Braz Pierre, Viana Karolina Skarlet Silva, Silveira Milena Mageski Ferreira, Lima Rafael Paschoal Esteves
Department of Dental Clinics, Oral Pathology and Oral Surgery, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Department of Dental Clinics, Oral Pathology and Oral Surgery, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
J Indian Soc Periodontol. 2024 Sep-Oct;28(5):581-586. doi: 10.4103/jisp.jisp_535_23. Epub 2025 Feb 26.
Periodontal treatment of teeth with furcation defects is challenging due to the complex anatomy of the area. Resective techniques, such as root resection, may be effective in managing teeth with this defect if appropriately indicated and can lead to satisfactory survival rates associated with a favorable prognosis. This report describes the treatment of a Class II furcation defect in an upper molar using root resection combined with regenerative procedures. The regenerative procedure involved the use of a lyophilized bone graft combined with the use of a collagen membrane and a connective tissue graft. The 24-month follow-up demonstrated the success of the therapy, with a gain in clinical attachment level, a reduction in probing pocket depth, and a tomographic image showing the formation of new lamina dura. A healthy and stable periodontium can be achieved through the correct application of more conservative techniques aimed at preserving the dental element.
由于该区域复杂的解剖结构，对存在根分叉病变的牙齿进行牙周治疗具有挑战性。切除性技术，如牙根切除术，如果适应证选择恰当，对于治疗存在这种病变的牙齿可能有效，并且可以带来与良好预后相关的令人满意的存留率。本报告描述了使用牙根切除术联合再生性治疗方法对上颌磨牙Ⅱ度根分叉病变的治疗。再生性治疗方法包括使用冻干骨移植材料，联合使用胶原膜和结缔组织移植。24个月的随访证明了该治疗方法的成功，表现为临床附着水平增加、探诊深度减小，并且断层图像显示有新的硬骨板形成。通过正确应用旨在保留牙体组织的更保守技术，可以实现健康且稳定的牙周组织状态。
