根分岐部病変の処置 : 長期治療経過

概要

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Furcation involvement is a special periodontal disease, and should be treated by a special method. This is a case report of the progress of treatment in Class II furcation involvement in a lower left first molar. Pocket depth was measured with a periodontal probe before surgery. After completion of the hygiene phase of therapy, periodontal flaps were used to expose the furcation defect, and the defect was implanted with hydroxyapatite (HAP). Three months later, the area implanted with HAP showed significant reduction in pocket depth. Two years later, the periodontal pocket had recurred and periodontal abscess occurred in the lower left first molar gingiva. Therefore the lower left first molar was bisected. After another 2 years, the lower left first molar was splinted by a lower left second premolar. The results of treatment, and the possibility of using implanted-HAP and this method of treating furcation involvement are discussed.
福岡歯科大学学会の論文
1992-01-31