Treatment of Furcation Involvement Using Autogenous Tooth Graft With 1-Year Follow-Up: A Case Series

Introduction The objective of this study was to clinically evaluate an autogenous tooth graft (ATG) as a novel bone graft material in the treatment of Class II furcation defects. ATG is prepared at chairside from a freshly extracted tooth to be used immediately for bone regeneration. It has an advantage over the autogenous and other bone graft materials as it is non-immunogenic, inexpensive, easily available, and lacks donor-site morbidity. Case Presentation This study was conducted on three middle-aged (35 to 55 years) male patients, who had at least one mandibular molar with Class II furcation involvement (a total of 5 sites) and one tooth that required extraction because of poor prognosis and was not endodontically treated. At 9 and 12 months, the mean reductions in horizontal probing depth were (1.40 +/- 0.57 mm) and (1.52 +/- 0.59 mm), respectively, and the mean gains in linear bone-fill were (3.90 +/- 0.15 mm) and (5.33 +/- 0.10 mm), respectively. Conclusions Within the limitation of this study, ATG exhibited ideal properties for alveolar bone regeneration. In addition, this study outlines the chairside method to prepare a graft and highlights the improvement in clinical and radiographic parameters at 9 and 12 months.