Conservative management of a fractured maxillary first molar using hemisection (palatal)

Clinical Findings Following the patient interview and comprehensive clinical examination, the following findings were recorded: Subjective findings: The patient reported no pain or discomfort. Objective findings: On inspection, the tooth exhibited a large disto-occlusal restoration with inadequate marginal adaptation and associated secondary caries. An oblique subgingival fracture of the palatal coronal wall was evident. A sinus tract with purulent drainage was observed in the palatal gingival sulcus. Vertical percussion was negative, whereas horizontal percussion elicited a slight positive response. Palpation in the buccal vestibule at the level of the root apices was non-tender. The tooth was asymptomatic under biting pressure and exhibited no mobility. Periodontal probing depths were within normal limits on the mesiobuccal, distobuccal, and mid-buccal aspects, while on…