The Mesio-Distal Tunnel Preparation on the Maxillary Second Molar: A Case Report

Treatment and management of teeth with furcation involvement is one of the most challenging problems confronting dentist. The aim of this case report was to evaluate the result of a mesio-distal tunnel preparation on a maxillary second molar. Case Report: This treatment was done for a 52year old white man in a good general health. After raising a full thickness flap on the upper left sextant of mouth, the furcation of tooth # 15 was widened by a # 2 round bur and bone file. Osteoplasty continued by bur, file, and chisel until enough space was created for interdental brush use to control dental plaque. Prosthodontic treatment was done 4 months after the periodontal therapy. After 3 years, the treated tooth is still functioning in the mouth of patient. We are satisfied with the result of treatment. This heroic technique could not be considered as a regular treatment modality for any tooth or any patient. Some requirements are considered necessary for this kind of preparation.