Furcation management: a viable surgical for apical migration of the gingival margin on mandibular molar

Abdul Azim Asy Abdul Aziz; Aimi Amalina Ahmad; Muhammad Annurdin  Sabarudin; Muhammad Hadi Mohd Hanifah; Uzair Roslan

doi:10.31436/ijohs.v7i1.432

Authors

Abdul Azim Asy Abdul Aziz Department of Conservative Dentistry and Prosthodontics, Faculty of Dentistry, Universiti Sains Islam Malaysia, Jalan Pandan Utama, 55100, Kuala Lumpur, Malaysia
Aimi Amalina Ahmad Department of Conservative Dentistry and Prosthodontics, Faculty of Dentistry, Universiti Sains Islam Malaysia, Jalan Pandan Utama, 55100, Kuala Lumpur, Malaysia.
Muhammad Annurdin Sabarudin Department of Periodontology and Community Oral Health, Faculty of Dentistry, Universiti Sains Islam Malaysia, Jalan Pandan Utama, 55100, Kuala Lumpur, Malaysia.
Muhammad Hadi Mohd Hanifah Periodontics Unit, Klinik Pergigian Bandar Raub, Taman Sentosa, 27600, Raub, Pahang, Malaysia.
Uzair Roslan Faculty of Dentistry, Universiti Sains Islam Malaysia, Jalan Pandan Utama, 55100, Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.31436/ijohs.v7i1.432

Keywords:

apical migration, furcation plasty, gingival recession, molar

Abstract

Furcation involvement (FI) poses significant challenges in periodontal management due to anatomical complexities and limited accessibility for cleaning, often resulting in the progression of periodontal diseases if not properly addressed and treated. This case report presented a 50-year-old male patient with gingival recession and FI in the left mandibular molar, tooth 36. A f) procedure was performed under local anaesthesia, involving incision and flap reflection, exposure and debridement of the furcation area, and apical repositioning of the flap to facilitate plaque control and reduce disease progression risk. Post-operative healing was satisfactory, with no signs of inflammation observed at the two-week follow-up. Supportive p therapy (SPT) was implemented to maintain long-term satisfactory clinical outcomes. This case highlights the efficacy of FP as a treatment modality for FI, emphasising the significance of meticulous and proper case selection.

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