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Tooth Hemisection in
Atlanta & Suwanee, Georgia

A hemisection is a specialized dental procedure where half of an injured natural tooth is removed. A hemisection can only be performed on molars, which are the larger, flatter teeth at the rear of the mouth. Hemisections cannot be performed on smaller teeth because they lack the strength and stability required to remain functional after the procedure.

Tooth Hemisection in Atlanta & Suwanee, Georgia

There are many advantages to a hemisection. Preserving as much natural tooth as possible is of paramount importance to dental professionals. There are plenty of prosthetic teeth restorations available, but none is preferable to a healthy natural tooth. Another advantage of a hemisection is that it is a cost-effective and highly predictable procedure. When a tooth is extracted, a dental implant, bridge or other prosthetic is placed to fill the gap. Though these alternatives are effective under the right circumstances, they can be expensive to implement.

Why might I need a tooth hemisection?

When a hemisection is performed, the tooth is essentially cut in half. The root and crown on the affected side are removed completely. There are a wide variety of circumstances that favor a hemisection, including:

Root canal therapy failure – During root canal therapy, the pulp and inner workings of the tooth are removed. The resulting space is packed with dental filler and the tooth is sealed with a crown. If this procedure is unsuccessful, the next step can involve a hemisection to save as much tooth structure as possible.

Vertical fractures – When a healthy molar has sustained a vertical injury either due to trauma or decay, a hemisection may be performed to save the healthy section of the tooth.

Vertical bone loss – If a significant amount of bone has been lost in an area adjacent to the tooth, the resulting lack of adequate attachment can jeopardize the whole tooth structure. A hemisection can save the firmly affixed portion, and a partial crown can be placed to add stability.

Damage to the pulp chamber – When the floor of the pulp chamber is punctured or perforated, the inner mechanisms of the tooth are susceptible to oral bacteria. Partial tooth removal and reconstruction on the affected side saves the healthy part of the tooth and seals it from bacterial colonization.

Bifurcation – Sometimes, gum disease or periodontitis affects the area between two tooth roots. To halt the progression of the disease and to prevent the recession of the jawbone, part of the tooth may be removed through a hemisection.

How is a tooth hemisection performed?

Hemisections are becoming less common, as recent technological advances mean that root canal therapy fails less frequently. However, to determine candidacy for a hemisection, the dentist will first examine teeth to look for signs of disease and decay. X-rays will be taken to determine the exact nature of the problem below the gumline. The procedure itself will be performed under local anesthetic and generally takes around 30 minutes.

To split the tooth, the dentist makes a tiny incision in the gum to expose the structure below. The roots of the tooth are examined and separated into two sections. At this point, the dentist can definitively determine whether one of the roots can be saved, or if both should be discarded.

If one root is deemed to be healthy, the dentist removes the corresponding root and thoroughly cleanses the gap with saline solutions. A temporary crown will be placed to fill the gap. Arrangements will then be made to construct a permanent custom crown, which will be fitted with dental cement at a later date to strengthen the tooth.

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in Atlanta and Suwanee

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Milestone Dentistry took over my Dentist of 30 years. I was pleasantly surprised by their efficiency and superior quality. Of course my Dentist, Dr. Robert Israel, would only choose the best.
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Amber M.

Milestone Dentistry review from Amber M.
Where do I start!? Everyone is so nice and very thorough! You will not be disappointed! Ann Marie my hygienist is the best in Atlanta hands down!! Dr. Huynh was very gentle and answered all my questions! 😁
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Brandon K.

Milestone Dentistry review from Brandon K.
Definitely recommend milestone! I hate the dentist to the point of avoiding them, until I knocked my crown off the week of July 4th. Milestone got me in THE SAME DAY to put a temp crown on and it was perfect, and recently went to have the permanent put on and I am very pleased.
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Felicia M.

Milestone Dentistry review from Felicia M.
It seems unnatural to say that I enjoyed my time at the dentist...but it’s true. I left my last dentist’s office because the dentist himself was dismissive of some pain that I was having. I have to say that every step of the process, from intake to x rays to cleaning and finally to dental consultation was wonderful. The entire staff was friendly. The office was spacious and equipped beautifully. Ann Marie and Dr. Huynh were a dream team! And of course Mary at the front desk takes care of your appointments and your estimates with ease. I can’t recommend this place enough!
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Randolph F.

Milestone Dentistry review from Randolph F.
The entire Staff are professional, extremely courteous and highly competent individuals!!I would highly recommend this practice to every and anyone !!
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Cynthia B.

Milestone Dentistry review from Cynthia B.
I am TERRIFIED of the dentist. I was in need of work, as reluctant as I was,I walked into Milestone. I was greeted by Mary Ra. I explained my fear, she listened, she put me at ease..introduced me to my "new friends" as she puts it before I made my appointment.It really help relieve some of my anxiety. I love love this office! AnnMarie took her time, provided me with music and a warm blanket. Cleaning was quick and painless. I would love to give this office 5k stars.
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Danyale S.

Milestone Dentistry review from Danyale S.
The staff and Dentist were extremely informative and caring when I had to get my wisdom tooth removed. This was my first visit with Dr. Huynh and he answered every question and concern that I had with extreme understanding and care during the procedure and after.
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Milestone Dentistry review from M OI
Great service! Very knowledgeable! Love that the organization caters to Special Needs young adults! Way to Go Team!
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Ellie V.

Milestone Dentistry review from Ellie V.
I can't sing enough praises of Dr. Jeffrey Wakefield. This man has a gift, super knowledgeable and talented. I've had 2 oral surgeries in 2 months with him and both experiences have been phenomenal. Today was my first time ever being put to sleep for a procedure and I was a bit nervous at first but the staff did a great job of explaining everything and answering any questions. The staff is very friendly, and while professional, they can still cut and take jokes! Lol. Dr. Wakefield is a joker himself. The office is always clean and organized. You have free bottled water and a machine that grounds coffee beans for multiple coffee options in the lobby. I highly recommend this place.
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