Hence this case report demonstrates th e nature of periodontal lesion as a seconda ry involvement to an origina ily endodontic lesion involving the tooth. The present case report describes a case of the localized primary periodontal lesion with secondary endodontic involvement in a mandibular first molar. If the endo tx is adequate, the prognosis depends on the severity of the plaqueinduced periodontitis and the efficacy of perio tx. This case report demonstrates that proper diagnosis, followed by removal of etiological factors and utilizing the combined treatment modalities will restore health and function to the teeth with severe attachment loss caused by an endoperio lesion. Aug 20, 2014 generally, in a case of combined endo perio lesion, an adequate endodontic therapy would result in healing of the endodontic component, and the prognosis would finally depend on the efficacy of periodontal repairregeneration initiated by either of the treatment procedures. This case report evaluates the efficacy of gbone graft in the management of vertical bone loss associated with an endo perio lesion in a left mandibular first molar and second molar. The followup radiographs showed complete healing of the hard and soft tissue lesions. The present case report shows the importance of periodontal therapy that includes open debridement of the defect followed by placement of alloplastic bone graft gbone in. Syed wali peeran, madhumala thiruneervannan, khaled awidat abdalla, marei hamed mugrabi. Acute periodontal lesions periodontal abscesses and. Generally, in a case of combined endoperio lesion, an adequate endodontic therapy would result in healing of the endodontic component, and the prognosis would finally depend on the efficacy of periodontal repairregeneration initiated by.
Endo perio management of maxillary first premolar with. Endo perio lesions are a common finding in the dental practice. The case report depicts an endoperio lesion in a chronic hepatitis patient which has been managed using a multidisciplinary apicectomy was carried out by an endodontist followed by regenerative therapy performed by the placement of bone graft and prf membrane by a periodontist keeping in mind the safety protocols as suggested by a. Guided tissue regeneration in endodontic periodontal. A 42yearold woman with an abscess, deep periodontal pockets, and nonvital teeth was treated using a multidisciplinary approach. It was primarily perio and secondarily endo lesion.
Fibrous epulis, endoperio lesion, trauma, misdiagnosis, gingival swelling introduction epulis is a very generic term referring to gingival masses of mixed cell origins and are mostly resides of periodontal cells. A n n a l s o f d e n t a l s p e c i a l t y 2 0 1 3. This case report demonstrates that proper diagnosis, followed by removal of etiological factors and utilizing the combined treatment modalities will restore health and function to the teeth with severe attachment loss caused by an endo perio lesion. The tooth with endo perio lesions should be evaluated thoroughly in terms of any cracks. Be a great product leader amplify, oct 2019 adam nash. Endo perio lesion has a complex pathogenesis and requires great skill to identify and treat it. The treatment protocol was explained and a written consent was obtained from the patient. This article is an attempt to provide a rational approach to the perioendoendoperio question in order to scientifically diagnose and treat these lesions with predictable success. The two cases which were treated had different etiological factors. The case report describes the successful management of a right mandibular first molar with a periodonticendodontic lesion in a 28yearold female with aggressive periodontitis. Knowledge of these disease processes is essential in coming to the correct diagnosis.
Case report fibrous epulis misdiagnosed for combined. A total of 26 cases from 14 articles involving the regenerative procedures were. Endo perio lesion, flap surgery, rct, bone grafts endodontic lesion, if allowed leads to periodontal involvement or vice versa. Agarwal r et al management of endoperio lesion with regenerative procedure. In this report the pulp vitality test which showed the nonvital nature of the tooth was a pivoting finding suggesting the primary endodontic involvement. The endo perio lesion may be the most complex, recalcitrant localized problem we encounter. Interdisciplinary management of an endoperio lesion in a. A 40 yearold male patient with an endoperio lesion in the left mandibular first and second molars was initially treated with endodontic therapy. In this case report, different kinds of endo perio lesion were treated with sequential endodontic and periodontal treatment. The most conventional classification used for endodonticperiodontal lesions was given by simon et al. Shetty a, ramachandra bk, shubhashini ns, anjali k, niharika j. Endoperio lesion, furcation, mandibular molar, bone graft, crack line, treatment interval.
An endo perio lesion has been one of the prevalent issues affiliated with the tooth. Progression of an endodontic lesion, if allowed leads to periodontal involvement or vice versa. The present case report shows the importance of periodontal therapy that includes open debridement of the defect followed by placement of. For differential diagnosis and treatment purposes, endoperio lesions are classified as either. Hemisection a preservative approach to endodonticperiodontic lesion. This case report describes the successful management of a left mandibular first molar with a combined periodonticendodontic lesion in a 35yearold caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate.
Divya bhat abstract an endo perio lesion has been one of the most common problems associated with the tooth. The periodontium includes the gingiva,cementum, periodontal ligament pdl, andalveolar bone. This article explores and defines the three possible presentations of endodonticperiodontal relationships that all clinicians face on a daily basis, and provides clarity to make accurate diagnosis simple and routine. We endeavour to follow up the case in order to report any recurrence. This case report brings to light that there can be. A 40 yearold male patient with an endo perio lesion in the left mandibular first and second molars was initially treated with endodontic therapy. Management of periodonticendodontic lesion in aggressive. V o l u m e 0 1, i s s u e 01 35 repositioned using nonresorbable black silk 30. Combined endodonticperiodontal lesion, guided tissue regeneration, periradicular surgery. The secondstage surgery was done using an envelope technique for connective tissue. Diode las er assisted management of endoperio lesion in maxilla ry incisor using lanap.
This case report demonstrates a case of an endodontic periodontal. There has been also lack of knowledge about the effect of endodontic treatment on the periodontal tissue healing and suitable treatment interval between endodontic and periodontal treatments. Routine blood investigations were advised and the reports acquired were within normal limits. This case report presents an endo perio lesion in relation to. A perio endo lesion can have a varied pathogenesis which ranges from quite simple to relatively complex one. A 56yearold male patient with an endoperio lesion in the right mandibular. An endo perio legion can have a varied pathogenesis which ranges from quito simple to rolutively complex. In this case report, the treatment for endo perio lesion was planned with an interdisciplinary approach involving both endodontist and a periodontist. Pdf endoperio lesions primarily occur by way of the intimate anatomic and vascular connections between the pulp and the periodontium. The cutaneous involvement of pulpal and inflammatory periodontal pathology can perplex the diagnosis and treatment planning. In this case report, different kinds of endoperio lesion were treated with pdf of computer security sequential. This case report presents two clinical cases of advanced endodonticperiodontal lesions treated with hemisection followed by restoration.
A sequential approach in treatment of endoperio lesion a. The health of the periodontium is importantto the proper function of a tooth. Pdf endodontic periodontal lesion treatment is a challenge to the clinician and treatment often requires a combined therapeutic effort. This case report presents a successfully treated endodonticperiodontal combined lesion, involving a grade ii mesial furcation of a maxillary molar, via multiple regenerative procedures. A case series associated with different kinds of endoperio. Identification of endoperio lesion remains the key for successful treatment. Understanding the disease process through causeandeffect relationships between the pulp and supporting periodontal tissues with the aid of rational classifications leads to successful treatment outcomes. This case report evaluates the efficacy of gbone graft in the management of vertical bone loss associated with an endoperio lesion in a left mandibular first molar and second molar. One of the most challenging problems encountered by the clinician is the endoperio lesion. The tooth with endoperio lesions should be evaluated thoroughly in terms of any cracks. The official proceedings from the 2017 world workshop on the classification of periodontal and periimplant diseases and conditions, copresented by the american academy of periodontology aap and the european federation of periodontology efp, are now available online as a supplement to the june 2018 issue of the journal of periodontology. Simon endodonticperiodontal lesions present challenges to the clinician as far as diagnosis and prognosis of the involved. This is a case report on an endodontic lesion with periodontal involvement that has been treated by performing root canal treatment rct followed by flap surgery. Treatment of a periodonticendodontic lesion in a patient.
Endodontic periodontal lesion treatment is a challenge to the clinician and treatment often requires a combined therapeutic effort. Ppt endodontic periodontal lesions powerpoint presentation. Pdf endo perio lesion a case report semantic scholar. Management of avulsed tooth by inter disciplinary endo. This is necessary, because the cement covering the root apical portion is reabsorved due to periapical lesion 28. Treatment strategy for guided tissue regeneration in. Case report regenerative endodontic management of a. Oct 09, 20 case 1 independant endo and perio lesions. Management of endoperio lesion with regenerative procedure a. This case report presents a successfully treated endodontic periodontal combined lesion, involving a grade ii mesial furcation of a maxillary molar, via multiple regenerative procedures. In this case report, it was showed that 3 months treatment intervals between endodontic treatment and periodontal surgery has no harmful effect on periodontal tissue healing. A perioendo lesion can have a varied pathogenesis which ranges from quite simple to relatively complex one. A better treatment plan leads to a better result as seen in this case report. An endo perio lesion has been one of the most common problems associated with the tooth.
This case report describes the diagnosis and treatment protocol for an endoperio lesion of primary endodontic with secondary periodontal involvement. The treatment carried out to treat this condition was primarily by endodontic treatment followed by regenerative periodontal therapy where the bone graft along with. Case report gautam p badole, deepa shori, rajesh kubde, shital badole. One of the most challenging problems encountered by the clinician is the endo perio lesion. The case was managed by root canal therapy followed by a periodontal regenerative procedure using gtr technique. In this case report, different kinds of endoperio lesion were treated with sequential endodontic and periodontal treatment. Apicectomy, mineral trioxide aggregate, platelet rich fibrin, periapical lesion, regenerative dentistry. Endodonticperiodontal diseases often present great challenges to the clinician in their diagnosis, management, and prognosis. A case series associated with different kinds of endo. Treatment strategy for guided tissue regeneration in combined. Lastly, it is very important to perform the apical cut surface finishing, which can be made. Lesion with bone defect in the apex which may invade the buccallabial and lingual cortex.
Jul 12, 2019 an endoperio lesion can have a varied. Apicoectomy after conventional endodontic treatment. This case report demonstrates that proper diagnosis followed by etiological factors and utilizing the guided tissue regeneration technique combined with osseous grafting, will restore health and function to a tooth with severe attachment loss caused by an endoperio lesion. An endoperio legion can have a varied pathogenesis which ranges from quito simple to rolutively complex. Combined periodonticendodontic lesions take the form of abscesses and can originate from either or both of two distinct locations and may be informally subclassified as follows. Completion of rct resolved endo lesion, but perio bone loss remains in furcation and on m. Dec 31, 2018 root surface treatment and acquisition has conjointly shown to be helpful for gtr. The endoperio lesion may be the most complex, recalcitrant localized problem we encounter. An interdisciplinary approach in the management of.
Generally, in a case of combined endoperio lesion, an adequate endodontic therapy would result in healing of the endodontic component, and the prognosis would finally depend on the efficacy. The present case report shows the synergic effect of endodontic, periodontal, and esthetic therapy. Micrograph stained with masson trichrome of a maxillary lateral incisor with a necrotic pulp associated. Root surface treatment and acquisition has conjointly shown to be helpful for gtr. The second case had a millers class iii recession associated with an endo perio lesion. The simultaneous involvement of pulpal problems and inflammatory periodontal disease can complicate. To critically evaluate the existing literature on acute lesions occurring in the periodontium periodontal abscesses pa, necrotizing periodontal diseases npd, and endo. Trillion dollar coach book bill campbell eric schmidt. This case report presents a successfully treated endodonticperi odontal combined lesion, involving a grade ii mesial furcation of a maxillary molar, via multiple regenerative procedures. Interdisciplinary management of an endoperio lesion in a chronic. Successful management of teeth with different types of.
This case report brings to light that there can be a simple solution to a grave looking problem. This case was managed by using a resorbable membrane with a bone graft substitute to correct the osseous defect in the first stage after a successful endodontic therapy. A case series associated with different kinds of endoperio lesions. In this case report, the treatment for endoperio lesion was planned with an interdisciplinary approach involving both endodontist and a periodontist. This is a case report on an endodontic lesion with periodontal involvement that has. The tooth now requires both endodontic and periodontal treatments. A case report surg lt cdr dr muneesh joshi, lt col dr manab kosala, maj dr deepak sharma, col dr t prasanth abstract. M icrobiologica l fi nd ings of infected root cana ls and adjacent jida west delhi dec.
Endoperio lesion, accessory canals, pulpal pathology case report issn online. An endoperio lesion has been one of the prevalent issues affiliated with the tooth. Show full abstract to separate into three broad categories. Feb 01, 2014 in this case report, it was showed that 3 months treatment intervals between endodontic treatment and periodontal surgery has no harmful effect on periodontal tissue healing. In th is case both endodontic and periodonta l trea t ment s were carried out seq uentially in the same appointment resulting in shorter chair side time, eliminating the need for a second.
In this case report, different kinds of endoperio lesion were treated with sequential. This case report evaluates the efficacy of gbone graft in the management of vertical bone loss associated with an endoperio lesion in a left mandibular first. Fibrous epulis, endo perio lesion, trauma, misdiagnosis, gingival swelling introduction epulis is a very generic term referring to gingival masses of mixed cell origins and are mostly resides of periodontal cells. Primary endodontic lesions with secondary periodontal. A 56yearold male patient with an endo perio lesion in the right mandibular. The case report depicts an endo perio lesion in a chronic hepatitis patient which has been managed using a multidisciplinary apicectomy was carried out by an endodontist followed by regenerative therapy performed by the placement of bone graft and prf membrane by a periodontist keeping in mind the safety protocols as suggested by a. This clinical case report highlights the usefulness of cbct and dom in accurate diagnosis and successful endodontic management of maxillary first premolar with unusual morphology of three roots and three canals followed by the management of an endodonticperiodontal lesion by periodontal surgical regenerative procedures. Hemisection a preservative approach to endodonticperiodontic. Guided tissue regeneration in endodontic periodontal lesion. An endoperio lesion can have a varied pathogenesis which ranges from simple to relatively complex one. Endo perio lesion, furcation, mandibular molar, bone graft, crack line, treatment interval. This case report evaluates the efficacy of decalcified freeze dried bone allograft along with bioabsorbable barrier membrane in the management of furcation defect associated with an endo perio lesion in a right mandibular first molar. The simultaneous involvement of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning.
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