Breakthroughs in dentistry offer the opportunity for patients to retain functional dentition for their lifetime. We owe a variety of treatment choices to our patients depending on the latest clinical evidence of efficient treatment modality. Hemisection is a treatment option that refers to a surgical detachment of a multi-rooted tooth with the removal of one root along with the overhanging crown. Once chosen for this procedure, the tooth must undergo root canal treatment. Removal of the selected root improves access for maintenance and management of plaque, resulting in increased bone formation and pocket-depth reduction. Traditionally full coverage fixed dental prostheses (FDPs) and implant prostheses are advocated in such cases. However, this case report describes hemisection of an extensively decayed mandibular molar followed by conservative rehabilitation with an Inlay-retained prosthesis.
