James Johnson R, Arun K V, Talwar Avaneendra, Kumar T S S
Department of Periodontology, Ragas Dental College and Hospitals, Uthandi, Chennai, India.
J Indian Soc Periodontol. 2013 Jan;17(1):68-71. doi: 10.4103/0972-124X.107477.
Multi-rooted teeth with furcation involvement exhibit a poorer prognosis when compared to single rooted teeth. The furcation angle (formed by the divergent roots and the roof) may exert a considerable influence on the accessibility for both home care maintenance and instrumentation during periodontal therapy. As there are few anatomy based reports, the furcation angle has not yet been delineated.
Furcation angle (FA) was mathematically evaluated in extracted mandibular first and second molar teeth, using the Computer-aided design - computer-aided manufacturing technology.
THE FURCATIONS WERE DIVIDED INTO THREE GROUPS (GROUP I: <30°, Group II: 30°-60°, Group III: >60°) based on the furcation angle and their prevalence. The first molar showed greater prevalence of group II FA, while second molar showed a greater prevalence of group III FA.
Linear, two dimensional measurements may not accurately reflect the complexities of the furcation area which exhibits considerable intermolar and intramolar (buccal and lingual furcations of second molar) variation.
与单根牙相比,根分叉受累的多根牙预后较差。根分叉角度(由分叉牙根与根分叉顶部形成)可能对牙周治疗期间家庭护理维护和器械操作的可达性产生相当大的影响。由于基于解剖学的报告较少,根分叉角度尚未明确界定。
使用计算机辅助设计-计算机辅助制造技术,对拔除的下颌第一和第二磨牙的根分叉角度(FA)进行数学评估。
根据根分叉角度及其发生率,将根分叉分为三组(第一组:<30°,第二组:30°-60°,第三组:>60°)。第一磨牙第二组FA的发生率更高,而第二磨牙第三组FA的发生率更高。
线性二维测量可能无法准确反映根分叉区域的复杂性,该区域在磨牙间和磨牙内(第二磨牙的颊侧和舌侧根分叉)存在相当大的差异。