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Furcation involvement in posterior teeth.

S al-Mubarak1, A al-Suwyed, S G Ciancio

  • 1Department of Periodontology, School of Dental Medicine, State University of New York at Buffalo, USA.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|January 29, 2000
PubMed
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Two cases demonstrate successful treatments for mandibular molar furcation lesions. Root amputation and synthetic bioglass with guided tissue regeneration offer alternatives to extraction, preserving teeth and bone.

Area of Science:

  • Dentistry
  • Periodontology
  • Regenerative Dentistry

Background:

  • Furcation lesions in mandibular molars pose treatment challenges, often leading to extraction.
  • Conventional treatments may not always be suitable, necessitating alternative approaches.

Observation:

  • Case 1: Distal root amputation preserved the mesial root of a mandibular molar for use as a partial denture abutment.
  • Case 2: A novel technique utilized synthetic bioglass graft material and a resorbable membrane to repair an iatrogenic furcation perforation.

Findings:

  • Both cases showed increased bone density on periapical radiographs 12 months post-surgery.
  • Long-term follow-up (30 months and 12 months) revealed no pathological recurrence or clinical dysfunction.

Related Experiment Videos

Implications:

  • Root amputation is a viable alternative to extraction for periodontally compromised molars.
  • Synthetic bone graft materials combined with guided tissue regeneration can effectively treat furcation defects and associated bone loss.