Furcation Involvement And Its Management

Successful treatment, management, and long-term retention of multi-rooted teeth with periodontal destruction of varying degrees into their furcations have long been a challenge to the discerning general dentist or dental specialist. Indeed, some earlier authors have reported that periodontal pockets that involve the domes of furcations of multi-rooted teeth present a hopeless or at best an unfavorable prognosis and should be extracted. The decision for a specific treatment mode for furcation involved tooth depends on several factors, with both general and local perspectives. First of all, the age of the patient, his or her general condition, and the form or expression of periodontal disease have to be taken into account. Next, the overall strategic importance of the respective tooth and its possible role in a comprehensive treatment plan must be considered. Tooth type and degree of furcation involvement may be regarded as the most important factors. Also, further aspects like a tooth or root morphology.