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CASE REPORT
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 33-36

Tunnel Preparation


1 Department of Periodontics, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
2 Department of Periodontics, Government Dental College and Hospital, Nagpur, Maharashtra, India

Correspondence Address:
Shivlal L Vishnoi
Department of Periodontics, Manubhai Patel Dental College and Hospital, Vishwajyoti Ashram, Near Vishwametri Bridge, Vadodara - 390 011, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2393-8692.158909

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Treatment and management of teeth with furcation involvement is one of the most challenging problems confronting general dentist. In advanced furcation involvement, the tunnel preparation procedure is preferable to extraction when other treatments are precluded for financial or other reasons. Certain technical problems, such as gaining access for oral hygiene procedures on posterior molars, are obvious; this heroic technique could not be considered as a regular treatment modality for any tooth or any patient. This treatment was done for a 38-year-old female patient in good general health. After raising a full thickness flap on the mandibular left side of the mouth, the furcation of tooth #36 was widened by a #2 round bur and bone file. Osteoplasty continued by bur, file, and chisel until enough space was created for interdental brush use to control dental plaque. Flap was placed apically and sutured. Prosthodontic treatment was done 4 months after the periodontal therapy. After 1-year, the treated tooth is still functioning in the mouth of the patient. We are satisfied with the result of treatment.


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