The conservative approach in the treatment of furcation lesions

Cattabriga, M; Pedrazzoli, Vinicio; Wilson, Thomas G.

doi:10.1034/j.1600-0757.2000.2220109.x

Cited by 49 publications

(55 citation statements)

References 78 publications

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“…Les premières études sur ce sujet ont évalué l'effet d'un système de libération prolongée de tétracycline au cours de la maintenance. Les résultats ont montré une réduction significative du taux de récurrence de la maladie parodontale sur une durée de 6 à 12 mois [62,63]. Mais, les résultats à long terme avec cette forme d'administration locale de tétracyclines restent inconnus.…”

Section: Antibiotiques En Maintenanceunclassified

La maintenance parodontale : aspects théoriques et pratiques

Hbibi¹,

Rhissassi²,

Ennibi³

2014

Actual. Odonto-Stomatol.

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Section: Antibiotiques En Maintenanceunclassified

La maintenance parodontale : aspects théoriques et pratiques

Hbibi¹,

Rhissassi²,

Ennibi³

2014

Actual. Odonto-Stomatol.

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“…[6] Moreover, the responsiveness to therapy may be complicated by the presence of a greater radicular surface potentially offered to bacterial toxins and calculus buildup as compared with defects surrounding single-rooted teeth. [7] Finally, the distal location in the arch and the difficult access may conceivably impair both self-performed and professional plaque control procedures in the furcation area, limiting their effectiveness. [7] Therefore, furcation defects represent a formidable problem in the treatment of periodontal disease[7] thus necessitating an early diagnosis and treatment, which are critical to the long-term success.…”

Section: Introductionmentioning

confidence: 99%

“…[7] Finally, the distal location in the arch and the difficult access may conceivably impair both self-performed and professional plaque control procedures in the furcation area, limiting their effectiveness. [7] Therefore, furcation defects represent a formidable problem in the treatment of periodontal disease[7] thus necessitating an early diagnosis and treatment, which are critical to the long-term success.…”

Section: Introductionmentioning

confidence: 99%

Correlation of the interdental and the interradicular bone loss: A radiovisuographic analysis

Grover¹,

Malhotra²,

Kapoor³

et al. 2014

J Indian Soc Periodontol

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Background:Presence of furcation involvement indicates advanced periodontitis, and a potentially less-favorable prognosis, for the affected tooth and its diagnosis has always been an enigma. The present study was carried out to measure and correlate the interdental and interradicular bone loss in patients suffering from periodontitis using radiovisuography (RVG) for the purpose of early furcation diagnosis.Materials and Methods:A total of 50 patients suffering from chronic generalized periodontitis and with furcation involvement in mandibular molars were selected. Under standardized conditions, RVGs were taken and the morphologic measurements defining the furcation areas were recorded and analyzed.Result:Interradicular bone loss of about 0.8 mm or more, was observed in the study subjects only when the bone loss at the interdental area was minimal of 3.7 mm. The correlation between the interradicular and the interdental bone loss was statistically highly significant (T-test, P < 0.001). A stronger correlation was observed in subjects above 40 years of age as compared with the younger subjects. There was not much difference in the degree of correlation between the interradicular and the interdental bone loss when compared in the context of gender.Conclusion:The very first millimeter of interradicular bone loss was seen when the interdental bone loss was around 4 mm. Therefore, to detect the earliest lesions of furcations, the interdental bone loss can be kept as an approximate guide for the comprehensive diagnosis and management of such sites/patients. The current investigation paves the path for future longitudinal studies with larger samples to ascertain these findings.

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“…One furcation among the first and second upper molars is affected by periodontal disease in 50% of all patients over 30 years of age (5). The upper first molars are more often affected than the lower first molars (3).…”

Section: Prevalence Of Furcation Lesionsmentioning

confidence: 99%

“…This is mainly used to treat advanced Grade II and Grade III lesions (3,9). It requires that the root trunks be short, and that there be wide root divergence and a favorable crown/root ratio.…”

Section: -Treatment Of Grade II Diseased Furcationsmentioning

confidence: 99%

Periodontal disease affecting tooth furcations. A review of the treatments available

Sánchez-Pérez¹,

Moya-Villaescusa²

2009

Med Oral

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The molars are the teeth that suffer the greatest periodontal destruction in untreated patients. When periodontal disease affects the furcation of a tooth, the chance that it will be lost increases considerably. An increase in the exposed root surface, anatomical peculiarities and irregularities of the furcation surface all favor the growth of bacteria. These problems make it harder for the patient to maintain hygiene, and impede adequate treatment. The treatment of furcations affected by periodontal disease is one of the most difficult problems for the general dentist and periodontist. The motivation of both the attending professional and of the patient are therefore of great importance. No ideal procedure for treating such lesions exists. The present paper reviews those options that are currently available. Long-term research will be needed, along with the development of new techniques, to solve the problem of furcations affected by periodontal disease, possibly including substitution of the affected tooth by an implant.

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The conservative approach in the treatment of furcation lesions

Cited by 49 publications

References 78 publications

La maintenance parodontale : aspects théoriques et pratiques

La maintenance parodontale : aspects théoriques et pratiques

Correlation of the interdental and the interradicular bone loss: A radiovisuographic analysis

Periodontal disease affecting tooth furcations. A review of the treatments available

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