Peeran Syed Wali, Ramalingam Karthikeyan, Sethuraman Sathya, Thiruneervannan Madhumala
Preventive Dental Sciences, Jazan University, Jazan, SAU.
Oral Pathology and Microbiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus. 2024 Mar 10;16(3):e55924. doi: 10.7759/cureus.55924. eCollection 2024 Mar.
Furcation-involved teeth, commonly seen in dental practice, have a higher likelihood of needing extraction as the severity of periodontal furcation involvement increases. Studies consistently show that periodontitis in teeth with multiple roots significantly increases the risk of tooth loss, especially in the area where the furcation is involved. These furcation defects pose a major problem for dentists because of their location, accessibility issues, and the unpredictable healing process. The biggest hurdle in treating furcation defects is their irregular shape, which makes it hard to achieve complete debridement. While various treatments have been explored, non-surgical methods have not shown much success. This article comprehensively provides a review and discussion on the classification, assessment, and treatment options, including surgical and non-surgical management of furcation-involved molar teeth. Properly understanding the severity of the disease and its confounding factors and managing and treating the lesions appropriately have been shown to impart satisfactory survival rates for these teeth. Enhancing the understanding of managing these teeth can also lead to better outcomes for patients.
根分叉病变牙在牙科临床中很常见，随着牙周根分叉病变严重程度的增加，其需要拔除的可能性更高。研究一致表明，多根牙的牙周炎会显著增加牙齿脱落的风险，尤其是在根分叉受累区域。这些根分叉缺损因其位置、可达性问题以及不可预测的愈合过程，给牙医带来了一个重大问题。治疗根分叉缺损的最大障碍是其不规则形状，这使得难以实现彻底清创。虽然已经探索了各种治疗方法，但非手术方法并未取得太大成功。本文全面综述并讨论了根分叉病变磨牙的分类、评估和治疗选择，包括手术和非手术管理。已证明正确理解疾病的严重程度及其混杂因素，并对病变进行适当的管理和治疗，可使这些牙齿获得令人满意的存留率。加强对这些牙齿管理的理解也可为患者带来更好的治疗效果。
