Treatment strategy for guided tissue regeneration in various class II furcation defect: Case series

Abstract

Periodontal regeneration is a main aspect in the treatment of teeth affected by periodontitis.

Periodontal regeneration in furcation areas is quite challenging, especially when it is in interproximal

region. There are several techniques used alone or in combination considered to achieve periodontal

regeneration, including the bone grafts or substitutes, guided tissue regeneration (GTR), root

surface modification, and biological mediators. Many factors may account for variability in response

to regenerative therapy in class II furcation. This case series describes the management of class

II furcation defect in a mesial interproximal region of a maxillary tooth and other with a buccal

class II furcation of mandibular tooth, with the help of surgical intervention including the GTR

membrane and bone graft materials. This combined treatment resulted in healthy periodontium

with a radiographic evidence of alveolar bone gain in both cases. This case series demonstrates that

proper diagnosis, followed by removal of etiological factors and utilizing the combined treatment

modalities will restore health and function of the tooth with the severe attachment loss.

Key Words: Class II furcation, guided tissue regeneration, maxillary mesial furcation