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Table 5 Furcation classification scoring systems

From: Detection and diagnosis of periodontal conditions amenable to prevention

4-point furcation scoring system proposed by Glickman, 1953[44]

Grade 1 furcation

Incipient furcation involvement in which there is pocket formation into the “flute” of the furcation, but no horizontal loss of attachment into the furcation itself

Grade 2 furcation

Loss of attachment into the furcation, but not completely through to the opposite side of the tooth, i.e. is a cul-de-sac furcation involvement

Grade 3 furcation

Horizontal “through-and-through” involvement in which the lesion extends across the entire width of the furcation

Grade 4 furcation

Same as a Grade 3 furcation, but with gingival recession that has rendered the furcation region clearly visible on clinical examination

3-point furcation scoring system proposed by Hamp et al, 1975[45]

Grade 1 furcation

Horizontal loss of attachment into the furcation of < 3 mm (approximately 1/3 the tooth width)

Grade 2 furcation

Horizontal loss of attachment into the furcation of > 3 mm (or approximately 1/3 the tooth width), but does not pass completely through the furcation, i.e. is a cul-de-sac furcation involvement

Grade 3 furcation

Horizontal “through-and-through” involvement in which the lesion extends across the entire width of the furcation