Answer: (b) Max 2nd, Max 1st, Mn 2nd, Mn 1st
Maxillary molars have worse prognosis than mandibular. Second molars have worse prognosis than first molars.
Glickman I – feel fluting, not roof
Glickman II – engage roof
Glickman III – Probe goes through furcation
Glickman IV – Can see through furcation
Furcation treatment options:
- Non surgical
- Regenerative
- Resective
- Extraction
Under regenerative option:
- Flap curettage
- Osseous grafts
- Guided tissue regeneration for I and II
Max 2,3rd molars lost most frequently.
Maxillary premolars with furcation involvement have a poor to hopeless prognosis.
The diagnosis and treatment of molar furcation invasions. Newell, D.H., Dental Clinics of North America Vol 42 (2) 1998
A long-term survey of tooth loss in 600 treated periodontal patients. Hirschfeld, L. and Wasserman, B. J Perio 49: 225, 1978
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