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Jul 14, 2022 · Radiographic examination detected 65.0% of cases of furcation involvement observed with the clinical examination (sensitivity). 98.4% of cases radiographically classified as having no furcation involvement were negative upon clinical examination (specificity).
Jul 2, 2018 · Considering previous studies [26,27,28] and the fact that clinical furcation diagnoses are used for periodontal treatment planning (and therapy is often chosen according to the clinically detected severity of the involvement) , the clinical exposition of the furcation would be an important parameter to be evaluated in the classification of such lesion since a more accurate and reliable ...
- Andrea Pilloni, Mariana A Rojas
- 2018
- 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.
Mar 21, 2017 · Furcation involvement is considered to be one of the most important prognostic factors for the loss of molars.3,4 Treatment of furcation involvement represents a challenge to clinicians due to the anatomy of the furcation5,6 and the limited physical access to the area. Therefore, it is often appropriate for early manifestations of these lesions to be evaluated and managed by a periodontist.
- Fernanda Cristina Sales Salineiro, Ivan Onone Gialain, Solange Kobayashi-Velasco, Claudio Mendes Pan...
- 10.5624/isd.2017.47.1.17
- 2017
- Imaging Sci Dent. 2017 Mar; 47(1): 17-24.
Mar 5, 2015 · If detected and treated . early b y endodontic therapy, these . furcation defects resolve with regeneration . ... [47,48]. Furcation involvement is very common in patients with periodontitis, ...
horizontal extent of probe penetration into the furcation (Mealey et al., 1994).To detect furcation involvement with a furcation probe, 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 maxil-
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May 25, 2018 · Furcation-involved molars respond less favourably to periodontal therapy than molars without furcation involvement or single-rooted teeth, and are at greater risk for further attachment loss than other teeth. Reliable diagnosis of incidence and extent of furcation involvement is decisive for prognosis and treatment planning.
