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Questions and Answers
What is an accessory canal primarily associated with?
What is an accessory canal primarily associated with?
Which of the following is NOT a challenge for clinicians treating teeth with furcation involvement?
Which of the following is NOT a challenge for clinicians treating teeth with furcation involvement?
What is a primary objective in the treatment of a tooth with a furcation?
What is a primary objective in the treatment of a tooth with a furcation?
Which oral hygiene tool is most specifically recommended for cleaning in furcation areas?
Which oral hygiene tool is most specifically recommended for cleaning in furcation areas?
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What should be removed to achieve effective treatment in a tooth with furcation involvement?
What should be removed to achieve effective treatment in a tooth with furcation involvement?
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What is the main purpose of assigning a grade in clinical monitoring?
What is the main purpose of assigning a grade in clinical monitoring?
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In Glickman Classification, what characterizes Grade I?
In Glickman Classification, what characterizes Grade I?
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Which grade in Glickman Classification indicates that the probe penetrates into the furcation but does not completely pass through?
Which grade in Glickman Classification indicates that the probe penetrates into the furcation but does not completely pass through?
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What is a common characteristic of a Grade III furcation defect?
What is a common characteristic of a Grade III furcation defect?
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What might make a Grade II furcation defect more obvious radiographically compared to Grade I?
What might make a Grade II furcation defect more obvious radiographically compared to Grade I?
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Which statement best describes the clinical implications of Grade I furcation?
Which statement best describes the clinical implications of Grade I furcation?
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What does the term furcation refer to in dentistry?
What does the term furcation refer to in dentistry?
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Why might Grade III furcation be clinically unnoticeable?
Why might Grade III furcation be clinically unnoticeable?
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Which type of teeth can exhibit furcation defects?
Which type of teeth can exhibit furcation defects?
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How can probing help differentiate between Grade I and Grade II furcation?
How can probing help differentiate between Grade I and Grade II furcation?
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Which anatomical features may impact the assessment and treatment of furcations?
Which anatomical features may impact the assessment and treatment of furcations?
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What factor primarily determines the severity of a furcation defect?
What factor primarily determines the severity of a furcation defect?
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Which of the following refers to the loss of inter-radicular bone in furcation involvement?
Which of the following refers to the loss of inter-radicular bone in furcation involvement?
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What is the purpose of the furcation index grade?
What is the purpose of the furcation index grade?
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How do cervical enamel projections influence furcation treatment?
How do cervical enamel projections influence furcation treatment?
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What role do dental hygienists and dental therapy hygienists play in treating furcation-involved teeth?
What role do dental hygienists and dental therapy hygienists play in treating furcation-involved teeth?
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What is a cervical enamel projection (CEP)?
What is a cervical enamel projection (CEP)?
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What is a significant complication of teeth with furcation involvement?
What is a significant complication of teeth with furcation involvement?
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Which tool is primarily used for probing and assessing furcation?
Which tool is primarily used for probing and assessing furcation?
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What should be evaluated when assessing gingival issues in teeth with furcation?
What should be evaluated when assessing gingival issues in teeth with furcation?
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What is one impact on patients with furcation involvement in terms of aesthetics?
What is one impact on patients with furcation involvement in terms of aesthetics?
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How does food packing relate to teeth with furcation?
How does food packing relate to teeth with furcation?
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What should be included in the assessment of furcation during a dental exam?
What should be included in the assessment of furcation during a dental exam?
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Which radiographic view is commonly preferred for identifying bone loss in furcation areas?
Which radiographic view is commonly preferred for identifying bone loss in furcation areas?
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What is the primary focus of studies related to furcation involvement?
What is the primary focus of studies related to furcation involvement?
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Which imaging technique is often utilized to assess furcation involvement?
Which imaging technique is often utilized to assess furcation involvement?
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What classification is critical in determining the type of furcation involvement?
What classification is critical in determining the type of furcation involvement?
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What is a potential consequence of untreated furcation involvement?
What is a potential consequence of untreated furcation involvement?
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Which of the following treatment options is typically NOT recommended for furcation-involved teeth?
Which of the following treatment options is typically NOT recommended for furcation-involved teeth?
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What factor is considered when evaluating the prognosis of teeth with furcation involvement?
What factor is considered when evaluating the prognosis of teeth with furcation involvement?
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In furcation involvement, what typically characterizes Class III lesions?
In furcation involvement, what typically characterizes Class III lesions?
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What is a common challenge faced during the treatment of furcation-involved teeth?
What is a common challenge faced during the treatment of furcation-involved teeth?
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Study Notes
Furcation Involvement
- Furcation is the anatomical area where roots of a tooth divide.
- Furcation involvement refers to bone loss at the branching point of roots, usually found on multi-rooted teeth.
- Types of multi-rooted teeth: Premolars and molars.
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Factors influencing furcation assessment and treatment:
- Root trunk length
- Root length
- Interradicular dimensions
- Cervical enamel projections and enamel pearls
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Challenges with furcation involvement:
- Unsightly for patients with a broad smile
- Food packing
- Difficult cleaning
- Sensitivity with exposed dentin/possible root caries
- Impact on prognosis
Assessment of Furcation Involvement
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Clinical Examination:
- Gingival tissues: signs of inflammation, probing depths, recession
- Radiographs: preferred choice for identifying bone loss in the furcation
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Probing:
- Nabers probe, using a ball-ended probe for accuracy
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Glickman Classifications:
- Grade I: Curvature of the concavity between the roots can be detected with the probe but it cannot enter the space.
- Grade II: Probe penetrates into the furcation but does not completely pass through to the other side.
- Grade III: Probe passes completely through the furcation but is not clinically visible because the soft tissue still fills the furcation defect.
Treatment of Furcation Involvement
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Primary objectives:
- Removal of bacterial plaque/biofilm
- Removal of secondary local factors (calculus, overhangs)
- Prevent further attachment loss
- Maintain function of the tooth
- Patient education - Oral Hygiene Instructions (OHI)
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Treatment Options:
- Scaling and root planing
- Guided tissue regeneration
- Flap surgery
- Tooth extraction and replacement with implant or bridge
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Oral Hygiene Coaching:
- Optimal plaque control is essential
- Specific oral hygiene advice: interspace brush, interdental brush, specialized instruments for furcation debridement
- Power-driven scaler with assorted working ends
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Additional considerations:
- Possibility of accessory root canals, requiring root canal therapy (RCT)
- Challenging access for both clinician and patient
- Less favorable prognosis than other types of periodontal disease
- May require specialist intervention
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Description
This quiz covers the concept of furcation involvement, focusing on the anatomical area where tooth roots divide. It explores the assessment methods, factors influencing treatment, and the challenges faced in managing multi-rooted teeth. Test your knowledge on this important aspect of dental health.
