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Orthodontic eruption of furca-involved molars
C A Frank1, B S Pearson, B W Booker
1Ehrling Bergquist Hospital/SGD Offutt AFB, Nebraska, USA.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|July 1, 1995
Summary
Guided tissue regeneration and furca-modification techniques improve outcomes for advanced periodontal disease. Tooth eruption strategies enhance prognosis for treated and adjacent teeth, offering predictable restorative solutions.
Area of Science:
- Periodontology
- Restorative Dentistry
- Orthodontics
Background:
- Guided tissue regeneration (GTR) is a predictable treatment for advanced Class II and Class II furca-involved teeth.
- Furca-modification techniques are crucial adjuncts to GTR in managing complex periodontal defects.
Observation:
- Tooth eruption, whether passive or orthodontically induced, positively impacts the prognosis of periodontally compromised molars.
- Continued eruption enhances the crown-to-root ratio and preserves the health of adjacent teeth.
- These eruption principles can be applied to restoratively compromised teeth previously deemed unsalvageable.
Findings:
- Orthodontic eruption, at a controlled rate of 2 mm/month with 3-4 week intervals, allows for periodontal ligament repair and alveolar bone remodeling.
- Periodic periodontal maintenance during orthodontic treatment is essential.
- Post-orthodontic retention (8 weeks) followed by periodontal surgery to reestablish biologic width, and subsequent healing (6-8 weeks), precedes final restoration.
Implications:
- Integrating tooth eruption techniques with GTR and furca-modification offers a predictable approach to saving advanced periodontal and restoratively compromised teeth.
- This combined strategy improves treatment outcomes and potentially reduces the need for extraction.
- Controlled eruption facilitates periodontal regeneration and optimizes the restorative potential of compromised dentition.