SURGICAL THERAPY: RESECTIVE SURGERY AND THERAPY OF THE FURCATION

The presence of a furcal lesion, due to its difficult accessibility, does not allow for adequate oral hygiene procedures by either the patient at home or by the professional in the office, thus representing a significant “risk factor” for the progression of periodontal disease.  Among the different treatment options available for this type of periodontal lesion are the separation and/or removal of roots, which produces particularly effective results. This approach has its indications when there is the presence of a severe lesion on the inter-radicular space of molars (class II or III) and it is based on the physical separation of the involved roots.  This separation can, in some cases, be combined with the sacrificing of one or more roots in order to give a better prognosis to those remaining.  The procedure described is normally accompanied by prosthetic rehabilitation of the area after osseous resective surgery.

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