What is treatment of furcation?

Treatment options for molars with furcation involvement could be divided into three different modalities: conservative procedures, regenerative procedures, and resective procedures.

How do you manage furcation involvement?

Class B3 FIs can be treated with: (1) tunneling for improving the access to the furcation for proper oral hygiene or (2) removing the af- fected part of the tooth by perform- ing either root resection (where only the root is removed) or hemisection (where a root with its correspond- ing crown is removed).

What are the causes of furcation?

According to the glossary of terms of the American Academy of Periodontology, a furcation involvement exists when periodontal disease has caused resorption of bone into the bi- or trifurcation area of a multi-rooted tooth [1].

What is dome of furcation?

The furcation roof or dome – the portion just coronal. to the furcal bone. 2. The root trunk– the area between the CEJ and the. root separation usually containing a grooved, often.

What is furcation dentistry?

A furcation defect is bone loss, which is usually from periodontal disease and affects the base of the root trunk of a tooth where two or more roots meet. The specific extent and configuration of the defect are factors in determining both the diagnosis and treatment planning.

Which teeth have furcations?

Furcation Anatomy

• Teeth typically have one, two or three roots.
• The maxillary first premolars (that are bifurcated) have furcations that are midmesial and mid-distal, and are both located 7 mm from the CEJ.
• The closer the furcation is to the CEJ, the easier it is for both the clinician and patient to access.

How should you diagnose a furcation invasion?

To detect involvement, the tip of the probe is moved towards the presumed location of the furcation and then curved into the furcation area. For the mesial surfaces of maxillary molars, this is best done from a palatal direction, as the mesial furcation is located palatal to the midpoint of the mesial surface.

How do you clean a furcation?

The principle of sliding the brush on the tooth surface to clean the space called the furcation area applies here. As the brush gently enters the space and cannot go any further, press against the root and firmly wipe the plaque (germs and its sticky byproducts) off the root.

Which probe is used for furcation involvement?

3 Nabers probe is used for the diagnosis of furcation involvement and it passes through and through in the furcation area. 4, 5 Thus, treatment of furcation involved tooth includes endodontic treatment followed by open flap debridement procedure.

What are furcations?

A furcation defect is a dental condition in which bone loss, which usually results from periodontal disease, affects the base of the root trunk of a tooth where two or more roots meet.

How is furcation measured?

To measure the depth of furcation involvement, a straight probe, like the UNC-15 probe with 1 mm markings, is inserted into the periodontal pocket along the root surface to locate the initial fluting of the furcation. Once located, the distance from the gingival margin to the opening of the furcation is noted.

What are the three broad strategies of furcation therapy?

Three broad strategies of furcation therapy (Kalkwarf & Reinhardt R.A 1988)  I. Maintenance of the existing Furcation Scaling and root planing Obstruction of Furcation  II. Increasing access to the Furcation Gingivectomy/Apical positioned flap Odontoplasty Furcationplasty Osteoplasty /ostectomy  III.

What is the best treatment for a Grade II furcation?

Osseous Surgery • Most effective in grade II furcation • Osteoplasty and ostectomy techniques – Remove the defect to reduce horizontal depth – Bone ramps into the furcation to enhance plaque control – Reduce probing depths 32.

What do we know about the anatomy of the furcation?

Anatomy of furcation • Presence of bifurcational ridges, a concavity in the dome and possibly accesory canals complicates scaling, root planning and surgical therapy 10.

What is furcation involvement in dentistry?

INTRODUCTION Furcation involvement refers to a condition in which the bifurcations and trifurcations of multi-rooted teeth are invaded by periodontal disease Characterized by bone resorption and attachment loss in the interradicular space (Newmann et al, 2012 ). 4 5/28/2017 5.