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Educating Patients on Furcation Care

How do you educate your patients on how to care for 1-3 mm furcational involvement?



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6 Answers

I work in a perio office and see this all the time and even worse. Our Dr attended a course where they were taught to “open” up the furcation with a rubber tip placed into the furcation with pressure for 30 seconds at a time at least once daily. After that then clean the furcation with an appropriate sized proxabrush then place fluoride into the furcation with the proxabrush after its all cleaned at least twice daily. This has produced some really nice results for the patients that follow through.

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I always make sure to point out the furcation to the patient first. They may know about it and be aware of it but some patients never look at the mouth in the mirror up close. I educate them on why it is important to keep it clean and recommend and demo to them in a hand mirror how to clean around the furca, usually with threaders and floss or soft picks. I also recommended waterpik, air flosser or syringe with antimicrobial or fluoride rinse to flush out the area if not able to be flossed.

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I agree….show and education is a must. Water pik, rubber tip simulator, end tuff brush are good OH aids.

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I am really concerned with root decay so Plaque removal and fluoride are high on my to do list. I recommend an appropriate size proxy brush and a prescription fluoride toothpaste. I also encourage pts to dip the proxy brush into the toothpaste and apply it to the furcation.

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I usually start by explaining what a furcation is, and why it’s so important to keep clean. When demonstrating the use of the tool (ie;RT,h20 pik etc) I always use a mirror so They can see. Then I have them try it after I show them, ask them if they have any questions etc.

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I explain what has happened and why the furcation is present. I go over how to clean it, usually reccomending a waterpik or proxy brush. Then I go over root carries and usually put them on a prescription toothpaste like prevident or clinpro.

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