Stomatológ 2025, 35(2):13-15

Hemiextraction of primary molars in second premolar agenesis – evolution of recommendations and current perspective

MDDr. Slávka Pčolová, MDDr. Ľubomír Gazdík
Ortodoncia Gazdík, Dolný Kubín

The aim of this paper is to summarize the development of recommendations for hemiextraction (hemisection) of primary second molars in cases of second premolar agenesis and to compare them with current evidence.
The article is based on an analysis of the available literature and expert discussions published between 1996 and 2025. The summarized data indicate that the success of hemiextraction depends primarily on the patient’s age and the proper timing of the procedure, with the best results achieved before the eruption of the permanent second molar.
Recent randomized controlled trials have confirmed that hemiextraction does not provide a significant clinical advantage over complete extraction and is associated with a higher risk of complications and increased costs.
Currently, complete extraction is recommended as the standard interceptive approach, while hemiextraction should be reserved for exceptional, carefully selected cases.

Keywords: hemiextraction, agenesis, interceptive orthodontics

Published: January 1, 2026  Show citation

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Pčolová S, Gazdík Ľ. Hemiextraction of primary molars in second premolar agenesis – evolution of recommendations and current perspective. Stomatológ. 2025;35(2):13-15.
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