Furcation classification 2025

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Furcation involvement has been graded by systems like Glickmans grading,5 Goldmans grading,6 Tarnow, and Fletcher grading. ing to these, the grade III furcation denotes complete loss of interradicular bone resulting in a tunnel that is not open but covered by soft tissue atleast on one side.
Furcation involvement is classified as grade I subclasses A, B, and C (vertical involvement): Subclass A: Vertical destruction 1/3. Subclass B: Vertical destruction of 2/3. Subclass C: Vertical destruction beyond apical third of interradicular height. Glickman + Hamp classifications.
Stage III periodontitis (severe disease) patients will have probing depths 6 mm, CAL 5 mm, and may have vertical bone loss and/or furcation involvement of Class II or III. This will require surgical and possibly regenerative treatments. There is the potential for tooth loss from 0 to 4 teeth.
Teeth with a grade III FI is one of the most difficult periodontal lesions to treat and have a poorer prognosis. They require more extensive resective therapy such as tunneling, root amputation or hemisection for elimination of the lesion and proper infection control.
These include gingivitis, chronic periodontitis, aggressive periodontitis, periodontitis as a manifestation of systemic disease, necrotizing periodontal disease, abscesses of the periodontium, and combined periodontic-endodontic lesions.
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ing to these, the grade III furcation denotes complete loss of interradicular bone resulting in a tunnel that is not open but covered by soft tissue atleast on one side.
Degree 0: the area of furcation is not accessible Degree I: Horizontal attachment loss 3 mm. Degree II: Horizontal attachment loss 3mm not encompassing the total width of the furcation area. Degree III: Horizontal through and through destruction of the periodontal tissue in the furcation area.
Class III: Probe passes completely through the furcation but is not clinically visible because the soft issue still fills the furcation defect. Class IV: Probe passes completely through the furcation and the entrance to the furcation is clinically visible because of gingival recession.

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