Periodontal Regeneration of Molars with Furcation Defects Utilizing a Videoscope-Assisted Minimally Invasive Surgical Approach
MetadataShow full item record
The aim of the current prospective, outcomes-based case series was to evaluate the potential of videoscope-assisted minimally invasive surgery (V-MIS) in the regenerative treatment of maxillary and mandibular molars with Degree II furcation involvement. Fifteen consecutively treated patients providing 12 interproximal maxillary and 3 buccal or lingual mandibular sites were included in the study. Treatment consisted of V-MIS in conjunction with 24% ethylenediaminetetraacetic acid (EDTA) for root biomodification, enamel matrix derivative (EMD) and bone grafting with cortical demineralized freeze-dried bone allograft (DFDBA). Final measurements were made 6 months post-operatively. Overall results revealed statistically significant mean improvements in probing depth of 2.667 ± 2.067 mm, clinical attachment level of 2.167 ± 2.209 mm, and vertical probing depth of the furcation as measured via bone sounding of 0.967 ± 1.494 mm. No statistically significant mean changes in the soft tissue parameters of gingival recession and papilla height and width were noted. The results of this study demonstrate that V-MIS and combination grafting with DFDBA and EMD may result in clinically and statistically significant improvements in probing depth, clinical attachment level, and vertical probing depth of the furcation with non-statistically significant changes in gingival recession and papilla height and width in the treatment of maxillary and mandibular Degree II furcation defects. Furthermore, these improvements may result in a statistically significant improvement in prognosis as determined by the Miller-McEntire Score.
Tunnell, John Clayton (2016). Periodontal Regeneration of Molars with Furcation Defects Utilizing a Videoscope-Assisted Minimally Invasive Surgical Approach. Master's thesis, Texas A & M University. Available electronically from