World Journal of Dentistry

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VOLUME 11 , ISSUE 4 ( July-August, 2020 ) > List of Articles


Management of Grade III Furcation Involvement in Molars by Regenerative Periodontal Therapy: A Report of Three Cases

Citation Information : Management of Grade III Furcation Involvement in Molars by Regenerative Periodontal Therapy: A Report of Three Cases. World J Dent 2020; 11 (4):332-337.

DOI: 10.5005/jp-journals-10015-1753

License: CC BY-NC 4.0

Published Online: 01-03-2019

Copyright Statement:  Copyright © 2020; The Author(s).


Aim: This series of three cases aims to evaluate the clinical outcome of management of grade III furcation involvement in both maxillary and mandibular molars with bone graft and collagen membrane followed up for 18 months. Background: The prevalence of periodontal disease is increasing worldwide. Successful periodontal therapy aims to regenerate the lost periodontal structures. Management of teeth with furcation involvement often poses a challenge to clinicians. There exists dilemma of whether to extract the tooth or to adapt regenerative periodontal measures owing to the lack of predictable outcome. Case description: Three patients, 48-year-old male, 54-year-old male, and 38-year-old female, diagnosed with grade III furcation in 16, 26, and 47, respectively, were treated with osseous graft and guided tissue regeneration (GTR) membrane (Periocol) following curettage and root planing. Postoperative instructions were given to all the patients to use chlorhexidine mouthwash (10 mL of 0.2%) 2 times a day for 6 weeks and to clean the surgical area with 0.2% chlorhexidine-soaked cotton and to avoid brushing the surgical area for 1 week. Follow-up was done for 18 months. A satisfactory functional clinical outcome was observed in all the three patients. Conclusion: Although several factors such as patient-related and surgical site-related could play an influential role in the final outcome of GTR procedure, the present case series reports a satisfactory clinical outcome in periodontally hopeless teeth. Clinical significance: Treatment of periodontally compromised teeth should not only be confined to extraction but also regenerative periodontal therapy in properly selected cases could prove to be beneficial to the patients.

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