesia


2. Creation of a small incision in the gum tissue


3. Careful separation of the affected root


4. Removal of the compromised root and associated crown portion


5. Smoothing and shaping of the remaining tooth structure


6. Placement of sutures and temporary restoration

Post-Operative Care Plan

Your treatment plan will outline post-operative care, including:

• Pain management strategies


• Oral hygiene instructions


• Dietary recommendations during healing


• Follow-up appointment schedule

Long-Term Restoration Plan

We'll discuss the long-term restoration options, which may include:

• Custom-fitted crown for the retained portion of the tooth


• Potential bridge work if necessary


• Regular check-ups to monitor the health of the treated tooth

At London Dental Specialists, we ensure that every aspect of your hemisection treatment is meticulously planned and executed, providing you with the best chance of preserving your natural tooth structure and maintaining optimal oral health.

Hemisection for Multi-Rooted Tooth Preservation Treatment Procedures

At London Dental Specialists, our hemisection procedure is a precise surgical technique designed to preserve multi-rooted teeth that might otherwise require extraction. This conservative approach involves carefully separating and removing the damaged portion of a tooth while retaining the healthy section.

The Hemisection Process

Our expert endodontists perform the following steps during the hemisection procedure:

1. Local anaesthesia administration to ensure your comfort throughout the treatment


2. Creation of a small incision in the gum tissue to access the affected tooth


3. Careful separation of the tooth through the furcation (where the roots divide)


4. Removal of the compromised root and its associated crown portion


5. Smoothing and shaping of the remaining tooth structure


6. Thorough cleaning and disinfection of the surgical site


7. Placement of sutures and a temporary restoration if necessary

Advanced Techniques and Technology

We utilise state-of-the-art equipment and techniques to ensure the highest level of precision and success in hemisection procedures:

• Dental operating microscopes for enhanced visualisation


• Ultrasonic instruments for precise root separation


• Advanced imaging technology for accurate treatment planning

Post-Procedure Care

Following the hemisection, we provide comprehensive aftercare instructions, including:

• Pain management strategies to ensure your comfort


• Oral hygiene guidelines to promote healing


• Dietary recommendations during the recovery period


• Follow-up appointments to monitor your progress

Long-Term Restoration

Once healing is complete, we proceed with the final restoration of your tooth, which may include:

• Custom-fitted crown for the retained portion of the tooth


• Potential bridge work if necessary for optimal function

At London Dental Specialists, our hemisection procedures typically take 30-60 minutes, depending on the complexity of your case. We are committed to providing you with the highest standard of care throughout your treatment journey, ensuring the best possible outcome for your oral health.

Post Hemisection for Multi-Rooted Tooth Preservation Treatment Care

Proper aftercare following a hemisection procedure is essential for successful tooth preservation and long-term oral health. At London Dental Specialists, we provide comprehensive post-treatment care to ensure optimal healing and functionality of your preserved multi-rooted tooth.

Immediate Aftercare (First 24-48 Hours)

During the initial recovery period, we recommend:

• Maintaining gentle pressure on the gauze pad placed over the surgical site for the first hour


• Taking prescribed pain medications as directed to manage discomfort


• Applying ice packs to the outside of your face in 20-minute intervals to reduce swelling


• Avoiding rinsing, spitting, or using straws for 24 hours to prevent dislodging the blood clot


• Eating soft foods and chewing on the opposite side of your mouth

First Week Recovery

As healing progresses, our specialists advise:

• Gentle salt water rinses (1/2 teaspoon salt in 240ml warm water) after meals and before bed


• Careful brushing around the surgical site using a soft-bristled toothbrush


• Continuing with a soft food diet until your follow-up appointment


• Avoiding smoking and alcohol consumption which can impair healing


• Taking antibiotics (if prescribed) for the full course to prevent infection

Long-Term Care and Monitoring

For ongoing maintenance of your hemisected tooth, we recommend:

• Attending scheduled follow-up appointments to monitor healing and assess the need for final restoration


• Maintaining excellent oral hygiene with special attention to the treated area


• Using interdental brushes or water flossers to clean around the hemisected tooth


• Regular professional cleanings every 3-6 months

Final Restoration

Once healing is complete (typically 4-8 weeks after the procedure):

• We will place a permanent restoration (usually a custom crown) on the retained portion of your tooth


• The restoration is designed to distribute biting forces appropriately to prevent excessive stress on the remaining root


• Regular check-ups will ensure the restoration remains functional and aesthetically pleasing

Signs to Watch For

Contact our clinic immediately if you experience:

• Severe pain or swelling that worsens after 2-3 days


• Excessive bleeding that doesn't subside


• Unusual discharge from the surgical site


• Fever or other signs of infection


• Loosening of the temporary restoration (if placed)

At London Dental Specialists, we're committed to supporting you throughout your recovery process. Our team is always available to address any concerns and ensure your hemisection procedure results in successful multi-rooted tooth preservation and restored oral function.