Bicuspidization of a Mandibular First Molar With Furcation Defect: A Case Report

DOI

10.2991/ahsr.k.210201.007How to use a DOI?

Keywords

furcation defect, bicuspidization, porcelain fused to metal restoration, Prof. Soedomo Dental Hospital

Abstract

The increased desire of patients to maintain their dentition has forced conservative dentistry to conserve the teeth which are planned to be removed. Defect in furcation area resulting from the lesion has always been a concern regarding the choice of treatment. Bicuspidization is a process to separate distal and mesial roots in mandibular molars along with their coronal portions into two segments that retain individually. The purpose of this case report is to inform about bicuspidization treatment to preserve the tooth. A 19 year old male came to Prof. Soedomo Dental Hospital complained of swelling in left mandibular posterior region since 1 month ago. Clinical examination showed temporary restoration on occlusal area of 36 tooth, sensitive to percussion, grade 1 mobility, probing depth 7 mm in mid buccal aspect, vitality test yielded no response, and there was a chronic apical abscess. Dental history revealed patient had dental filling 2 years ago. Periapical radiograph confirmed Class II furcation involvement with vertical bone loss and radiolucent area in mesial and distal periapical. Bone support for both roots remain intact. Based on clinical examination, bicuspidization followed by porcelain fused to metal restoration would be performed. Conclusion: Bicuspidization can be considered as suitable alternative treatment to extraction for multirooted teeth with Class II furcation involvement. Through this procedure, unfavorable anatomic and furcation defects were removed, tooth structure can be preserved and good healing response is achievable.

Copyright

© 2021, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Ferdina Nidyasari
AU  - Wignyo Hadriyanto
AU  - Margareta Rinastiti
PY  - 2021
DA  - 2021/02/01
TI  - Bicuspidization of a Mandibular First Molar With Furcation Defect: A Case Report
BT  - Proceedings of the 1st Aceh International Dental Meeting (AIDEM 2019), Oral Health International Conference On Art, Nature And Material Science Development 2019
PB  - Atlantis Press
SP  - 31
EP  - 35
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.210201.007
DO  - 10.2991/ahsr.k.210201.007
ID  - Nidyasari2021
ER  -