Resective and regenerative periodontal therapy for maxillary Class II furcation defect: A case report with 24-month follow-up.

Abstract

Periodontal treatment of teeth with furcation defects is challenging due to the complex anatomy of the area. Resective techniques, such as root resection, may be effective in managing teeth with this defect if appropriately indicated and can lead to satisfactory survival rates associated with a favorable prognosis. This report describes the treatment of a Class II furcation defect in an upper molar using root resection combined with regenerative procedures. The regenerative procedure involved the use of a lyophilized bone graft combined with the use of a collagen membrane and a connective tissue graft. The 24-month follow-up demonstrated the success of the therapy, with a gain in clinical attachment level, a reduction in probing pocket depth, and a tomographic image showing the formation of new lamina dura. A healthy and stable periodontium can be achieved through the correct application of more conservative techniques aimed at preserving the dental element.