Cervical enamel projection related to furcation involvement

Area of Science:

• Dentistry
• Periodontology
• Oral Anatomy

Background:

• Cervical enamel projections (CEP) are anatomical variations in molars.
• CEPs exhibit a unique dento-gingival relationship with long junctional epithelium, lacking connective tissue attachment.
• The incidence of CEPs in molars varies widely across populations.

Purpose of the Study:

• To review the literature on the significance of cervical enamel projections (CEP) in molar furcation involvement.
• To highlight the association between CEPs and periodontal disease.
• To emphasize the need for early diagnosis and clinical investigation.

Main Methods:

• Literature review of existing studies on cervical enamel projections.
• Analysis of the dento-gingival relationship of CEPs.
• Examination of the incidence and extension of CEPs in molars.

Main Results:

• Cervical enamel projections (CEP) are frequently found in molars, with reported incidences ranging from 8.8% to 87.4%.
• A significant correlation exists between the presence of CEPs and the development of inflammatory periodontal disease.
• CEPs are strongly associated with furcation involvement in molars.

Conclusions:

• Cervical enamel projections (CEP) play a critical role in molar furcation involvement and periodontal disease.
• Early diagnosis of periodontal disease in the furcation region is essential.
• Further clinical trials are recommended to investigate the implications of CEPs.