Abstract
The clinical observations of periodontal and prosthetic therapies using retrospective and radiographic evaluation have indicated that molars affected with advanced furcation involvement (FI) are more prone to reducing clinical periodontal support and losing clinical attachments. The present case showed approach using molar root separation and the design of unilateral CSCTD and magnetic attachment to treating the right maxillary secondary molar with Class II and III furcation involvement. Result showed a remarkable improvement around periodontal tissue of the inner crowns and infra-furcation and furcation roof 14 years later. It can be concluded that the design of the CSCTD combined with magnetic attachment appears to be an effectiveness method in treating advanced molar furcation problems.
Highlights
The clinical observations of periodontal and prosthetic therapies using retrospective and radiographic evaluation have indicated that molars affected with advanced Furcation Involvement (FI) are more prone to reducing clinical periodontal support and losing clinical attachments [1,2]
The primary objectives of CSC telescopic denture with root separation is to preserve the poor abutments with advanced periodontal bone loss, to increase proprioception, improve retention, and stability of periodontal prosthesis
Clinical evaluations of the Crown and Sleeve-coping Telescopic Denture (CSCTD) with magnetic attachment restoration revealed a remarkable improvement around periodontal tissue of the inner crowns and intra-furcation and furcation roof of #17 after molar root separation (Fig 1) The probing depth, clinical attachment level, and periodontal health of most abutments remained within normal ranges (≦ 3 mm) after periodontal and prosthetic therapies using the CSCTD with magnetic attachment
Summary
The clinical observations of periodontal and prosthetic therapies using retrospective and radiographic evaluation have indicated that molars affected with advanced Furcation Involvement (FI) are more prone to reducing clinical periodontal support and losing clinical attachments [1,2]. Predictable and effective treatment of molars affected FI of advanced periodontitis including tunnel preparation, furcation plasty, root sepsrstion, root hemisection, and root amputation these techniques exhibits discrepancies in the success rates and their complications are still controversial [3,4,5,6,7,8]. These procedures have been associated with several complications, problems, such as a residual deeper root concavity, dental plaque control difficulities problems in restoring the resected molars, and root caries [5,9,10]. In order to treat Advanced Class II and/ or III molar FI with poor root morphology in the remaining root following root separation and/or resection, we design a modified approach, combination of molar root separation together with a magnetic attachment, name as a “partial CSC telescopic denture with magnetic attachment.”
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