PMID: 8583021Aug 1, 1995Paper

Lack of furcal bone loss following the tunneling procedure

Journal of Clinical Periodontology
L A LittleJ E Horton

Abstract

Treatment of molar teeth with severe furcation involvement allows for differing therapies of which the tunneling procedure has been least studied. While subsequent root caries in furcal exposed teeth was believed a major shortcoming, successful periodontal therapy is primarily dependent upon the stability of the attachment and intrafurcal and interproximal bone. We evaluated in each of 18 subjects (10 female, 8 male) a molar tooth with deep grade II/III furcation involvement at time of presentation (T-0), to 1st post-surgical recall following a tunneling procedure (T-1), to most immediate last recall (T-2; mean time T-0 to T-2, 5.80 +/- 0.83 years). Assessments included O'Leary's plaque index (P1-I), attachment levels (AL), root caries and radiographic bone loss. The mean P1-I from T-0 to T-2 decreased 56.8% with some plaque at T-2 detected in furcations of 7/18 teeth. AL across all time periods were not significantly difference except for palatal/lingual AL which from T-0 to T-2 were significantly different. Root caries was found in only 3 teeth at T-2. Adequate radiographs were available for 8 surgically tunneled mandibular molars for analysis of 5 measurements of osseous levels i.e., the mesial and distal levels of the intra...Continue Reading

References

Sep 1, 1976·Journal of Periodontal Research·S K SterbergL E Folke
Dec 1, 1977·Journal of Clinical Periodontology·J Theilade
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Oct 1, 1988·Journal of Periodontology·C H DeVoreJ E Horton
Sep 1, 1988·Journal of Periodontology·L A SewónP J Alanen
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Jun 1, 1982·Journal of Periodontology·H Tal

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Citations

Jan 6, 2001·Journal of Clinical Periodontology·S G Rüdiger
May 13, 1999·Periodontology 2000·T Karring, P Cortellini
Nov 1, 1996·Annals of Periodontology·K G Palcanis
Mar 5, 2016·Journal of Clinical Periodontology·Luigi NibaliNikos Donos
Sep 27, 2014·Journal of Clinical Periodontology·Falk SchwendickeChristof Edmund Dörfer
Jan 29, 2002·The Journal of the American Dental Association·David C Vandersall, Robert J Detamore
Apr 27, 2019·Journal of Clinical Periodontology·Stefan G RüdigerClaes-Göran Emilson
Aug 17, 2019·Journal of Clinical Periodontology·Luigi NibaliStefan Gunnar Rüdiger
Nov 28, 2019·Contemporary Clinical Dentistry·Aditi Chopra, Karthik Sivaraman

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