Furcation Involvement & Its Treatment: A Review. Article (PDF Available) in Journal of Advanced Medical and Dental Sciences Research. Shikai Tenbo. ;51(3) [Furcation involvement and its management]. [ Article in Japanese]. Hasegawa K, Miyashita H, Kinoshita S. PMID: The management of furcation involvement presents one of the greatest . The membrane was soaked in normal saline solution to improve its adhesion.

Author: Mukora Dora
Country: Malaysia
Language: English (Spanish)
Genre: Health and Food
Published (Last): 15 August 2015
Pages: 131
PDF File Size: 10.71 Mb
ePub File Size: 11.45 Mb
ISBN: 779-1-38559-893-2
Downloads: 50397
Price: Free* [*Free Regsitration Required]
Uploader: Arataxe

However, Lekovic et al [ 16 ] demonstrated that the use of the bone graft did not enhance the effect of the membrane with respect to the level of clinical attachment in furcation defects. Root separation is indicated as the sectioning of the root complex and the maintenance of all roots Bicuspidization is one of the procedures for management of furcation involvement in mandibular molars.

Selection of the case Diagnostic and treatment planning skills, Awareness of therapeutic options Skill of the clinician Tooth anatomy is the primary determinant in establishing treatment planning for grade III furcation involvement.

It must be made sure by clinical and radiographic examination that following root separation each root cone has an adequate amount of bone support following the procedure. The mean distance of the furcation from CEJ for maxillary first premolar is 8 mm with a furcation width of approximately 0.

J Am Dent Assoc. Another treatment is covering the furcation with periodontal plastic surgery. This procedure can be done on……………. The access to the furcation area is difficult both for the dentist and patient, and their treatment constitutes an enormous challenge.


The clinical significance of CEP is that while attempting regeneration in involved furcation, CEP should be removed because connective tissue does not attach to enamel and a long junctional epithelium shall be formed which is easily susceptible to breakdown. The theoretical advantage of the stent system was demonstrated in the study by Sivertson ihs Burgett.

Presurgical horizontal measurement at the control site with the stent. References available in the hard copy of the website Periobasics: The maxillary first molar is the largest tooth in the maxillary dental arch.


Overhanging restorations result in harboring of plaque resulting in inflammation and thus initiating the development of a furcation lesion. Trauma from occlusion TFO: Furcation involvement in posterior teeth is the result of progressive periodontal breakdown due to inflammation. A total of eight patients, four females and four males, in the age group of 18 to 65 years, with bilateral buccal grade II furcation defects in the mandibular molars, participated in the study.

After the healing is over, the retained root is rehabilitated with fixed prosthesis Figure Root divergence is the degree of separation of roots and coefficient of separation is the length of root cones in relation to the length of root complex. The procedure results in exposure of tooth furcation to the oral environment which can be easily cleaned by the patient.

Buccal-lingual involvement with the complete horizontal loss of supporting periodontal tissues with probe transpiercing both sides futcation the furcation. The mandibular first molar has two roots, a mesiodistally flattened mesial root and a mostly straight and more rounded distal root 5. Hemisection is defined as the removal of half of a tooth performed by sectioning the tooth and removing one root.


[Furcation involvement and its management].

Tooth anatomy Tooth mobility Crown-root ratio Severity of attachment loss Inter-arch and intra-arch occlusal relationship Cost-benefit ratio for retaining a portion of the root Patient-related factors: The procedure involves removal of a root without removal of the overhanging portion of the crown Figure The reshaping of alveolar bone in the furcation area is known as furcationplasty.

The primary response variable in the treatment of furcation defects is the attachment level in the horizontal direction. The treatment of teeth with furcation involvement ranges from thorough debridement to regenerative procedures and, if the lesion progresses, to extraction. Before placing the membrane at the test site, a sterile surgical template was applied and approximated for extensions and trimmed accordingly.

On the other hand, Kalkwarf et al. Effects of a mineralized human cancellous bone allograft in regeneration of mandibular Class II furcation defects.

[Furcation involvement and its management].

The presently available evidence suggests that multi-rooted teeth with furcation involvement itw be maintained in the oral cavity for a reasonably long duration of time with appropriate nonsurgical or surgical periodontal therapy, provided they are free of plaque and are kept under regular observation. I n this procedure, bone is reshaped to obtain a scalloped morphology and the soft tissues furcaiton apically positioned. It is important to determine the extent of furcation involvement to a make an appropriate diagnosis and developing a treatment plan.