[Furcation entrance dimension, divergent angle and length of CEJ to furcation entrance relate to periodontal therapy].
In previous studies we have investigated the furcation entrance dimension (FED), furcation entrance angle (FEA) and the distance between cementoenamel junction and furcation entrance (CEJ-FE) of the first and second molars and compared the Chinese with the Caucasians. The aim of the present study was to relate the FED, FEA, and distance of CEJ-FE to the clinical significance of periodontal therapy of molar furcations. All the FEDs, FEAs, and distance of CEJ-FEs of the molars were measured by a stereomicroscope equipped with a Bioscan OPTIMAS Image Analyzer and statistically analyzed by Student's paired t-test, multiple regression of ANOVA and correlation analysis. The results are summarized below. (1) There is a significant relationship between FEA and location of buccal, mesial, and distal furcations of maxillary first and second molars (16& 26, p < 0.001; 17&27, p < 0.01). (2) There exists a significant relationship between FEA and FED in the mandibular first and second molars. (3) There exists a significant relationship between FED and FEA in the mandibular second molar (r = 0.370, p < 0.05). (4) The prevalence of mean FED and FEA (type D, FED < or = 0.75 mm and FEA < or = 90 degree) of the maxillary first molar (45%) is twice as high as the maxillary first molar (24%). (5) The prevalence of type D of the buccal (32%) and lingual (37%) furcations on the mandibular second molar is markedly higher than the first molar (buccal = 12%; lingual = 4%, respectively). These results reveal that those topographics of the FED, FEA, and distance of CEJ-FE in second molars have poor prognosis in periodontal therapy when compared with first molars.
Hou
G L
GL
Graduate Institute of Dental Sciences, School of Dentistry, Kaohsiung Medical College, Kaohsiung, Taiwan, Republic of China.
Chen
S F
SF
Tsai
C C
CC
D006801:Humans; D010510:Periodontal Diseases / Q000628:therapy*; D014070:Tooth / Q000033:anatomy & histology*