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periodontal pathology

albert
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periodontal pathology

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    6: Bone loss can occur at any point on the buccal surface of molars so pocket depth must be checked at several points and the deepest measurement recorded.

    7: Bone loss in furcations can occur in a horizontal or vertical plane.

    9: Grade I furcation on the buccal of first molar.

    10: Radiograph shows intact bone in furcation.

    11: At time of surgery minimal bone loss in furcation.

    13: Early grade II furcation. Both molars have grade II furcation with 5mm pockets.

    14: Early grade II furcations at time of surgery, beginning bone loss in both molars.

    15: Moderate grade II furcation. More severe horizontal bone loss on the buccal is seen at the time of surgery.

    16: Moderate grade II furcation. Radiographic evidence of bone loss in furcation.

    17: Advanced grade II furcation. Severe bone loss in buccal furcation while the lingual furcation has normal bone.

    18: Advanced grade II furcation. The probe can not pass completely through the furcation as there is still intact bone in the lingual half of the furcation.

    22: Radiograph shows deep bone loss on mesial and triangular shaped radiolucency in distal furcation.

    23: CAT scan will allow cross section views of interior of furca in 1 mm bucco palatal slices.

    24: CAT scan image shows bone loss with no bone attached to the roof of the furca.

    25: Additional cross section views towards distal show bone loss across the whole width of the furcation.

    26: At time of surgery there is advanced bone loss exposing the mesial furca with bone loss extending all the way to the distal furcation

    27: Grade III furcations extending across both the first and second molars with bone loss allowing passage of probes completely through the furcation.

    28: At the time of surgery there has been bone loss in both a horizontal and vertical dimensions.

    30: Slide to be inserted!!!

    31: Examples of furcation involvement of upper teeth.

    32:

    33: Early furcation involvement of mesial of first premolar.

    35: Extracted upper molar with calculus in roof of furcation.

    39: In this case grade II furcations on the buccal and lingual were treated with initial therapy and then with flap and osseous surgery.

    61: In cases with advanced grade III involvement it may be necessary to extract the tooth due to its very poor hopeless prognosis.

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