ABSTRACT
Abstract: Furcation defects represent a formidable problem in the treatment of periodontal disease, principally related to the complex and irregular anatomy of furcations. The presence and severity of a furcation lesion reduces the success rate of conventional periodontal therapy in these specific areas and therefore worsens the long-term prognosis of that particular tooth.While regeneration of the periodontium is an accepted treatment goal, not all furcation defects can be effectively treated using regenerative procedures. Hence, resective therapies like root resection, bicuspidization or hemisection for the treatment of furcation defects is an essential part of the periodontal treatment, which must be performed in order to attain a result which can eventually be considered more conservative. Here is a case report of a 38-year-old male with hemisection procedure performed in the right mandibular 1st molar with grade III furcation involvementfollowed by fixed partial denture.
ABSTRACT
Abstracts: Background & Objective: The domain of periodontics has changed from being strictly a health service to one, where smile enhancement has been brought to the forefront of treatment planning. In the composition of a beautiful smile, the form, balance, symmetry and relationship of the elements make it attractive or unattractive. Altered passive eruption is one of the conditions where a large portion of the anatomic crown remains covered by the gingiva which compromises dentofacial aesthetics. Periodontal plastic procedures, such as the basic gingivectomy, osseous correction or the apically positioned flap, may be used to change the silhouette form of teeth and their relative proportion. Here is a case of a 22-year-old healthy male with altered passive eruption (type 1A) with treatment that resulted in a revised silhouette form for the tooth which is more elliptical and attractive so as to resolve the unwarranted excessive display of gingiva apparent during smiling.