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FURCATION

INVOLVEMENT
Depi Praharani S.
Bagian Periodonsia

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Furcations: Classification,
Characteristics, Treatment
Furcation

Characteristics

Treatment Options

Grade I

Initial involvement, may


penetrate area up to 3 mm
Slight bone loss
Suprabony pockets
No radiographic
changes
Bone lost on one or
more aspects, > 3 mm but
not through & through
Horizontal depth varies
Vertical bone loss
possible
Possible radiographic
visibility

Perio debridement
Odontoplasty

Grade II

Perio debridement
Flap with odontoplasty &
osteoplasty
Guided tissue
regeneration (more success
with mand. Molars)
Root resection

Furcations: Classification,
Characteristics, Treatment
Furcation

Characteristics

Treatment Options

Grade III

Interradicular bone
absent
Access on fa/li
blocked by gingiva
Through & through

Radiographically
visible
Interradicular bone
absent
Clinically visible
Through & through
Radiographically
visible

Perio debridement
Flap procedure
Odontoplasty
Root resection
hemisection

Grade IV

Debridement
Flap surgery

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