HomeAnswersEndodontistdental abscess

Is hemisection & root resection a better option for a molar?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My crown has become loose as there is decay inside the crown and around half the edge, but not visible. I was told that the tooth is stable underneath.

I saw one endodontist who said to rule out the implant and that he would do a root canal, but bone and gum are less than ideal, and 50-50 chances are there that it will work.

He also did not clear all the decay, did not take the crown off, but drilled straight through. (A wobbly decayed tooth underneath the crown?), did not do the post or crown.

There has been a long-standing chronic abscess at the root for years. The current root canal was done 7 years ago. I do not have any other molars left in the lower. I am 60 years old. I was shocked, sad, and anxious.

I feel tempted to go to an unknown dentist just to see if he could do a hemisection, as the Endodontist I talked to "no longer do them as implants are available and hemis tend not to last long".

Does anyone reading this please see any hope for this tooth? I chew on it and have no sensitivity and no pain; no symptoms at all. There is a gum recession I have complained to the dentist about for the last couple of years.

I am concerned I will regret not trying to save this tooth if at all possible. Also, I was told to see a prosthodontist to ensure a crown could be made if I get the retreatment.

I have two tracks I am pursuing. I will see an oral surgeon tomorrow to rule out an implant and then see a prosthodontist.

I am attaching X-rays. Concerned with this decision-making process about any further damage being done to gum and or bone. Impeccable hygiene history.

Answered by Dr. Naveen Thomas

Education:

BDS

Professional Bio:

Dr. Naveen Thomas is an expert in Dentistry. He is experienced and well-versed in all treatment modalities of Dentistry.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Seeing the recent X-rays (attachment removed to protect patient identity), it is obvious that the distal root has an abscess and should be removed. Hemisection might be a good idea, but it alone cannot withstand the biting force, and if you can afford it, then go for a molar implant behind this tooth so that you will get one extra molar to chew on.

A hemisection to retain the mesial root of this tooth, along with another implant behind it, will give adequate tooth structure to have a normal biting force. If you cannot afford both, then go for the extraction of this abscessed tooth and an implant, as hemisection alone is not strong unless it has more support behind it.

I hope this helps.

Thank you.

Answered by
Medically reviewed by Dr. Divya Banu M
Published At December 28, 2019
Reviewed At August 25, 2025

Education:

BDS

Professional Bio:

Dr. Naveen Thomas is an expert in Dentistry. He is experienced and well-versed in all treatment modalities of Dentistry.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Naveen Thomas

Dentistry

Education:

BDS

Professional Bio:

Dr. Naveen Thomas is an expert in Dentistry. He is experienced and well-versed in all treatment modalities of Dentistry.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

crownsdental abscess

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.