Figure 1: (a) Preoperative view showing periodontal pocket in distal root region. (b) Preoperative radiograph. (c) Exploratory surgery revealing vertical root fracture and vertical cut made toward the bifurcation area for hemisection. (d) (1)Hemisected distal root (2) Vertically fractured fragment in hemisected root. (e) Socket after hemisection of distal root. (f) Following extraction of mesial root of 46, socket filled with a mixture of demineralized freeze-dried bone allograft (Dembone TM) and synthetic hydroxyapatite bone graft. (g) A horizontal cross mattress sutures placed using 3-0 black silk suturese graft (Eugraf TM). (h) Healing of surgical site after 4 weeks. (i) Postoperative radiograph. (j) Metal crown given over the mesial root of 36. (k) Postoperative radiograph after 2 years