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Prosthetic Considerations with Periodontal Root Resective Therapy Part 1 Prosthetic Considerations with Periodontal Root Resective Therapy Part 1

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Marc E. Moskowitz, DDS, David Kurtzman, DDS, Robert Falella, DDS, MMS, Peter C. Shatz, DDS

Date Added:

6/1/1999


Summary:

Previousiy, the presence of a probable furcation with in a multi rooted tooth was considered an indication for extraction. Loss of attachment in the furcation has traditionally been described as classes I, II , or [ II, depending on the extent of horizontal penetration into the furcation. Tamow and Fletcher subsequently included a vertical component classification with its horizontal counterpart. Interestingly, both of these classifications are based only on periodontal probing depths rather than geographical descriptions regarding the pattern of bone loss in this vulnerable area. Therefore, when periodontal lesions involve alveolar bone loss around the roots in furcation areas, there are usually horizontal and vertical components and dlfliculty in keepmg these areas bacteria free. Although most of these types of cases can be maintained, unfortunately, it is not unusual for several of these patients to relapse into a state of active disease within a few years.

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