Anatomske karakteristike furkacija i korenova višekorenih zuba – epidemiološka studija

  • Jana Kadović University of Belgrade, Faculty of Dental Medicine, Department of Periodontology and Oral Medicine, Belgrade, Serbia
  • Nada Novaković University of Belgrade, Faculty of Dental Medicine, Department of Periodontology and Oral Medicine, Belgrade, Serbia
  • Mila D Jovanovic University of Belgrade, Faculty of Dental Medicine, Department of Periodontology and Oral Medicine, Belgrade, Serbia
  • Vladan Djordjević Clinic for Psychiatric Disorders “Dr. Laza Lazarević”, Belgrade, Serbia
  • Vanja Petrović University of Belgrade, Faculty of Dental Medicine, Department for Restorative Dentistry and Endodontics, Belgrade, Serbia
  • Ljiljana Stojčev Stajčić University of Belgrade, Faculty of Dental Medicine, Clinic for Oral Surgery and Implantology, Belgrade, Serbia
  • Saša Čakić University of Belgrade, Faculty of Dental Medicine, Department of Periodontology and Oral Medicine, Belgrade, Serbia
Keywords: furkacija, defekti, odontometrija, zub, koren

Abstract


Apstrakt

 

Uvod/Cilj. Poznavanje mnogobrojnih varijacija anatomskih karakteristika furkacija (furkacionih regija) je preduslov za postizanje predvidivih rezultata terapije furkacionih defekata višekorenih zuba. Cilj ovog istraživanja je bio procena morfološke karakteristike izvađenih zuba adultne populacije u Beogradu. Metode. Merenja su vršena na ukupno 468 izvađenih prvih i drugih molara i gornje i donje vilice. Analizirane su izmerene vrednosti dužine korenskog stabla i dužine korenova, prečnik ulaza u furkaciju, odstojanje između korenova i dubina korenskog konkaviteta. Rezultati. Prvi gornji molari su imali signifikantno veće vrednosti dužine korenskog stabla od drugih gornjih molara. Kod donjih molara, prečnik ulaska u furkaciju bio je manji od 1 mm. Na trećem nivou merenja, odstojanje između korenova imalo je vrednost veću od 2 mm. Zaključak. Prečnik ulaska u furkaciju sa bukalne strane gornjih molara bio je najmanji. Dubina korenskog konkaviteta drugih donjih molara bila je veća sa lingvalne strane.

Author Biography

Ljiljana Stojčev Stajčić, University of Belgrade, Faculty of Dental Medicine, Clinic for Oral Surgery and Implantology, Belgrade, Serbia

Redovni profesor

Klinika za oralnu hirurgiju

References

REFERENCES

Agustín Zerón J. Glossary of periodontal terms. Rev ADM 1990; 47(6): 350–8. (Spanish)

Page RC, Offenbacher S, Schroeder HE, Seymour GJ, Kornman KS. Ad¬vances in the pathogenesis of periodontitis: summary of developments, clinical implications and future directions. Pe-riodontol 2000. 1997; 14: 216–48.

Müller HP, Eger T. Furcation diagnosis. J Clin Periodontol 1999; 26(8): 485–98.

Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multi-rooted teeth. Results after 5 years. J Clin Periodontol 1975; 2(3): 126–35.

Lindhe J, Okamoto H, Yoneyama T, Haffajee A, Socransky SS. Perio¬dontal loser sites in untreated adult subjects. J Clin Perio¬dontol 1989; 16(10): 671–8.

Becker W, Berg L, Becker BE. Untreated periodontal disease: a longitudinal study. J Periodontol 1979; 50: 234–44.

Papapanou PN, Wennström JL, Gröndahl K. A 10-year retrospec-tive study of periodontal disease progression. J Clin Perio-dontol 1989; 16(7): 403–11.

Wang HL, Burgett FG, Shyr Y, Ramfjord S. The influence of mo¬lar furcation involvement and mobility on future clinical periodontal attachment loss. J Periodontol 1994; 65(1): 25–9.

Hirschfeld L, Wasserman B. A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol 1978; 49:

–37.

McFall WT. Tooth loss in 100 treated patients with periodontal disease. A long-term study. J Periodontol 1982; 53: 539–49.

Goldman MJ, Ross IF, Goteiner D. Effect of periodontal therapy on patients maintained for 15 years or longer. A retrospective study. J Periodontol 1986; 57(6): 347–53.

Loos B, Nylund K, Claffey N, Egelberg J. Clinical effects of root de¬bridement in molar and non-molar teeth. A 2-year follow-up. J Clin Periodontol 1989; 16(8): 498–504.

Claffey N, Egelberg J. Clinical characteristics of periodontal sites with probing attachment loss following initial periodontal treatment. J Clin Periodontol. 1994; 21(10): 670–9.

Reddy MS, Aichelmann-Reidy ME, Avila-Ortiz G, Klokkevold PR, Murphy KG, Rosen PS, et al. Periodontal regeneration – furca-tion defects: a consensus report from the AAP Regeneration Workshop. J Periodontol 2015; 86(2 Suppl): S131–3.

Risnes S, Segura JJ, Casado A, Jiménez-Rubio A. Enamel pearls and cervical enamel projections on 2 maxillary molars with lo-calized periodontal disease: case report and histologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89(4): 493–7.

Novaes AB, Palioto DB, de Andrade PF, Marchesan JT. Regenera-tion of class II furcation defects: determinants of increased success. Braz Dent J 2005; 16(2): 87–97.

Larato DC. Some anatomical factors related to furcation in-volvements. J Periodontol 1975; 46(10): 608–9.

Al-Shammari KF, Kazor CE, Wang HL. Molar root anatomy and management of furcation defects. J Clin Periodontol 2001; 28(8): 730–40.

Hou GL, Tsai CC. Types and dimensions of root trunk corre-lat¬ing with diagnosis of molar furcation involvements. J Clin Periodontol 1997; 24(2): 129–35.

Dunlap RM, Gher ME. Root surface measurements of the man¬dibular first molar. J Periodontol 1985; 56(4): 234–8.

Gher MW, Dunlap RW. Linear variation of the root surface area of the maxillary first molar. J Periodontol 1985; 56(1): 39–43.

Hermann DW, Gher ME Jr, Dunlap RM, Pelleu GB Jr. The poten¬tial attachment area of the maxillary first molar. J Periodontol 1983; 54(7): 431–4.

dos Santos KM, Pinto SC, Pochapski MT, Wambier DS, Pilatti GL, Santos FA. Molar furcation entrance and its relation to the width of curette blades used in periodontal mechanical ther-apy. Int J Dent Hyg 2009; 7(4): 263–9.

Mardam-Bey W, Majzoub Z, Kon S. Anatomic considerations in the etiology and management of maxillary and mandibular molars with furcation involvement. Int J Periodontics Re-storative Dent 1991; 11(5): 398–409.

Roussa E. Anatomic characteristics of the furcation and root sur¬faces of molar teeth and their significance in the clinical management of marginal periodontitis. Clin Anat 1998; 11: 177–86.

Johansson KJ, Johansson CS, Ravald N. The prevalence and altera¬tions of furcation involvements 13 to 16 years after periodon¬tal treatment. Swed Dent J 2013; 37(2): 87–95.

Nordland P, Garrett S, Kiger R, Vanooteghem R, Hutchens LH, Egel¬berg J. The effect of plaque control and root debridement in molar teeth. J Clin Periodontol 1987; 14(4): 231–6.

Svärdström G, Wennström JL. Prevalence of furcation involve-ments in patients referred for periodontal treatment. J Clin Pe¬riodontol 1996; 23(12): 1093–9.

Dannewitz B, Krieger JK, Hüsing J, Eickholz P. Loss of molars in periodontally treated patients: a retrospective analysis five years or more after active periodontal treatment. J Clin Perio-dontol 2006; 33(1): 53–61.

DeSanctis M, Murphy KG. The role of resective periodontal sur-gery in the treatment of furcation defects. Periodontol 2000 2000; 22: 154–68.

McClain PK, Schallhorn RG. Focus on furcation defects--guided tissue regeneration in combination with bone grafting. Perio-dontol 2000 2000; 22: 190–212.

Bowers GM, Schallhorn RG, McClain PK, Morrison GM, Morgan R, Reynolds MA. Factors influencing the outcome of regenerative therapy in mandibular Class II furcations: Part I. J Periodontol 2003; 74(9): 1255–68.

Horwitz J, Machtei EE, Reitmeir P, Holle R, Kim TS, Eickholz P. Ra¬diographic parameters as prognostic indicators for healing of class II furcation defects. J Clin Periodontol 2004; 31(2): 105–11.

Hou GL, Tsai CC, Huang JS. Relationship between molar root fusion and localized periodontitis. J Periodontol. 1997; 68(4): 313–9.

Kapin SH, Eskow RN. Furcation invasions: correlating a classi-fi¬cation system with therapeutic considerations. Part III. Sec-tioning teeth in the treatment of furcation invasions. Com-pend Contin Educ Dent 1984; 5(8): 612–4, 617, 619 passim.

Plagmann HC, Holtorf S, Kocher T. A study on the imaging of complex furcation forms in upper and lower molars. J Clin Pe-riodontol 2000; 27(12): 926–31.

Sanz M, Jepsen K, Eickholz P, Jepsen S. Clinical concepts for re-gen¬erative therapy in furcations. Periodontol 2000 2015; 68(1): 308–32.

Mandelaris GA, Wang HL, MacNeil RL. A morphometric analy¬sis of the furcation region of mandibular molars. Compend Contin Educ Dent 1998; 19(2): 113–6, 118–20; quiz 122.

Hempton T, Leone C. A review of root resective therapy as a treatment option for maxillary molars. J Am Dent Assoc 1997; 128(4): 449–55.

Bower RC. Furcation morphology relative to periodontal treat-ment. Furcation entrance architecture. J Periodontol 1979; 50: 23–7.

Jones SJ, Lozdan J, Boyde A. Tooth surfaces treated in situ with periodontal instruments. Scanning electron microscopic stud-ies. Br Dent J 1972; 132(2): 57–64.

Kerns DG, Greenwell H, Wittwer JW, Drisko C, Williams JN, Kerns LL. Root trunk dimensions of 5 different tooth types. Int J Periodontics Restorative Dent 1999; 19(1): 82–91.

Chiu BM, Zee KY, Corbet EF, Holmgren CJ. Periodontal implica¬tions of furcation entrance dimensions in Chinese first perma¬nent molars. J Periodontol 1991; 62(5): 308–11.

Parashis AO, Anagnou-Vareltzides A, Demetriou N. Calculus re-moval from multirooted teeth with and without surgical ac-cess. II. Comparison between external and furcation surfaces and effect of furcation entrance width. J Clin Periodontol. 1993; 20(4): 294–8.

Do Vale HF, Del Peloso Ribeiro E, Bittencourt S, Nociti FH, Sallum EA, Casati MZ. Radiographic characteristics of furcation in¬volvements in mandibular molars as prognostic indicators of healing after nonsurgical periodontal therapy. J Am Dent Assoc 2009; 140(4): 434–40.

Fleischer HC, Mellonig JT, Brayer WK, Gray JL, Barnett JD. Scaling and root planing efficacy in multirooted teeth. J Periodontol 1989; 60: 402–9.

Hou GL, Chen SF, Wu YM, Tsai CC. The topography of the fur¬cation entrance in Chinese molars. Furcation entrance di-mensions. J Clin Periodontol 1994; 21(7): 451–6.

Kocher T, Tersic-Orth B, Plagmann HC. Instrumentation of furca¬tion with modified sonic scaler inserts: a study on manikins (II). J Clin Periodontol 1998; 25(6): 451–6.

Pepelassi EM, Bissada NF, Greenwell H, Farah CF. Doxycycline-tricalcium phosphate composite graft facilitates osseous heal¬ing in advanced periodontal furcation defects. J Periodontol 1991; 62(2): 106–15.

Pontoriero R, Lindhe J, Nyman S, Karring T, Rosenberg E, Sanavi F. Guided tissue regeneration in degree II furcation-involved mandibular molars. A clinical study. J Clin Periodontol 1988; 15(4): 247–54.

Pontoriero R, Lindhe J, Nyman S, Karring T, Rosenberg E, Sanavi F. Guided tissue regeneration in the treatment of furcation de¬fects in mandibular molars. A clinical study of degree III in-volvements. J Clin Periodontol 1989; 16(3): 170–4.

Svärdström G, Wennström JL. Furcation topography of the maxil¬lary and mandibular first molars. J Clin Periodontol 1988; 15(5): 271–5.

Lu HK. Topographical characteristics of root trunk length re-lated to guided tissue regeneration. J Periodontol 1992; 63(3): 215–9.

Schwendicke F, Graetz C, Stolpe M, Dörfer CE. Retaining or re-plac¬ing molars with furcation involvement: a cost-effective-ness comparison of different strategies. J Clin Periodontol 2014; 41: 1090–7.

Published
2021/04/08
Section
Original Paper