Treatment strategy for guided tissue regeneration in various class II furcation defect: Case series
A 34-year-old female patient came to the faculty of dental sciences, with a chief complain of pain and continuous discomfort in the lower left posterior region of the jaw since 2 months. On clinical examination, signs of inflammation with buccal furcation involvement were present in tooth 36. No recession, neither mobility was present nor periapical radiograph showed a deep bony defect in furcation of 36 and a periapical lesion []. Electric and thermal pulp testing showed negative response and there was a periapical lesion hence an endodontic intervention was required. Therefore, considering the dental history and radiographs, first of all root canal treatment was performed and then a periodontal surgery was planned. After local anesthesia, a mucoperiosteal flap was raised. Class II furcation with severe osseous destruction was observed in buccal furcation of 36. A horizontal attachment loss was about 5 mm []. After thorough root planing, furcation area was filled with the bone graft (Perio bone-G, alloplastic graft) and GTR membrane (Perio col-GTR, resorbable) covering the root surface [Figures and ]. Flap was sutured with 3-0 silk sutures. Post-operative antibiotics and analgesics were prescribed for 1 week. Sutures were removed 7 days later. Patient was monitored on a weekly schedule post-operatively, to ensure good oral hygiene in the surgerized area []. At 1 year recall, the tooth was asymptomatic with the successful healing. Radiograph after 1 year follow-up showed the resolution of osseous defect in the furcation area [].