Periodontal and Prosthetic Management of Furcated Teeth
Course Summary: Is every furcated molar doomed? Are root amputations a historical footnote in dental therapy? Perhaps not! While the trend is certainly to insert more implants, clinicians should be familiar with treatment alternatives, their pros and cons. This course is in three parts.
In the first part of a 3-part definitive series on management of furcated teeth, Dr. Dennis Tarnow describes the modalities necessary to diagnosis furcation problems in multi-rooted teeth. The extent of furcation involvement in both the horizontal and vertical component is classified and the anatomy of multi-rooted teeth is reviewed.
In the second lecture of a 3-part definitive series on management of furcated teeth, Dr. Tarnow presents an exhaustive analysis and review of root morphology, discussing specific characteristics of multi-rooted teeth. Dr. analyzes the mesial-buccal root dilemma, and presents theories and methods of crown preparation of furcated teeth, including odontoplasty. Vital root resections? Perform the endodontics first? Can patients really practice good oral hygiene measures on molars with root resections? Are we creating problems by treating and saving these teeth?
In the third lecture of this 3-part definitive series on management of furcated teeth, Dr. Tarnow reviews the pros and cons about vital versus non-vital root resection and also discusses oral hygiene considerations and techniques to remove plaque from furcations. Clinical cases are presented that demonstrate and review the diagnosis of furcated teeth, the technique for root resections, flap design and placement, suturing, and how to evaluate the healing. This 3-part series concludes with the treatment of a complex perio-prosthetic case that demonstrates temporization, hemi-section, surgical management, and final restorations.
This course discusses the technique of root resection versus maintaining a furcated tooth, and how to manage flaps when performing surgery on teeth with furcation problems. Dr. Tarnow will discuss and summarize classic articles that evaluate long-term maintenance of furcated teeth. In order to successfully complete this course the three parts should be completed.
Course Objectives: After completing all three parts of this course the participant should be able to:
- Classify furcations
- Identify clinical parameters affect the decision to resect a root or maintain a tooth
- Understand flap adaption to treat furcation defects
- Understand Parameters for root resection
- Identify considerations for prepping teeth with furcation issues
- Understand the role of the interdental papilla
- Be familiar with splinting resected teeth
- Understand adaptive vs progressive mobility
- Be familiar with root respective techniques
- Utilize plaque removal methods for furcated teeth
- Manage complex perio-prosthetic cases that involved teeth with furcation problems