RSS-Feed abonnieren

DOI: 10.4103/2278-9626.103389
Multiple regenerative techniques for class II furcation defect

Abstract
Regeneration of the periodontium is a major goal in the treatment of teeth affected by periodontitis. Periodontal regeneration is quite challenging, especially when it is in the furcation area. There are several techniques used alone or in combination, considered to achieve periodontal regeneration, including bone grafts or substitutes, guided tissue regeneration, root surface modification, and biological mediators. Many factors may account for variability in the response to regenerative therapy in class II furcation. This case report describes the management of a buccal class II furcation defect, with the help of surgical intervention, including the guided tissue regeneration (GTR) membrane and bone graft materials. This combined treatment resulted in a healthy periodontium, with radiographic evidence of alveolar bone gain. This case report demonstrates that proper diagnosis, followed by removal of the etiological factors and utilizing combined treatment modalities, restored health and function of the tooth with severe attachment loss, at the 18-month follow-up.
Keywords
Class II furcation - furcation involvement - guided tissue regeneration - periodontal regenerationPublikationsverlauf
Artikel online veröffentlicht:
01. November 2021
© 2012. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Meng HX. Periodontic-endodontic lesions. Ann Periodontol 1999;4:84-90.
- 2 Skoglund A, Persson G. A follow-up study of apicoectomized teeth with -up total loss of buccal bone plate. Oral Surg Oral Med Oral Patho11985;59:78-81.
- 3 Santana RB, de Mattos CM, Van Dyke T. Efficacy of combined regenerative treatments in human mandibular class II furcation defects. J Periodontol 2009;80:1756-64.
- 4 Gottlow J, Karring T. Maintenance of new attachment gained through guided tissue regeneration. J Periodontol 1992;19:315-7.
- 5 Novaes AB Jr, Novaes AB. Guided tissue regeneration versus hemisection in the treatment of furcation lesions. A clinical analysis. Braz Dent J 1992;3:99-102.
- 6 Zuolo ML, Ferreira MO, Gutmann JL. Prognosis in Periradicular surgery: A clinical prospective study. Int Endod J 2000;33:91-8.
- 7 Wang HL, Boyapati L. ′′PASS′′ principles for predictable bone regeneration. Implant Dent 2006;15:8-17.
- 8 Novaes AB Jr, Palioto DB, de Andrade PF, Marchesan JT. Regeneration of class II furcation defects: Determinants of increased success. Braz Dent J 2005;16:87-97.
- 9 Bowers GM, Schallhorn RG, McClain PK, Morrison GM, Morgan R, Reynolds MA. Factors influencing the outcome of regenerative therapy in mandibular class II furcations: Part I. J Periodontol 2003;74:1255-68.
- 10 Nowzari H, MacDonald ES, Flynn J, London RM, Morrison JL, Slots J. The dynamics of microbial colonization of barrier membranes for guided tissue regeneration. J Periodontol 1996;67:694-702.