Grade 2 Buccal Furcation Treatment #14 with VMIS

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Posted on By Jonathan Blansett In Periodontics

Patient was referred for evaluation of tooth #14. Tested normally to percussion, palpation, and thermal stimulation. Advised patient tooth may have a vertical fracture, pt was adamant to try and save his tooth if possible. Videomicroscope used to debride b furcation and explore both b roots for possible fracture, none seen visually. Went ahead and completed perio regeneration protocol...radiculoplasty with hsps and fine diamond football bur after gross debridement, final debridement, etch with EDTA, dry field, apply emdogain, mix emdogain with fdba and in this case I coronally advanced the flap as much as possible. Will see how it heals up. I thought the video was interesting and had a fantastic view of the root concavities and furcation dome.

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4 Comments

Microview of a macro issue. What do you believe you can achieve with such a deep Class 2 furcation from a regen standpoint? regards Dr. Salama


Reply

If the etiology is purely Perio, will try and close the furcation. Not a lot of good studies on this subject, pushing the envelope. Will be interesting to see how it heals. Plan b will be ext/implant, and if needed will hopefully have a better bony environment. Grade 2 furcations in mn molars have been studied w good results. However, no studies exist w these type lesions w VMIS. Steve Harrel is conducting a university study now at Baylor over these types of treatment. If u believe u can decontaminate the roots...well contained space. Idk, will post follow up, even if it's the tooth on the table. -Jonathan


Reply

Very nice video Jonathan,
would you consider doing root-plasty and opening more the furcation space prior to grafting?

Thanks for sharing

Yiannis


Reply

Well done. Same question as above.


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