The mandibular molar Class III furcation invasion

Vandersall, David C.; Detamore, Robert J.

doi:10.14219/jada.archive.2002.0021

Cited by 13 publications

(3 citation statements)

References 22 publications

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“…Moreover, since the “native” tooth structure is retained, the tunneling also favors good interarch and intraarch stability and precludes pathologic migration of the neighboring teeth. [678910] The technique also increases the width of attached gingiva as the flap is positioned apically after the completion of the procedure. [23451112]…”

Section: Discussionmentioning

confidence: 99%

“…Very few case reports highlight the importance and adequately describe the indication of the conservative tunnel preparation over conventional surgical procedures for the treatment of furcation defects. [123456] This case report aims to explain and highlight the importance of the minimally invasive tunnel technique for teeth with advanced furcation defects. The procedures followed were in accordance with the ethical standards on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000.…”

Section: Introductionmentioning

confidence: 99%

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Management of furcal perforation with advanced furcation defect by a minimally invasive tunnel technique

Chopra

Sivaraman

2018

Contemp Clin Dent

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A perforation in the furcation area is a potential risk factor for extension of pulpal inflammation into the periodontium and formation of advanced furcation defect with severe loss of clinical attachment and interradicular bone. Furthermore, the management of such furcal perforation is difficult due to poor accessibility, visibility, and regenerative potential. The development of such advanced furcation defects further compromises the prognosis of the treatment as they preclude effective plaque control and maintenance by the patient. Therefore, the management of advanced furcation defects remains an enigmatic and challenging task for the clinician. This case report describes a minimally invasive approach for the treatment of a furcal perforation by a conservative tunnel preparation. The present case report aims to highlight the importance of surgical tunnel preparation as an alternative to conventional flap procedure to repair furcal perforation with advanced furcation defects.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of furcal perforation with advanced furcation defect by a minimally invasive tunnel technique

Chopra

Sivaraman

2018

Contemp Clin Dent

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“…Tooth separation and resection procedures are used to preserve as much tooth structure as possible rather than sacrificing the whole tooth. In some cases, the molar with severe damage on bifurcation can be maintained by endodontic surgery treatment withbicuspidization procedure [3]. Bicuspidization is the separation of mesial and distal roots of mandibular molars along with their coronal portion, where both segments are then retained individually [4].…”

Section: Introductionmentioning

confidence: 99%

Bicuspidization of a Mandibular First Molar With Furcation Defect: A Case Report

Nidyasari¹,

Hadriyanto²,

Rinastiti³

2021

Proceedings of the 1st Aceh International Dental Meeting (AIDEM 2019), Oral Health International Conference on Art, Nature and

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The increased desire of patients to maintain their dentition has forced conservative dentistry to conserve the teeth which are planned to be removed. Defect in furcation area resulting from the lesion has always been a concern regarding the choice of treatment. Bicuspidization is a process to separate distal and mesial roots in mandibular molars along with their coronal portions into two segments that retain individually. The purpose of this case report is to inform about bicuspidization treatment to preserve the tooth. A 19 year old male came to Prof. Soedomo Dental Hospital complained of swelling in left mandibular posterior region since 1 month ago. Clinical examination showed temporary restoration on occlusal area of 36 tooth, sensitive to percussion, grade 1 mobility, probing depth 7 mm in mid buccal aspect, vitality test yielded no response, and there was a chronic apical abscess. Dental history revealed patient had dental filling 2 years ago. Periapical radiograph confirmed Class II furcation involvement with vertical bone loss and radiolucent area in mesial and distal periapical. Bone support for both roots remain intact. Based on clinical examination, bicuspidization followed by porcelain fused to metal restoration would be performed. Conclusion: Bicuspidization can be considered as suitable alternative treatment to extraction for multirooted teeth with Class II furcation involvement. Through this procedure, unfavorable anatomic and furcation defects were removed, tooth structure can be preserved and good healing response is achievable.

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