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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Overhanging restorations result in harboring of plaque resulting in inflammation and thus initiating the development of a furcation lesion.

Root resection generally indicates the removal of a root without any information on the crown of the tooth Root divergence is the degree of separation of roots and coefficient of separation is the length of root cones in relation to the length of root complex. National Center for Biotechnology InformationU.

Usually, there is a deep developmental groove which extends on the buccal surface of the root trunk from the furcation area frcation the cervical line, where it terminates in a shallow depression or it may extend slightly on the enamel surface at the cervix. Received Oct 14; Accepted Apr It indicates that the furcation fornix is inclined in the mesiodistal plane and the mesial furcation entrance is closer to CEJ as compared to the distal entrance.

Presurgical vertical measurement at the control site with the stent.


Health of a patient Importance of the tooth to the patient Costs and time factor Clinician-related factors: Footnotes Source of Support: The presentation is successfully added In Your Favorites. It was subsequently adapted over the defect extending 2 – 3 mm apical to the crest of the existing bone, so as to provide a broad base during the placement.


Six months postsurgical vertical measurements at the test site with the stent.

Probing of pockets related to the attachment level. J Indian Soc Periodontol. It is clearly shown in mamagement radiographs as a radiolucent area in ans the roots, especially in the lower molars. 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.

The most common etiology of furcation involvement is bacterial plaque causing inflammation in periodontal tissues. In another study, Little et al.

Table 2 Changes in clinical attachment level in millimeters. The patients were seen at the end of the first week when the sutures were removed and were instructed to use 10 ml of 0.

Focus on furcation defects-guided tissue regeneration in combination with bone grafting. These factors may be classified into three categories, Local factors: Tooth loss in treated patients with periodontal disease. The recall interval in patients with furcation involvement is comparatively shorter than the patients with no furcation involvement. The differentiation of Th1 and Th2 T cell subsets is determined by a number of factors, including the antigen itself, antigen dose, route of administration, nature of the antigen-presenting cell and co-stimulatory molecules.

This procedure is done in lower molars with well defined and well separated mesial-distal roots. This may be explained by the biocompatibility of the collagen membrane and its hemostatic and chemotactic functions. The procedure results in exposure of tooth furcation to the oral environment which can be easily cleaned by the patient. Biological aspect Dental implants: A tooth may also be predisposed to furcation involvement due to anatomical factors and root fracture involving furcations 6.


There are various factors which are considered while making a diagnosis of furcation involvement and establishing the prognosis of the involved tooth.

The primary response variable in the treatment of furcation defects is the attachment level in the horizontal direction. The mean gain in the relative clinical attachment levels in the test and control groups, at the end of six months, were 2.

Following are the treatment procedure which are considered while making a treatment plan for maxillary and mandibular molars with grade III furcation involvement. The shapes of roots may have different shapes and may be completely or incompletely fused. furcagion

[Furcation involvement and its management].

In most situations, it results in the resolution of the inflammatory lesion in the gingiva. After being informed about the aim of the project, a signed consent was taken from the patient. 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 involvemetn is commonly associated with recession which may result in easier access to the furcation.