• P-ISSN 2277-3525 E-ISSN 2582-7901

Journal of Multidisciplinary
Dental Research

Article

Journal of Multidisciplinary Dental Research

DOI: 10.38138/JMDR/v8i1.22.13

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

Amruth Ganesh​ ✉ 1 , Jyosthna Ganapathi Madhurkar 2 , Shashikanth Hegde 3 , Sneha Bhat 4 , Haziel Jenifer 4

1 Postgraduate, Department of Periodontology, Yenepoya Dental College, Yenepoya (Deemed to be) University, Mangalore, Karnataka, 575018, India
2 Assistant Professor, Department of Periodontics, SDM College of Dental Science and Hospital, Dharwad, Karnataka, 580009, India
3 Professor, Department of Periodontology, Yenepoya Dental College, Yenepoya (Deemed to be) University, Derelakatte, Mangalore, Karnataka, 575018, India
4 Reader, Department of Periodontology, Yenepoya Dental College, Yenepoya (Deemed to be) University, Mangalore, Karnataka, 575018, India
 
Corresponding author ✉ [email protected]
 

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

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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 cases. Journal of Interdisciplinary Dentistry. 2014;4(1):41–45. Available from: https://www.jidonline.com/text.asp?2014/4/1/41/135010
  3. Varughese V, Mahendra J, Thomas AR, Ambalavanan N. Resection and Regeneration – A Novel Approach in Treating a Perio-endo Lesion. Journal of Clinical and Diagnostic Research. 2015;9(3):8–10. Available from: https://doi.org/10.7860/jcdr/2015/11096.5643
  4. Wang HL, Burgett FG, Shyr Y, Ramfjord S. The Influence of Molar Furcation Involvement and Mobility on Future Clinical Periodontal Attachment Loss. Journal of Periodontology. 1994;65(1):25–29. Available from: https://doi.org/10.1902/jop.1994.65.1.25
  5. Bergenholtz A. Radectomy of Multirooted Teeth. The Journal of the American Dental Association. 1972;85(4):870–875. Available from: https://doi.org/10.14219/jada.archive.1972.0445
  6. Hamp SEE, Nyman S, Lindhe J. Periodontal treatment of multi rooted teeth.. Results after 5 years. Journal of Clinical Periodontology. 1975;2(3):126–135. Available from: https://doi.org/10.1111/j.1600-051x.1975.tb01734.x
  7. Coetzee AS. Regeneration of Bone in the Presence of Calcium Sulfate. Archives of Otolaryngology - Head and Neck Surgery. 1980;106(7):405–409. Available from: https://doi.org/10.1001/archotol.1980.00790310029007
  8. 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 cultures. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009;108(3):341–352. Available from: https://doi.org/10.1016/j.tripleo.2009.04.020
  9. Rajesh H, Dharamsi A, Rajesh KS, Hegde SA. Root resection: Apropos of 6 cases. Archives of Medicine and Health Sciences. 2014;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/)

  • 08 July 2022
  • VIEWS 1577
  • PDF 214
Article Metrics


More articles

DON'T MISS OUT!

Subscribe now for latest articles, news.