Ernie Maduratna, Setiawati (2010) A combination of endodontic therapy and root resection in furcation involvement case. Majalah Kedokteran Gigi (Dental Journal), 43 (4). pp. 205-209. ISSN 1978.3728

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Abstract

Background: Management of furcation involvement is one of major problems in clinical periodontology. The prognosis and treatment choices depend on the degree and severity of the lesion. Thus the decision for a specific treatment of furcation-involved tooth certainly depends on several factors. Tooth anatomy and the degree of furcation involvement are considered as the most important factors affecting the decision for one or more treatment plans mode. Purpose: The aim of this case report is to determine the management of class IV furcation involvement with the combination of endodontic therapy and root resection. Case: This study reported a case of 47 years old male patient who came to Periodontics clinic with tooth mobility, hypersensitivity and furcation involvement. Case management: One of the treatment is a combination of endodontic therapy and distal root resection. The results of these case could help the patient to have a better treatment for his furcation defect. Conclusion: Combining endodontic treatment and root resection were considered as an appropriate choice for retaining clinically-important trifurcation-involved tooth. Root resection had a better prognosis to treat periodontal problems than for non-periodontal problems. However, complex interdisciplinary treatment is important to be performed in the overall treatment plan.

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