Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jul:47 Suppl 22:375-391.
doi: 10.1111/jcpe.13241.

Resective surgery for the treatment of furcation involvement: A systematic review

Henrik Dommisch  1   2 , Clemens Walter  3 , Bettina Dannewitz  4 , Peter Eickholz  4
Affiliations

Resective surgery for the treatment of furcation involvement: A systematic review

Henrik Dommisch et al. J Clin Periodontol. 2020 Jul.

Abstract

Objective: To evaluate the benefit of resective surgical periodontal therapy (root amputation or resection, root separation, tunnelling) in periodontitis patients exhibiting class II and III furcation involvement (FI) compared with non-surgical treatment (SRP) or open flap debridement (OFD).

Material: Outcomes were tooth survival (primary), vertical probing attachment gain, and reduction in probing pocket depth (secondary) evidenced by randomized clinical trials, prospective and retrospective cohort studies and case series with ≥ 12 months of follow-up. Search was performed on 3 electronic databases from January 1998 to December 2018.

Results: From a total of 683 articles, 66 studies were identified for full-text analysis and 7 studies finally included. Six hundred sixty-seven patients contributed 2,021 teeth with class II or III FI. Data were very heterogeneous regarding follow-up and distribution of FI. A total of 1,515 teeth survived 4 to 30.8 years after therapy. Survival ranged from 38%-94.4% (root amputation or resection, root separation), 62%-67% (tunnelling), 63%-85% (OFD) and 68%-80% (SRP). Overall, treatment provided better results for class II FI than class III.

Conclusion: Within their limits, the data indicate that in class II and III FI, SRP and OFD may result in similar survival rates as root amputation/resection, root separation or tunnelling.

Keywords: furcation involvement; long-term survival; periodontitis; resective surgery.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

REFERENCES

    1. Albandar, J. M., Brunelle, J. A., & Kingman, A. (1999). Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994. Journal of Periodontology, 70, 13-29. https://doi.org/10.1902/jop.1999.70.1.13
    1. Carnevale, G., Pontoriero, R., & di Febo, G. (1998). Long-term effects of root-resective therapy in furcation-involved molars. A 10-year longitudinal study. Journal of Clinical Periodontology, 25, 209-214.
    1. Dannewitz, B., Krieger, J. K., Husing, J., & Eickholz, P. (2006). Loss of molars in periodontally treated patients: A retrospective analysis five years or more after active periodontal treatment. Journal of Clinical Periodontology, 33, 53-61. https://doi.org/10.1111/j.1600-051X.2005.00858.x
    1. Dannewitz, B., Zeidler, A., Husing, J., Saure, D., Pfefferle, T., Eickholz, P., & Pretzl, B. (2016). Loss of molars in periodontally treated patients: Results 10 years and more after active periodontal therapy. Journal of Clinical Periodontology, 43, 53-62. https://doi.org/10.1111/jcpe.12488
    1. De Beule, F., Alsaadi, G., Peric, M., & Brecx, M. (2017). Periodontal treatment and maintenance of molars affected with severe periodontitis (DPSI = 4): An up to 27-year retrospective study in a private practice. Quintessence International, 48, 391-405. https://doi.org/10.3290/j.qi.a38059

Publication types

LinkOut - more resources