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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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[Furcation involvement and its management].

This procedure can be done on……………. The subjects received detailed information regarding their condition and the treatment plan. Both the treatment modalities resulted in the reduction of horizontal probing depth values. Glickman 22 proposed classification for furcation involvement were four grades of furcation involvement were described, Grade I: Probing of pockets related to the attachment level.

The membrane was soaked in normal saline solution to improve its adhesion properties as recommended by the manufacturer. The maxillary first molar is the largest tooth in the maxillary dental arch. It can be determined by clinical and radiographic examination.

Incipient or early lesion. Interradicular bone is completely absent. The results of the study demonstrated that crestal bone levels and attachment levels in the furcations were maintained for this time period.

Before placing the membrane at the test site, a sterile surgical template was applied and approximated for extensions and trimmed accordingly.

Furcation involvement and its treatment –

The mean change in the horizontal probing depth values at the end of six months in the test and control groups were 2. Studies have compared changes in clinical attachment levels in areas with furcation involvement following open flap debridement and guided tissue regeneration GTR procedures. During the inflammatory process, the thick alveolar process may predispose to the formation of deep horizontal and vertical defects without soft tissue recession, whereas think bone is commonly associated with recession which may result in easier access to the furcation.


The itss to the furcation area is difficult both for the dentist and patient, and their treatment constitutes an enormous challenge. A tooth may also be predisposed to furcation involvement due to anatomical factors and root fracture involving furcations 6. Root divergence is the managemenh of inolvement of roots and coefficient of separation is the length of root cones in relation to the length of root complex.

The results of the study demonstrated a reduction in probing depth in both groups at the deepest vertical site in the furcation. Another treatment is covering the fufcation with periodontal plastic surgery. The root trunk length of mandibular second molar is more than the first molar. Presentation Description This is a presentation of furcaction inolvement chapter from Caranza The procedure is indicated in patients who are capable of maintaining a good oral hygiene and the tooth is also prosthetically maintainable for a relatively long period.

The endodontic treatment of tooth resolves the periodontal problem also.

[Furcation involvement and its management].

Literature review It is a well-accepted fact that furcation involvement is associated with early tooth loss. The recall interval in patients with furcation involvement is comparatively shorter than the patients with no furcation involvement.

The crown root ratio affects the long-term stability of the preserved portion of the tooth. Effects of a mineralized human cancellous bone allograft in regeneration of mandibular Class II furcation defects. Following are some of these aand classifications for furcation involvement, Classifications on the basis of horizontal component of bone loss in furcation: All measurements were made using the UNC probe, with the help of a custom-made acrylic stent, which served as a fixed reference point.

Classification by Eskow and Kapin: The reason for this effect can either be the formation of new connective tissue attachment or of a long junctional epithelium between the root surfaces and the newly formed dense soft tissues.


Trauma from occlusion TFO: Extension of inflammation leads to progressive loss of soft and hard tissue in the bifurcation and trifurcation of posterior teeth. Before we discuss the treatment of furcation defects, let us discuss these terminologies first. Roughly over the past 10 years, the outcomes have changed in part because of the new knowledge about the disease process and wound healing, and in part because of the availability of new materials. Further, the prevalence is highest for mandibular and maxillary second molars.

This may be explained by the biocompatibility of the collagen membrane and its hemostatic and chemotactic functions. In this study, selection of mandibular grade II defects was done based on the observation by Sanz and Givannoli,[ 11 ] who stated that, “placement of a barrier membrane should not be indicated in the treatment of maxillary molars with furcation involvement.

The patient should be trained regarding the appropriate usage of these plaque control measures. Another indication for this procedure is root fracture involving the furcation. The incompletely fused roots may be fused in the area of CEJ but are separated in the apical region. Involvemenr procedure involves root canal treatment of the involved tooth majagement dividing the molar into two parts each having an individual crown Figure A radiographic examination revealed that no complete furcation closure was achieved in any of the defect sites.

Reduced plaque formation by the chloromethyl analogue of vitamin C. The resorbable GTR membrane with bone material was more effective than open debridement alone, in the treatment of furcation defects.