Endo-perio lesions: A diagnostic dilemma

Endodontic and dentistry surgical procedure has surpassed the success rates for ancient dental medicine and dentistry surgical procedures. Achieving primary closure with the grafts contains a positive result on guided tissue regeneration (GTR) outcome. New techniques of dentistry microsurgery, such...

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Bibliographic Details
Published in:Indian journal of multidisciplinary dentistry 2018-07, Vol.8 (2), p.128-131
Main Authors: Khatib, Mohd, Devarasanahalli, Swapna, Nadig, Roopa
Format: Article
Language:English
Subjects:
Cell adhesion & migration
Defects
Dental crowns
Dental restorative materials
Dentistry
Diagnostic systems
Endodontics
Flaps
Fractures
Grafts
Lesions
Mandible
Microorganisms
Microsurgery
Periodontics
Regeneration
Restoration
Root canals
Stitching
Surface treatment
Surgery
Teeth
Tissue engineering
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Summary:Endodontic and dentistry surgical procedure has surpassed the success rates for ancient dental medicine and dentistry surgical procedures. Achieving primary closure with the grafts contains a positive result on guided tissue regeneration (GTR) outcome. New techniques of dentistry microsurgery, such as minimally invasive papilla conserving flaps with passive internal pad stitching, have managed to obtain 90% primary flap closure over grafted sites. Root surface treatment and acquisition has conjointly shown to be helpful for GTR. The present case report describes a case of the localized primary periodontal lesion with secondary endodontic involvement in a mandibular first molar. The case was managed by root canal therapy followed by a periodontal regenerative procedure using GTR technique. Two years follow-up without replacement of the tooth with crown showed healing of the lesion with a minor defect in the restoration which was replaced by tooth-colored restoration.
ISSN:2229-6360
2277-7113
DOI:10.4103/ijmd.ijmd_35_18