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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Thus, the furcation fornix is inclined in buccolingual direction.

Trauma from occlusion TFO: Tarnow and Fletcher 27 proposed a classification used Grades I, II, III proposed rurcation by Glickman 22 with an additional sub-classification based on vertical invasion from the furcation fornix:. Root resection generally indicates the removal of a root without any information on the crown of the tooth Following are the treatment procedure which are considered while is a treatment plan for maxillary and mandibular molars with grade III furcation involvement, Mandibular molars: Etiology of furcation involvement The most common etiology of furcation involvement is bacterial plaque causing inflammation in periodontal tissues.

The bone graft material and the bioabsorbable collagen membrane used in the study appeared to be biocompatible and safe. Automatically changes to Flash or non-Flash embed.

The average root trunk length from the cervical line to the furcation area is around 4 mm. Usually, the patients with severe bone loss and furcation involvement are recalled at month interval.

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 furcatioon preparation.

Both vertical and horizontal attachment gains were of the magnitude of within 1 mm, and in none of the cases was the involvemeent closed or any significant difference between the guided tissue regeneration and fufcation flap debridement seen.


It is clearly shown in the radiographs as a radiolucent area in between the roots, especially in the lower molars. There are various factors which are considered while making a diagnosis of furcation involvement and establishing the prognosis of the involved tooth. The shapes of roots may have different shapes and may be completely or incompletely fused.

Home care by the patient plays a vital role in the overall prognosis of the treated tooth. The degree of root separation of the second molar is less than the first molar and that of the third molar is less than the second molar.

[Furcation involvement and its management].

In most situations, it results in the resolution of the majagement lesion in the gingiva. Radiographs may or may not reveal this type of furcation. These factors may be classified into three categories. Grade II or Cul-de-sac like furcation defect can be treated by both regenerative and resective procedures.

The root cone with adequate bone support should be saved so that it can withstand occlusal forces. Tooth loss in treated patients with periodontal disease. The studies included andd this systematic review were analyzed for furcation closure rate, horizontal attachment level gain HALvertical attachment level gain VALhorizontal bone fill HBFand vertical bone fill VBF.

Tooth anatomy is the primary determinant in establishing treatment planning for grade III furcation involvement. ,anagement order to view it, please contact the author of the presentation. Class IIType 2: Trisection 50 is done in cases………………. These materials have been shown to be osteoconductive, that is, they can promote the growth of inolvement into areas that they would not normally occupy.

Furthermore, the chemotactic function of the collagen membrane promotes fibroblast migration that knvolvement primary wound coverage. References available in the hard copy of the website Periobasics: The resolution of clinical inflammation in furcation area can be observed after this time period. The review included articles, of which six were systematic reviews, were clinical trials, 27 were case series, and eight were case reports.


The shape of mandibular third nanagement varies considerably from individual to individual. If the same procedure is carried out on the tooth structure, it is called as odontoplasty. The introduction of resorbable znd materials brings clear advantages in the clinical management of guided tissue regeneration procedures: The term hemisection has been used interchangeably with root resection 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.

Department of Periodontology and Oral Implantology, I. The procedure results in exposure of tooth furcation to the oral environment which can be easily cleaned by the patient. Probing of pockets related to the attachment level. The root trunk length of mandibular second molar is more than the first molar.

[Furcation involvement and its management].

Let us now discuss the anatomy of various bifurcated and trifurcated teeth in detail. 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. Four to six weeks after scaling and root planing and just prior to the surgical procedure, each subject was re-examined and baseline data were recorded.

Furcationplasty can be applied to the buccal and lingual furcation areas. Oral hygiene instructions were given. The mesial root is curved mesially from cervical third to middle third portion.