Furcation Defect

CORRECTION OF FURCATION DEFECT

What does that mean?

A furcation is the area of a tooth where the root divides from the common root trunk. It occurs due to progression of periodontal disease.

Why is it important to treat?

It is important to remove the bacteria from the exposed root surface. This aids in better maintenance of oral hygiene.
It can lead to tooth loss if left untreated.

Treatment options vary

Resective:
1. Furcationplasty,
2 Root amputation,
3 Root resection,
4 Hemisection
5 Tunnelling

Regenerative
1 PRF(Platelet rich fibrin)
2 GTR(Guided tissue regeneration)
3 Bone grafts

GUIDED TISSUE REGENERATION (GTR) FOR FURCATION INVOLVEMENT

Patient presented with chief complaint of food impaction in left upper back tooth region (26 , 27). On clinical examination the probing depth was 5mm with grade II furcation involvement irt 26. Gingival recession – Height 3 mm and width 4mm.

After oral prophylaxis and sub-gingival debridement the surgical procedure was planned

After oral prophylaxis and subgingival debridement the surgical procedure was planned

Opg reveals horizontal bone loss irt 26 27 region

OPG reveals horizontal bone loss irt 26 27 region

Full thickness mucoperiosteal flap elevated

Full thickness mucoperiosteal flap elevated irt 25 26 27 region under local anaesthesia. Debridement done. Grade II furcation involvement visualized irt 26

GTR membrane of appropriate size measured and trimmed

GTR membrane of appropriate size measured and trimmed

GTR membrane placed over the furcation defect and sutured using 3-0 vicryl

Mucoperiosteal flap approximated to cover the gingival recession. Suturing done using 3.0 vicryl

Mucoperiosteal flap approximated to cover the gingival recession. Suturing done using 3.0 vicryl

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