• P-ISSN 2277-3525 E-ISSN 2582-7901

Journal of Multidisciplinary
Dental Research

Article

Journal of Multidisciplinary Dental Research

Volume: 8, Issue: 1, Pages: 26-32

Case Report

Combined Resective and Regenerative Therapy - A Novel Approach in the Management of Furcation Involvement: A Case Report

Received Date:13 April 2022, Accepted Date:22 April 2022, Published Date:08 July 2022

Abstract

Periodontal furcation involvement represents a challenge in the treatment of periodontally compromised molars. Different treatment modalities are advocated in the treatment of FI including non-surgical therapy, resective and regenerative treatment, according to subject and site factors and degree of involvement of individual affected molars. The aetiology of FI include anatomic factors, extension of inflammatory periodontal disease, trauma from occlusion, pulpo periodontal disease and root fracture involving furcations. An emerging approach to periodontal therapy is a concept of regeneration. In this case report a novel combination therapy of a blend of platelet rich fibrin with bone graft was used in the management of grade III furcation involvement. Results showed successful outcome in terms of esthetics and function.

Keywords: Root resection, Furcation involvement, Bone graft, PRF

References

  1. Balachandran A, Sundaram S. Resective procedures in the management of mandibular molar furcation involvement: A report of three casesJournal of Interdisciplinary Dentistry2014;4(1):4145. Available from: https://www.jidonline.com/text.asp?2014/4/1/41/135010
  2. Varughese V, Mahendra J, Thomas AR, Ambalavanan N. Resection and Regeneration – A Novel Approach in Treating a Perio-endo LesionJournal of Clinical and Diagnostic Research2015;9(3):810. Available from: https://doi.org/10.7860/jcdr/2015/11096.5643
  3. Wang HL, Burgett FG, Shyr Y, Ramfjord S. The Influence of Molar Furcation Involvement and Mobility on Future Clinical Periodontal Attachment LossJournal of Periodontology1994;65(1):2529. Available from: https://doi.org/10.1902/jop.1994.65.1.25
  4. Bergenholtz A. Radectomy of Multirooted TeethThe Journal of the American Dental Association1972;85(4):870875. Available from: https://doi.org/10.14219/jada.archive.1972.0445
  5. Hamp SEE, Nyman S, Lindhe J. Periodontal treatment of multi rooted teeth.. Results after 5 yearsJournal of Clinical Periodontology1975;2(3):126135. Available from: https://doi.org/10.1111/j.1600-051x.1975.tb01734.x
  6. Coetzee AS. Regeneration of Bone in the Presence of Calcium SulfateArchives of Otolaryngology - Head and Neck Surgery1980;106(7):405409. Available from: https://doi.org/10.1001/archotol.1980.00790310029007
  7. Ehrenfest DMD, Diss A, Odin G, Doglioli P, Hippolyte MPP, Charrier JBB. In vitro effects of Choukroun's PRF (platelet-rich fibrin) on human gingival fibroblasts, dermal prekeratinocytes, preadipocytes, and maxillofacial osteoblasts in primary culturesOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology2009;108(3):341352. Available from: https://doi.org/10.1016/j.tripleo.2009.04.020
  8. Rajesh H, Dharamsi A, Rajesh KS, Hegde SA. Root resection: Apropos of 6 casesArchives of Medicine and Health Sciences2014;2(2):209. Available from: https://doi.org/10.4103/2321-4848.144342

COPYRIGHT

© 2022 Published by International Dental Educationists’ Association (IDEA). This is an open-access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/)

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