Which treatment option is recommended for a Class II furcation defect?

For a Class II furcation defect, grafting or regenerative treatment with connective tissue grafts is the recommended option because this approach aims to enhance periodontal regeneration in areas affected by such defects. Class II furcation defects involve horizontal bone loss that creates a pocket between the roots of a multi-rooted tooth, making it essential to restore the bone support in order to maintain periodontal health and function.

Connective tissue grafts can stimulate tissue regeneration, promote healing, and lead to a more stable periodontal environment. This treatment provides a scaffold for new tissue growth and encourages the re-establishment of the supporting bone structure, increasing the likelihood of success in managing the defect.

Other choices may be suitable under different circumstances but do not address the defect as effectively. Osseous recontouring might modify the existing bone structure but does not facilitate comprehensive regeneration. Simple cleaning and observation may be adequate for mild cases but fail to actively resolve the defect, potentially leading to further periodontal issues. Immediacy placement of implants would not be appropriate for a Class II furcation defect, as implants do not address the existing periodontal disease and would not provide the necessary support in the context of compromised periodontal health.