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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Let us now discuss the anatomy of various bifurcated and trifurcated teeth in detail.

The test and the control sites were chosen with the toss of a coin. The alveolar bone thickness on the buccal aspect of the first molar is less as compared to the second molar and thus chances of fenestration and dehiscence are more on the buccal aspect of the first mandibular molar.

This is because their………………………. With no apparent periodontal involvement, the endodontic lesion gets access to the furcation by accessory canals. However, the vertical probing depth data obtained in invopvement study was in agreement with the studies of Andersson et al ,[ 18 ] Couri et al,[ 19 ] Cury et al [ 20 ] and Tsao et al ,[ 21 ] which demonstrated that the changes in the vertical probing depth at the furcation sites between the baseline and six months were not statistically significant in all the groups.

It has been observed that involvemeny with restorations have a higher prevalence of furcation involvement than the non-restored molars. It does not enter the furcation, and therefore, no horizontal component is present. Involvemment disease in pregnancy. This may be explained by the biocompatibility of the collagen membrane and its hemostatic and chemotactic functions. Following are some of these proposed classifications for furcation involvement, Classifications on the basis of horizontal component of bone loss in furcation: Ifs patient should be trained regarding the appropriate usage of these plaque control measures.

[Furcation involvement and its management].

Treatment of grade I furcation involvement Maintenance of adequate oral hygiene is required for preventing furcation lesion from progression. These factors may be classified into three categories, Local factors: Two occlusal stents, one of clear resin and the other of pink auto polymerizing resin were fabricated by the sprinkle-on method for both the test and control sites.


A higher prevalence of CEPs has been found in the mandibular molars than in the maxillary molars. In the following discussion, we shall discuss in detail the etiology of furcation involvement and its potential treatments. Membrane exposure was not observed in any of the cases in the study. Efficiency of scaling the molar furcation area with and without surgical access.

However, reduction in the mean horizontal probing depth suggested a considerable change from grade II to grade I in all of the defects studied. Upload from Desktop Single File Upload.

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. Following are the treatment procedure which are considered while making a treatment plan for maxillary and mandibular molars with grade III furcation involvement.

Another treatment is covering the furcation with periodontal plastic surgery. Membrane exposure was not seen in any of the cases.

Table 1 Changes in gingival and plaque scores. However, 3 of the 18 teeth experienced root caries. The results of the study demonstrated a reduction in probing depth in both groups at the deepest vertical site in the furcation. The patient should be well motivated to keep the involved area free of plaque and inflammation. You do not have the permission to view this presentation. The furcation defect is clearly visible on radiographs.

A total of eight patients, four females ad 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.

[Furcation involvement and its management].

Five years follow-up results demonstrated that 4 out of 7 teeth had evidence of carious lesions. The degree of root divergence also varies from tooth to tooth. Furxation adjustments are done to facilitate balanced distribution of occlusal forces.


The resorbable GTR membrane with bone material was more effective than open debridement alone, in the treatment of furcation defects.

The probe penetration is less than 3 mm into the furcation. 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. The surgical site is allowed to heal with no occlusal stress placed on the root for four weeks 3, 42, 45, Guided tissue regeneration for the treatment of periodontal intrabony and furaction defects. Further, it has been stated that probing depth reduction was more with all barrier types in GTR procedure as compared to open flap debridement.

The management of furcation involvement presents one of the greatest challenges in periodontal therapy.


How to put internal bevel incision? Class III, Type 2: It has been well established that in the absence of inflammation, TFO causes……………. The mean change in horizontal probing depth values at the managemenf of six months in the test and control groups were 2.

Masters and Hoskins 7 reported the incidence of CEPs in extracted human teeth and suggested their possible implication in isolated furcation involvement. The prognosis of such teeth is poor and frequently, tooth loss results. Table 2 Changes in clinical attachment level in millimeters. The resolution of clinical inflammation in furcation area can be furctaion after this time period.

The mean change in the horizontal probing depth invlovement at the end of six months in the test and control groups were 2. It may be difficult to determine the separation line between mesiobuccal-palatal and distobuccal-palatal roots in maxillary molars and maxillary first premolars where the root complex is narrow.