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2013, Number 2

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Rev Méd Electrón 2013; 35 (2)

Therapies applied in molars with different grades of furcation lesions

Armas PL, Díaz CA, Valdés DH
Full text How to cite this article

Language: Spanish
References: 17
Page: 126-133
PDF size: 50.70 Kb.


Key words:

furcation lesion, degrees, flaps, root planning, exodontia.

ABSTRACT

Introduction: the destruction of the support tissues in inter-radicular areas of multi radicular tooth is known as furcation lesion. The goals of those therapies are maintaining the teeth health, function and esthetics.
Objective: to determine the therapy employed in furcation lesions and its relation with their seriousness.
Methods: a transversal study was carried out, with the dental records of patients discharged from the consultations of Periodontics and Integral General Dentistry of the Faculty of Dentistry of the municipality Plaza de la Revolución from January 2009 to May 2011 . The universe was formed by all the 119 molars registered with furcation lesions. The studied variables were: furcation lesion degree according to the Carranza y Newman classification, grouped by seriousness and treatment. The association and relationship among qualitative variables were carried out with Chi square.
Results: the flap with implant, the hemisection and the bicuspidizatión were poorly represented with 7, 6%, 2.5% and 0, 8%, respectively while among the most applied ones were the conventional flap (53, 1%), root planning (26%) and the exodontia (11, 8%). Root planning obtained the supremacy (90, 3%) in the lesions grades I and II and the exodontia (57, 1%) was associated to grades III y IV. p= 0,0004.
Conclusions: the predominant therapies were: the conventional flap, root planning and the exodontia. Root planning was the favored therapy for the grades I and II, while the dental extraction was the favored one in grades III and IV.


REFERENCES

  1. D’Amore MB, Braun M, Quinta Rodríguez N. La lesión de furcación, un fantasma periodontal. RAAO [Internet]. 2008 Ene-May [citado 15 oct 2011]; XLVII (1):14–20.Disponible en: http://www.ateneoodontologia.org.ar/revista/xlvii01/articulo4.pdf

  2. Ikeda Artacho MC, Mori Arambulo G. Defectos de furcación. Etiología, diagnóstico y tratamiento. Rev Estomatol Herediana [Internet]. 2010 [citado 6 Jul 2011]; 20(3):172. Disponible en:http://www.upch.edu.pe/faest/publica/2010/vol20_n3/Vol20_n3_10_art9.pdf

  3. Fabrizi S, Barbieri Petrelli G, Vignoletti F, Bascones Martínez A. Tratamiento quirúrgico vs terapia periodontal básica: estudios longitudinales en periodoncia clínica. Avances en Periodoncia [Internet].2007 Dic [citado 3 Feb 2012 ]; 19(3): 161-75. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S169965852007000400005&lng=es.

  4. Peloso Ribeiro É, Bittencourt S, Antônio Sallum E, Wilson Sallum A, Nociti Júnior FH, Zaffalon Casati M. Non-surgical instrumentation associated with povidone-iodine in the treatment of interproximal furcation involvements.J Appl Oral Sci [Internet]. 2010 [citado 3 May 2012 ]; 18,(6): 599-606. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572010000600011&lng=en&nrm=iso&tlng=en

  5. Pérez Borrego A, Domínguez Rodríguez L, Ilisástigui Ortueta ZT, Hernández Ramírez P. Utilización de células madre en el tratamiento de defectos óseos periodontales. Rev Cubana Estomatol [Internet]. 2009 Dic [citado 2 Feb 2013]; 46(4): 122-28. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072009000400012&lng=es.

  6. Carranza F. Lesiones de furcación. En: Periodontología Clínica de Glickman. La Habana: Pueblo y Educación; 1983 .p. 254- 59.

  7. Sánchez Pérez A, Moya Villaescusa MJ. Periodontal disease affecting tooth furcations. A review of the treatments available. Med Oral Patol Oral Cir Bucal [Internet]. 2009 Oct [citado 1 Abr 2011]; 14 (10):554-7. Disponible en: http://www.medicinaoral.com/medoralfree01/v14i10/medoralv14i10p554.pdf

  8. Hayakawa H, Ota K, Fujimani K, Furusawwa M, Makiishi T, Nikaido M, et al .Surgical periodontal therapy at Tokyo Dental Collage Suidobashi Hospital: a statistical profile in 2010-2011. Bull Tokio Den Coll 2011;52(4):223-28. Citado en PubMed; PMID: 22293593

  9. Verma V, Saimbi CS, Khan MA, Goel A. Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel technique. Indian J Dent Res [Internet]. 2011 [citado 2 Feb 2013 ]; 22:511-6. Disponible en: http://www.ijdr.in/text.asp?2011/22/4/511/90280

  10. Del Peloso Ribeiro E, Bittencourt S, Nociti FH Jr, Sallum EA, Sallum AW, Casati MZ. Comparative study of ultrasonic instrumentation for the non-surgical treatment of interproximal and non-interproximal furcation involvements. J Periodontol. 2007; 78:224-30. Citado en PubMed; PMID :17274710

  11. Nart J, Oribe D, Arocena J, Solís C, Bertos N, Santos A. Regeneración tisular guiada en defectos de furcas. Análisis crítico del trabajo de Pontoriero y cols. (1987, 88 y 89). Periodoncia y Osteointegración [Internet]. 2010 [citado 15 May 2011]; 20(2): 153-55. Disponible en:http://www.periodonciabarcelona.es/pdf/Jose_Nart_reg_tisular.pdf.

  12. Sanz Sánchez I, Bascones Martínez A. Otras enfermedades periodontales II: Lesiones endo-periodontales y condiciones y/o deformidades del desarrollo o adquiridas. Av Periodon Implantol [Internet]. 2008 [citado 15 May 2011]; 20 (1): 67-77. Disponible en: http://scielo.isciii.es/pdf/peri/v20n1/original6.pdf

  13. Huynh-Ba G, Kuonen P, Hofer D, Schmidt J, Lang NP, Salvi GE. The effect of periodontal therapy on the survival rate and incidence of complications of multirooted teeth with furcation involvement after an observation period of at least 5 years: a systematic review. J Clin Periodontol. [Internet] 2009 [citado 2 Dic 2012 ]; 36(2):164-76. Disponible en : http://www.ncbi.him.gov/myncbi.collectionpubmed/ 19207893

  14. Fabrizi S, Ortiz Vigón Carnicero A, Bascones Martínez A. Tratamiento periodontal regenerativo en dientes con afectación furcal. Av Periodon Implantol [Internet]. 2010 Dic [citado15 May 2011]; 22 (3): 147-56. Disponible en:http://www.scielo.isciii.es/pdf/peri/v22n3/original3.pdf

  15. 15.Tunkel J, De Stavola L, Khoury F. Conservación de dientes o colocación de implantes en casos de molares con afectación periodontal. Rev Periodoncia [Internet]. 2010 Jul [citado 2 Feb 2013]; 20(4):269-82.Disponible: en: http://europa.sim.ucm.es/compludoc/AA?articuloId=798231

  16. Alpiste Illueca F M, Buitrago Vera P, Grado Cabanilles P, Fuenmayor Fernández V, Gil Loscos FJ. Regeneración periodontal en la practica clínica. Med Oral Patol Oral Cir Bucal [ Internet]. 2006 Jul [citado 2 Feb 2013 ]; 11(4):382-92. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1698-69462006000400017&lng=es

  17. Singhal R. Glass ionomer cement as an occlusive barrier in Class III furcation defect. Indian J Dent Res [Internet]. 2011 [citado 2 Feb 2013 ];22:5836. Disponible en: http://www.ijdr.in/text.asp?2011/22/4/583/9030413




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Rev Méd Electrón. 2013;35