How Good are We at Cleaning Furcations? Non‐surgical and Surgical Studies

Fu, Jianlin; Wang, Hom‐Lay

doi:10.1002/9781119270638.ch3

Cited by 1 publication

(20 citation statements)

References 64 publications

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“…4,[13][14][15][16][22][23][24] Dogs may retain a significant amount of root attachment despite through-and-through furcation lesions, although furcation involvement is known to complicate periodontal care and contribute to tooth loss. 5,[43][44][45][46]…”

Section: Stages Of Periodontal Diseasementioning

confidence: 99%

“…61 Diamond-coated ultrasonic tips remove calculus 2.0 to 3.3 times more rapidly than hand curettes but are more likely to remove cementum and dentin during root debridement. 44 Diamond-coated ultrasonic tips should only be used without pressure and above the attached epithelium because of their abrasive action. 63 Hand scalers are primarily used to remove supragingival plaque and calculus.…”

Section: Closed Debridementmentioning

confidence: 99%

“…44 In one study, these curved curettes were found to be more effective than ultrasonic scalers for debriding the furcation area. 44 Some thin scaler tip inserts have a diameter of 0.5 mm d while the even thinner inserts e have a diameter of just 0.27 mm. Other narrow ultrasonic scaler tips are curved like Nabers probes for cleaning furcation lesions f,g (Figure 4a, 4b).…”

Section: Closed Debridementmentioning

confidence: 99%

“…Some ultrasonic scaler handpieces have built-in LEDs h for improved illumination of the work area during scaling. 44 These product modifications improve access to and cleaning of furcation lesions. 44 Several older human studies compared the results of closed and open debridement of furcation lesions.…”

Section: Closed Debridementmentioning

confidence: 99%

“…44 These product modifications improve access to and cleaning of furcation lesions. 44 Several older human studies compared the results of closed and open debridement of furcation lesions. 44,[67][68][69] One study that compared ultrasonic scaling and hand scaling found that the open approach was more effective for removing calculus at the furcation and that more calculus was removed at narrow furcations by ultrasonic scaling than by hand debridement with a curette.…”

Section: Closed Debridementmentioning

confidence: 99%

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Diagnosis and Management of Furcation Lesions in Dogs – A Review

Zacher

Marretta

2022

J Vet Dent

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The furcation is the anatomic area where the roots divide on a multirooted tooth. Periodontal disease causing alveolar bone loss can lead to furcation lesions of various stages. Once furcation involvement has occurred, the area can be more difficult to clean or treat due to the complex anatomy and morphology of furcations. Teeth with short root trunks, longer tooth roots, and roots with wide furcation entrance areas/degrees of separation and wide root divergence are considered better candidates for long term maintenance. Dog teeth possess many of these advantageous anatomic features compared to human teeth. Treatment options for teeth with furcation lesions include: closed debridement, open debridement, furcation plasty, tunneling, partial tooth or root resection, root separation (hemisection or trisection), regenerative therapies, or exodontia. There are many factors to consider in determining treatment options. The favorable and unfavorable characteristics for maintenance of teeth with furcation lesions are summarized. Home care and ongoing professional care are important aspects of periodontal disease control for any patient. Studies of systemic and local antibiotic therapies in human patients have not demonstrated reduction of furcation stages, and probiotic effects at furcation sites have not been specifically examined. Human review studies show that most molar teeth once deemed “hopeless” due to stage 3 furcation lesions can be maintained for at least 5 to 15 years with supportive periodontal therapy. Similar long term studies in dogs are needed to improve the evidence-based management of canine patients with furcation lesions.

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