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A conceptual regeneration-maintenance decision aid for class II furcation involvement
Anete Vaškevica1,2,3, Meltem Özdemir Kabalak4, Jenna Kompuinen2
1Riga Stradiņš University, Riga, Latvia.
Clinical Oral Investigations
|July 18, 2026
Summary
A new decision aid helps manage Class II furcation involvement by assessing defect regenerability and maintenance feasibility. This evidence-based tool guides treatment selection for better long-term tooth survival.
Area of Science:
- Periodontology
- Regenerative Dentistry
Background:
- Class II furcation involvement presents complex management challenges.
- Predicting regenerative outcomes and long-term tooth survival is crucial for effective treatment planning.
Purpose of the Study:
- To develop a practical, evidence-based decision aid for managing Class II furcation involvement.
- To integrate defect-specific regenerative potential with long-term maintenance feasibility.
Main Methods:
- A structured narrative literature review was performed.
- Variables influencing regenerative outcomes and tooth survival were identified and categorized into Morphological Regenerability Score (MRS) and Maintenance Accessibility Score (MAS).
Main Results:
- The MRS assesses defect anatomy (5-9 points), considering factors like vertical component and root divergence.
- The MAS evaluates maintenance factors (0-13 points), including plaque control and patient compliance.
- Thresholds (MRS ≥ 5, MAS ≥ 7) define four clinical quadrants guiding treatment strategies.
Conclusions:
- The proposed framework consolidates evidence for Class II furcation involvement prognosis and treatment.
- It supports individualized decision-making based on regenerability and maintenance.
- Prospective validation is needed before clinical adoption.
