The document defines three subclasses (a, b, c) of vertical furcation involvement based on the percentage of loss of attachment apparatus along the vertical component of the tooth's furcation. It notes that vertical involvement plays a minimal role in treating Class I furcations unless the involvement reaches the tooth's apices, requiring regenerative therapy or extraction. It also describes the difficulty of thoroughly debriding furcations using instruments due to complex root morphologies, with multi-rooted molars posing an even greater challenge. Horizontally, furcations are classified as Class I, II, or III based on the extent of involvement along the tooth's horizontal dimension.
The document defines three subclasses (a, b, c) of vertical furcation involvement based on the percentage of loss of attachment apparatus along the vertical component of the tooth's furcation. It notes that vertical involvement plays a minimal role in treating Class I furcations unless the involvement reaches the tooth's apices, requiring regenerative therapy or extraction. It also describes the difficulty of thoroughly debriding furcations using instruments due to complex root morphologies, with multi-rooted molars posing an even greater challenge. Horizontally, furcations are classified as Class I, II, or III based on the extent of involvement along the tooth's horizontal dimension.
The document defines three subclasses (a, b, c) of vertical furcation involvement based on the percentage of loss of attachment apparatus along the vertical component of the tooth's furcation. It notes that vertical involvement plays a minimal role in treating Class I furcations unless the involvement reaches the tooth's apices, requiring regenerative therapy or extraction. It also describes the difficulty of thoroughly debriding furcations using instruments due to complex root morphologies, with multi-rooted molars posing an even greater challenge. Horizontally, furcations are classified as Class I, II, or III based on the extent of involvement along the tooth's horizontal dimension.
follows: A. Subclass a: Loss of attachment apparatus along less than 25% of the vertical compo- nent of the furcation of the tooth. B. Subclass b: Loss of attachment apparatus along more than 25% but less than 50% of the vertical component of the furcation of the tooth. C. Subclass c: Loss of attachment apparatus along more than 50% of the vertical compo- nent of the furcation of the tooth. Although the vertical component of a furca- tion involvement has signicant ramications in the treatment of Class II furcations, it plays a minimal role in the treatment of Class I furcations, unless the vertical involvement either extends to such a degree as to render attainment of appropri- ate osseous morphologies impossible, or reaches the apices of the tooth in question. In such situa- tions, regenerative therapy or molar extraction and implant placement must be effected, depending upon the extent of the problem. Examination of the root morphologies facing involved periodontal furcations demonstrates the difculty, and often futility, of attempting to thor- oughly debride these areas through the use of curettes and/or ultrasonic instrumentation, either through a closed or open - ap approach (Fig. 3.4 ). Molars presenting with additional roots, whether they be fully formed or vestigial in nature, pose an even greater challenge to the treating clinician (Fig. 3.5 ). horizontal and vertical dimensions. Horizontal fur- cation involvements are dened as follows: A. Class I: Entrance into the furcation proceeds less than half of the horizontal dimension of the tooth (Fig. 3.1 ). B. Class II: Entrance into the furcation proceeds greater that half of the horizontal dimension of the tooth, but less than the full horizontal dimension of the tooth (Fig. 3.2 ). C. Class III: Entrance into the furcation pro- ceeds along the complete horizontal dimen- sion of the tooth, connecting both the buccal and lingual furcation entrances (Fig. 3.3 ). Fig. 3.1 Class I furcation involvements are noted on both molars. Fig. 3.2 Class II furcation involvements are present on both the rst and second molars. The greater vertical com- ponent of the furcation involvement on the rst molar renders treatment of this area more problematic than the Class II furcation on the second molar. Fig. 3.3 Class III furcation involvements are noted on both the rst and second molars.