The treatment of teeth with furcations affected by periodontal disease is one of the most challenging situations for the dental community. When the periodontal disease affects the furcation area, tooth loss chance increases considerably.
Exposed root surface, anatomical peculiarities, and irregularities of the furcation surface all favour the growth of bacteria accompanied by limited access to treatment for the operator and limitations on the performance of oral hygiene for the patient. No ideal procedure or protocol for treating such lesions exists, so this presentation will aim to elaborate on different treatment concepts from the past till the present and some future perspectives when it comes to treatment of teeth with furcation involvement. This presentation aims to help clinicians, understand and consider the importance of case selection, the use of advanced diagnostics, the pros and cons of the current evidence, the importance of multidisciplinary approach and the perspective of their clinical understanding and experience when it comes to the treatment of advanced periodontal disease in furcation areas. Its fundamental and every dental professional should seek consultation with a specialist when in doubt regarding the prognosis and treatment of those teeth.