Scaling and root planing is a deep cleaning procedure that involves removing plaque and tartar from the surfaces of the teeth and roots, and then smoothing the rough areas on the surface of the roots. To treat bone loss, dentists may perform a surgical procedure known as bone grafting.
How do you treat furcation involvement?
Treatment options for molars with furcation involvement could be divided into three different modalities: conservative procedures, regenerative procedures, and resective procedures .
What causes tooth furcation?
A furcation defect is a dental condition in which bone loss, which usually results from periodontal disease , affects the base of the root trunk of a tooth where two or more roots meet.
How is Periodontium treated?
If you have advanced periodontitis, treatment may require dental surgery , such as: Flap surgery (pocket reduction surgery). Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing.
How long do Multirooted teeth with furcation involvement survive with treatment?
Results: Twenty-two publications met the inclusion criteria. The survival rate of molars treated nonsurgically was > 90% after 5-9 years .
How do you test for furcation?
To detect involvement, the tip of the probe is moved towards the presumed location of the furcation and then curved into the furcation area . For the mesial surfaces of maxillary molars
What teeth can have furcation?
Only multirooted teeth have furcation. Therefore, upper first premolar, maxillary and mandibular molars
Can salt water rinse heal gum infection?
One way you can help your gums to heal is by rinsing with a salt water solution. Dissolve 1⁄2 to one teaspoon of salt in a glass of warm water . This solution helps to soothe irritated gum tissue as well as draw out infection, allowing your gums to heal.
How can I rebuild my gums naturally?
- Floss. Floss at least once a day. ...
- Get regular dental cleanings. Your dentist can detect early gum disease symptoms if you see them on a regular basis. ...
- Quit smoking. ...
- Brush twice a day. ...
- Use fluoride toothpaste. ...
- Use a therapeutic mouthwash.
What are the 4 stages of periodontal disease?
Periodontal disease is broken up into four separate stages: gingivitis, slight periodontal disease, moderate periodontal disease, and advanced periodontal disease . Gingivitis is the only stage of periodontal disease that is reversible as it has not yet had time to attack the bones.
Why is furcation involvement bad?
Discussing the prognosis of furcation involved teeth, it can be said that the most frequent complications following surgical treatment, which potentially result in tooth loss, are caries in the furcation area (when tunneling procedures have been performed), vertical root fractures, and endodontic failures after ...
How does furcation involvement affect periodontal treatment?
When periodontal disease affects the furcation of a tooth, the chance that it will be lost increases considerably . An increase in the exposed root surface, anatomical peculiarities and irregularities of the furcation surface all favor the growth of bacteria.
What is furcation involvement?
According to the glossary of terms of the American Academy of Periodontology, a furcation involvement exists when periodontal disease has caused resorption of bone into the bi- or trifurcation area of a multi-rooted tooth [1].
How do you clean a furcation area?
The principle of sliding the brush on the tooth surface to clean the space called the furcation area applies here. As the brush gently enters the space and cannot go any further, press against the root and firmly wipe the plaque (germs and its sticky byproducts) off the root.
What probe is furcation involvement?
... 3 Nabers probe is used for the diagnosis of furcation involvement and it passes through and through in the furcation area. 4, 5 Thus, treatment of furcation involved tooth includes endodontic treatment followed by open flap debridement procedure.
What is a Class 3 furcation?
Class III: Probe passes completely through the furcation but is not clinically visible because the soft issue still fills the furcation defect . Class IV: Probe passes completely through the furcation and the entrance to the furcation is clinically visible because of gingival recession.
