Management of an old margin located in the furcation

32 Rating(s).


Posted on By Daniel Melker In Periodontics

There is ever growing issue as we replace old restorations located on molars. Years ago we were taught to place a margin subgingival and many times these margins approximated the furcations. Cl in the furcation is next to impossible as the more you CL the more coronal bone moves in the furcation. Below we see on #3 the old margin of the crown in fact separating the mesio-buccal and disto-buccal roots. By simply removing the old margin and blending the adjacent roots we can correct the issue without basically affecting the furcation stability. As noted in the fourth photo you can see after removing the old margin how the bone presents itself in the furcation. It has moved coronally. The last 2 photos are at 1 year and 10 years. Perfect Restorative by Dr. Howard Chasolen has created a long term stable environment. Notice how perfect the furcations have been barreled in to the occlusal surfaces allowing for patient and Hygienist management for home care.




Add to Favorites
Add a comment to the discussion on Management of an old margin located in the furcation


Upload photos
1.  Photo Title:

2.  Photo Title:

Would you like to follow this post?
Case has been added to your favorites.
Case has been removed from your favorites.
Thank you for your input. Your comment has been posted.
You are now following this member. You will get notified on any new topics posted by this member.
You are no longer following this member. You will not get notified on any new topics posted by this member.
Edit Comment
1.  Photo Title:
Current Image:   Delete Image
2.  Photo Title:
Current Image:   Delete Image
Comment has been updated.

3 Comments

Excellent case and excellent results, Guys! Over the years I have corrected many such situations but composite resin will have to be replaced or repaired depending on the patient's home care.


Reply

It never gets old! love it Danny!


Reply

Thanks Charles! It is always appreciated. Danny


Reply


NovaBone
Henry Schein