Gaurav Bakutra1*, Sarath Chandran2, Shivlal Vishnoi3, Priyadarshini Nadig3 and Ruchi Raval1
1Senior Lecturer, Department of Periodontics and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
2Professor and Head, Department of Periodontics and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
3Reader, Department of Periodontics and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
*Corresponding Author: Gaurav Bakutra, Senior Lecturer, Department of Periodontics and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India.
Received: July 06, 2018; Published: August 09, 2018
Citation: Gaurav Bakutra., et al. ““Prevalence, Extension and Severity Associated Risk Factors Associated with Furcation Involvement in an Adult Population. An Epidemiological Study". Acta Scientific Dental Sciences 2.9 (2018).
Introduction: Severity of the periodontal disease and associated tooth loss are more prevalent in molar region. The reason behind more prevalence among molars is that furcation areas in molars have complex anatomy and they are difficult to approach for oral hygiene maintenance. Outcome of periodontal treatment is less favourable in furcation involved molars.
Aim: The aim of this study is to evaluate the prevalence, extension and severity associated risk factors of furcation involvement in patients referred for periodontal treatment.
Materials and Methods: An epidemiological study was planned for three years (2013 to 2016) in 551 patients who were referred to Department of Periodontics. In clinical examination assessments of furcation involvement, oral hygiene status, gingival condition and probing pocket depth were included. Full mouth intraoral periapical radiograph examination was performed. Associated risk factors such as smoking, education status were also assessed. Data analysis was done by SPSS software and Pearson’s Chi square test was used for statistical analysis.
Result: The prevalence of furcation involvement was 8.2%. The results revealed that 5.08% patients presented with all 12 molars, while 4.72% had lost all molars. In 44.75% individuals had at least 8 molars were present. Prevalence of furcation involved molars was higher in the maxilla compared to mandible. Highest frequency of furcation involvement was found in distal furcation of the maxillary first molar (53%), and mesial furcation of maxillary second molar showed the lowest frequency (20%). Age of the patient (p < 0.001), dental plaque (p < 0.001), periodontal pocket (p < 0.001), gingival inflammation (p < 0.005) were significantly correlated with furcation involvement. Smoking (p < 0.05) and education (p = 0.011) status were also correlated with furcation.
Conclusion: It was concluded that tooth morphology may be an important factor that accounts for the prevalence of furcation involvement. Periodontal pockets, age, and smoking were risk indicators for furcation involvement.
Keywords: Bone Loss; Periodontitis; Attachment Loss; Tooth Loss
Copyright: © 2018 Gaurav Bakutra., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.