PDF Version - Glidewell Dental Labs
PDF Version - Glidewell Dental Labs
PDF Version - Glidewell Dental Labs
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Tooth #30 appears to have minimal periodontal issues,<br />
based on tissue appearance.<br />
Vertical probing is minimal (2 mm) in the furcation<br />
area.<br />
Upon reflection of the flap, the existing margin<br />
ends in the furcation. A significant problem exists<br />
in terms of the furcation breaking down further over<br />
time if left that close to the final margin.<br />
Q: Does vertical probing in<br />
the furcation area tell what<br />
A:<br />
periodontal issues may exist?<br />
No, as the furcation may<br />
approximate the old margin, causing<br />
the possibility of future problems for the<br />
furcation and new crown. It is important<br />
to eliminate any furcation present prior<br />
to placement of a new restoration. CM<br />
By removing the old margin and smoothing the<br />
furcation area, the problem is solved. The operator<br />
can now place a new margin anywhere he or she<br />
wishes.<br />
The flap is sutured just coronal to the bone so as<br />
not to expose it. The concept of suturing is to try<br />
to get as much primary closure as possible. Better<br />
wound healing occurs and less pain is involved with<br />
primary closure.<br />
Dr. Daniel Melker is in private practice and can be reached at 727-725-0100.<br />
54 chairsidemagazine.com
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