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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.

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This procedure can be done on……………. Open in a separate window. Bicuspidization is one of the procedures for management of furcation involvement in mandibular molars. Presurgical procedure Prior to the surgical procedure, thorough scaling and root planing were performed.

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Classification by Eskow and Kapin: If the furcation lesion is detected in a non-vital tooth, the endodontic treatment involvwment be initiated and re-evaluation of furcation should be done after weeks.

The subjects were recalled after four to six weeks for surgery. In the case of vertical root fracture involving trunk of the root, frequently its extension to furcation area is found.


You must be logged in to post a comment. Therefore, it was postulated that combining osseous grafting with guided tissue regeneration may enhance the response to membrane-only therapy, with bone restoration via the conductive effects of the graft, and supporting the membrane to a more optimal position in selective sites. Health of a patient Importance of the tooth to the patient Costs and time factor Clinician-related factors: The classification given by Eskow and Kapin 28 has same subclasses as the Tarnow and Fletcherbut thirds instead of 3 mm units are used.

Slight attachment loss has been observed in cases where resective osseous surgery for tunnel preparation is done. The presence of accessory canals in the furcation area may easily extend the endodontic infection in the furcation area and may result in bone loss in furcation. When seen from the mesial surface, the mesiobuccal root occupies two-thirds of the buccolingual measurement of the tooth and it hides the distobuccal root.


In case of tunnel preparation, the interdental brush of appropriate size should be passed through the furcation to keep it plaque free. The presently available evidence suggests that multi-rooted teeth with furcation involvement can 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.

The authors stated that various treatment modalities for molars with furcation involvement are selected based on the depth of furcation involvement. Data analysis Pairwise comparisons within the groups were done by applying the independent student t test. Clinical effect of root debridement in molar and non-molar teeth. A furcation or furca is the area of a tooth where the root divides from the common root trunk into a bifurcation or trifurcation. The results of the study demonstrated a reduction in probing depth in both groups at the deepest vertical site in the furcation.

The bone graft material and the bioabsorbable collagen membrane used in the study appeared to be biocompatible and safe. The furcation lesions are most commonly seen in maxillary and mandibular first molars In mandibular molars, bone loss is evident on radiograph but in maxillary molars, the palatal root overlaps furcation defect making it less visible. Trisection 50 is done in cases………………. The pocket is suprabony, involving the soft tissue and there is a slight bone loss in the furcation area.

[Furcation involvement and its management].

How to do research? These materials have been shown to be osteoconductive, that is, they can promote the growth of bone into areas that they would not normally occupy. Root resection generally indicates the removal of a root without any information on the crown of the tooth Periodontitis as a risk factor for cardiovascular diseases Diabetes and periodontal disease: Ricchetti 25proposed the following classification depending upon the horizontal component of bone loss, Class I: The area furcatiob the crown from where the root has been removed should be made self-cleansable by the patient and should allow adequate plaque removal.


In the following discussion, we shall discuss in detail the etiology of furcation involvement and its potential treatments. The development of furcation lesions has also been demonstrated due to inappropriate treatments. There is slight bone loss in the furcation area. Various terms have been used to describe treatment procedures for furcation involvement in the literature viz; furcationplasty, root amputation, hemisection, root resection, root separation and tunnel preparation.

The interradicular bone is completely destroyed similar to grade III lesions, in addition, there is gingival tissue recession making furcation opening clinically visible. Comparisons were also drawn between furcatoin test and the control groups by applying the independent student t test.

The major disadvantage of the procedure is disease progression in the furcation hidden by the covering and therapeutic failure. While planning for root separation it must be made sure that the root cones uts not fused.

Both mesial and distal roots are wider mesiodistally on the buccal aspect as compared to the lingual aspect. The buccal furcation entrance is narrower than the distal and mesial furcation entrances.

[Furcation involvement and its management].

Open or closed flap debridement without modification of the mangaement has been shown to be not very effective in the management of Grade II furcation defects. Biological aspect Dental implants: Bone loss is present on one or more aspects of the furcation, but a portion of the alveolar bone and periodontal ligament remains intact, allowing only a partial penetration of the probe into the furcation.

The mean changes in the plaque scores for both the test and the control groups were 2. The prognosis of such teeth is poor and frequently, tooth loss results.

After being informed about the aim of the project, a signed consent was taken from the patient. Deepti KhannaSumit Malhotraand D.