Reconstruction and Recovery of Hemisectioned Teeth Using Direct Fiber-reinforced Composite Resin: Case Report

An increased wish by patients to maintain their dentition and recent advances in dentistry have led to the treatment and preservation of teeth that once would have been removed. Consequently, hemisections, root amputations, and bisections are procedures frequently used. The prognosis of endodontically treated teeth depends on the type of reconstruction as well as the success of the endodontic treatment. Along with technological improvements in adhesive resins, cements, and composite restoratives, the evolution of fiber-reinforced posts enables the rehabilitation of endodontically treated teeth with greater esthetics and virtually no predisposition to root fracture. The purpose of this report was to describe the endodontic, surgical, and restorative treatments of a mandibular first molar with an endo-dontically and periodontally diseased mesial root, for functional, orthodontic, and aesthetic reasons. This case report shows that the clinical application of fiber-reinforced composite resins in hemisectioned teeth may be a treatment choice for highly damaged teeth with endodontic and/or periodontal lesions. It also emphasizes the advantages of the elimination of orthodontic and prosthetic treatment needs by different treatment strategies, especially in adolescent patients.