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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Tooth loss in treated patients with periodontal disease. It is frequently used with reference to lower molars J Indian Soc Periodontol.

Other authors have also reported an increased root caries risk in teeth were tunnel preparation has been done If the furcation lesion is detected in a non-vital tooth, the endodontic treatment should be initiated and re-evaluation of furcation should be done after weeks. National Center for Biotechnology InformationU.

The contralateral site was treated using open flap debridement OFD alone. The mean change in the gingival scores for both the test and the control groups were 1. Furthermore, the chemotactic function of the collagen membrane promotes fibroblast migration that ensures primary wound coverage. One site in each patient was randomly allocated to the test group and was treated by GTR and Hydroxyapatite bone grafting. In addition to this, the surviving root should be aligned so as to provide a proper draw for the resulting fixed prosthetic restoration.

[Furcation involvement and its management].

In order to view it, please contact the author of the presentation. If there is an accumulation of plaque in the furcation area adjacent to endodontic sinus tract the lesion becomes endo-perio lesion. Furcation-involved molar teeth respond less favorably to conventional periodontal therapy, and molars are lost more often than any other tooth type. Footnotes Source of Support: Goldman 23gave the following classification to describe the degree of furcation involvement, Grade I: The distance of the mesial furcation entrance from CEJ is around 3 mm, while that of buccal and distal furcations from CEJ is 3.


The probe penetrates more than 3 mm without transpierce to the opposed side of the furcation. 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. In maxillary molars with furcation involvement, this procedure is done when one root is untreatable, two roots have adequate bone support and the crown does not require a prosthetic restoration.

Maxillary second and third molars: Presurgical vertical measurements at the test site with the stent.

Masters and Hoskins 7 reported the incidence of CEPs in extracted human teeth and suggested their possible implication in isolated furcation involvement.

There are three furcation entrances on a maxillary first molar and these are located at varying distances from the CEJ.

However, 3 of the 18 teeth experienced root caries. Open or closed flap debridement without modification of the furcation has been shown to be not very effective in the management of Grade II furcation defects.

Class II, Type 1: The mean reduction in vertical probing depth values in the test and control groups were 1.

Buy Now For International Users: The resolution of clinical inflammation in furcation area can be observed after this time period. This demonstrates that the oral hygiene compliance of the subjects in both the groups, over the observation period, was statistically significant.

The buccal furcation entrance is narrower than the distal and mesial furcation entrances. It has been observed that molars with restorations have a higher prevalence of furcation involvement than the non-restored molars.


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. The mesial and distal roots may have a definite bifurcation point or they may be fused for all or part of their length. Reduced plaque durcation by the chloromethyl analogue of vitamin C. Table 3 Changes in vertical probing depth in millimeters.


J Am Dent Assoc.

[Furcation involvement and its management].

Regeneration of new intrafurcal bone and attachment can be expected in such cases. The mean change in the horizontal probing depth values at the end of six months in the test and control groups were 2.

Let us now discuss the anatomy of various bifurcated and trifurcated teeth in detail. Factors affecting decision-making for treatment of molars with furcation involvement include tooth mobility, tooth position, lack of antagonist tooth, the degree of furcation involvement and remaining furcatino support.

There is slight bone loss in the furcation area. Loe H, Silness J. Slight attachment loss has been observed in cases where resective osseous surgery for tunnel preparation is done. Periodontal disease in pregnancy. Root resection generally indicates the removal of a root without any information on the crown of the tooth These include 21The root trunk length Size of the furcation Root manwgement and divergence Root fusion Root concavity Crown root ratio of the tooth Occlusal interferences and trauma from occlusion Tooth mobility Adherence of the gum The ease with which hygiene of the affected furcation can be maintained The capacity of the patient to maintain optimum hygiene The extent of furcation disease can be determined by evaluating Vertical bone loss Horizontal bone loss Both vertical and horizontal bone loss Out invoolvement horizontal and vertical bone loss parameters, the horizontal bone loss is more commonly used parameter.

Thickness of investing alveolar process: Leave a Reply Click here to cancel reply. Grade III managemenh The enamel projection extends horizontally furrcation the furcation.