What is treatment of furcation?
Class I furcation involvements are predictably treated through odontoplasty, in which the roof of the furcation is recontoured to eliminate the cul-de-sac that traps plaque in a vertical dimension.
How do you treat a patient with type 2 furcation involvement?
The resorbable collagen GTR membrane could be effectively used in the treatment of human grade II furcation defects. The resorbable GTR membrane with bone material was more effective in the treatment of furcation defects than open debridement alone.
What is a furcation lesion?
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.
What can you do with furcation involvement?
Advanced/severe furcation involvement may demand radical treatment methods (root amputation, resection)….Resective methods:
- Hemisection with maintenance of one root.
- “Premolarization,” with maintenance of both roots.
- Root amputation.
- Trisection in the maxilla, with maintenance of all roots.
What is a Grade II furcation involvement?
Grade II involvement: the bone is destroyed on one or more aspects of the furcation, but a portion of the alveolar bone and periodontal ligament remain intact, thus allowing only partial penetration of the probe into the furcation area. The radiograph may or may not reveal the grade II furcation involvement.
What is an Infrabony defect?
The intrabony defect is a specific osseous defect with definite morphology; it is not just any defect with the base of a perio- dontal pocket apical to the alveolar crest. The intrabony defect is surrounded by bony walls on three sides with the tooth root forming the fourth wall.
How do you check furcation involvement?
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.
Why does furcation happen?
In dentistry, a furcation defect is bone loss, usually a result of periodontal disease, affecting the base of the root trunk of a tooth where two or more roots meet (bifurcation or trifurcation). The extent and configuration of the defect are factors in both diagnosis and treatment planning.
How do you clean Furcations at home?
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.