Grade III furcation involvement poses a significant challenge in periodontal therapy, requiring careful consideration of treatment approaches. This case report presents a regenerative/resective approach for managing grade III furcation involvement in a patient with a questionable clinical scenario. The patient presented with a deep periodontal pocket and radiographic evidence of severe bone loss in the furcation area. A comprehensive periodontal examination was performed, including probing depths, clinical attachment levels, and furcation involvement assessment. The treatment plan involved a combination of regenerative techniques, including guided tissue regeneration and bone grafting, along with resective procedures to eliminate the furcation involvement. The surgical procedure was performed under local anesthesia, and postoperative care instructions were provided. Follow-up visits were scheduled to assess the treatment outcomes. This case report highlights the challenges associated with grade III furcation involvement and emphasizes the importance of a tailored treatment approach based on careful evaluation of the clinical scenario.
Glickman I. Clinical Periodontology. Philadelphia: WB Saunders Co., 1958, p. 694-6.
Choukroun J, Adda F, Schoef er C, Vervelle A. An opportunity in perio-implantology: The PRF. Implantodontie 2000;42:55-62.
Goldman HM, Cohen DW. The infrabony pocket. Classication and treatment. J Periodontol 1958;29:272-91.
Pontoriero R, Lindhe J, Nyman S, Karring T, Rosenberg E, Sanavi F. Guided tissue regeneration in the treatment of furcation defects in mandibular molars: a clinical study of degree III involvements.J Clin Periodontol 1989;16:170-4.
Reddy MS, Aichelmann-reidy ME, Avila-ortiz G, Klokkevold PR, Murphy KG, Rosen PS et al. Periodontal Regeneration – Furcation Defects: A Consensus Report From the AAP Regeneration Workshop. J Periodontol. 2015;5:131-3.
Koduganti RR, Jandhyala S, Sandeep N, Reddy PVN. Effective management of mandibular Grade III furcation: A dicey issue. J oral Res Rev. 2014;6:21-5.
Niswade G, Bhutada G, Ansari S, Shende S. Management of furcation involved teeth- acase report! Int J Curr Adv Res. 2017;6:5018-21.
Nabhi K, Mehra P, Sharma B. Root Resection of Maxillary First Molar: A Case Report. IOSR J Dent Med Sci. 2017;16:103-7.
Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multirooted teeth: results after 5 years. J Clin Periodontol 1975;2:126-35.
Hellden LB, Elliot A, Steffensen B, Steffensen JE. The prognosis of tunnel preparations in treatment of Class III furcations: a follow-up study. J Periodontol 1989;60:182-7.