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diagnostic tool that can accurately measure and quantify the furcation defect. This article addresses the various diagnostic methods available and assesses their limitations.
- Treatment
- Clinical significance
- Mechanism
- Epidemiology
- Significance
- Pathophysiology
A key factor in both the development and the treatment of furcation involvement is the root trunk length. The distance from the cementoenamel junction to the entrance of the furcation can vary extensively. Teeth may have very short root trunks, moderate root trunk length, or roots that may be fused to a point near the apex (Figure 62-3). The combin...
The mesial root of most mandibular first and second molars and the mesiofacial root of the maxillary first molar are typically curved to the distal side in the apical third. In addition, the distal aspect of this root is usually heavily fluted. The curvature and fluting may increase the potential for root perforation during endodontic therapy or co...
The anatomy of the furcation is complex. The presence of bifurcational ridges, a concavity in the dome,11 and possible accessory canals16 complicates not only scaling, root planing, and surgical therapy,28 but also periodontal maintenance. Odontoplasty to reduce or eliminate these ridges may be required during surgical therapy for an optimal result...
Cervical enamel projections (CEPs) are reported to occur on 8.6% to 28.6% of molars.26,27,35 The prevalence is highest for mandibular and maxillary second molars. The extent of CEPs was classified by Masters and Hoskins27 in 1964 (Box 62-1). Figure 62-4 provides an example of a grade III CEP. These projections can affect plaque removal, can complic...
The dental and periodontal condition of the adjacent teeth must be considered during treatment planning for furcation involvement. The combination of furcation involvement and root approximation with an adjacent tooth represents the same problem that exists in furcations without adequate root separation. Such a finding may dictate the removal of th...
A grade I furcation involvement is the incipient or early stage of furcation involvement (see Figure 62-6, A). The pocket is suprabony and primarily affects the soft tissues. Early bone loss may have occurred with an increase in probing depth, but radiographic changes are not usually found.
Jul 23, 2018 · This article reviews the previous classification systems and proposes a new method to classify furcation lesions based on the position of the gingival margin and its relationship with the...
Jul 2, 2018 · This article reviews the previous classification systems and proposes a new method to classify furcation lesions based on the position of the gingival margin and its relationship with the furcation area (clinically exposed/non-exposed furcation area) providing significant aid for a better understanding of furcation involvements and increases ...
- Andrea Pilloni, Mariana A Rojas
- 2018
Jul 14, 2022 · Multirooted teeth respond less favorably to non-surgical periodontal treatment and long-term tooth prognosis is influenced by the degree of furcation involvement (FI). Therapeutic strategy for multirooted teeth is essentially based on accurate diagnosis of the FI.
book, Diagnosis and Treatment of Furcation‐ Involved Teeth , Luigi Nibali and his co‐authors have assembled an excellent text that comprehensively examines the manage-ment of the most challenging‐to‐treat teeth in the jaws – the molar and premolar teeth with furcation involvement. It is clear that
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Jan 4, 2016 · For the efficient clinical management of furcation defects, it is necessary to have a reliable diagnostic tool that can accurately measure and quantify the furcation defect.
