Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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CASE REPORT
Year : 2019  |  Volume : 23  |  Issue : 1  |  Page : 73-76

Bidirectionally positioned flap technique for molar class II furcation defect- 1 year follow up


Department of Periodontology, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India

Correspondence Address:
Shikha Sharma
Manipal College of Dental Sciences, Manipal Academy of Higher Education, Light House Hill Road, Near Syndicate Bank, Hampankatta, Mangalore - 575 001, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisp.jisp_322_18

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In the treatment of Class II furcation defects, guided tissue regeneration (GTR) in combination with bone grafts has provided better treatment outcomes in comparison to GTR alone. A 48-year-old male patient reported with a chief complaint of pain and bleeding in the right lower back teeth area from 3 months. On clinical and radiographic evaluation, a Class II buccal furcation defect was detected in tooth #46. A bidirectionally positioned flap (BPF) technique in combination with bone graft was done to treat the defect following nonsurgical therapy. The healing was satisfactory postoperatively. The patient was recalled for supportive periodontal therapy at 3, 6, and 12 months. Clinical and radiographic outcomes after 12 months revealed possible new attachment and stable periodontal status. It is concluded that inner periosteal flap in BPF technique may serve as an alternative technique to GTR barrier membranes in case of Class II furcation defects.


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