Challenges facing the dental hygienist in mechanical therapy adjacent to furcation involvement include all of the following except:

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Many instrument companies manufacture instruments specifically designed for debriding furcations. These include minibladed and microminibladed curets, furcation curets, and diamond-coated files. Power-driven instruments also can be used. Although instruments can adapt to the furcal anatomy, the intricate internal anatomy of depressions and grooves is also challenging. Depending on the location of the gingival margin, the roof and adjacent concavity might also be difficult to access with an instrument. Challenges include accessing the furca based on the location of the adjacent tissue and exposure of anatomy supragingivally. The inability to access the anatomy also challenges the reduction of plaque biofilm, thus effecting the desired reduction or elimination of pathogenic microflora. The location of the gingival margin is a challenge for clinicians when the gingival margin is coronal to the furcation exposure. When the furcation is exposed because the gingival margin is located apical to the furcation, both the client and the practitioner have greater access to the roof and the furcal anatomy.

Challenges Facing the Dental Hygienist in Mechanical Therapy Adjacent to Furcation