Healing of endodontic periodontal lesion after non-surgical treatment

Abstract

Introduction, aim: An endo-perio lesion is one of the common problems associated with the tooth. The simultaneous presence of pulp-related condition and inflammatory periodontal disease can complicate diagnosis and treatment planning. Furcation involvement presents major challenges in periodontal therapy with pulpal involvement. Regardless the pathology has an endodontic and/or a periodontal origin, the periodontal tissues are attacked, and their healing depends on the establishment of an accurate diagnosis and an appropriate therapy.Thus, the use of a systematic diagnostic process will help in the identification and treatment of endodontic-periodontal lesions. This article presents successful healing of endo-perio lesion after non-surgical endodontic treatment. Methods: Two cases are presented where a true combined endodontic-periodontal lesion was diagnosed. The treatment included the root canal treatment and subsequent scaling and root planing. Results: The periapical lesions were significantly reduced six months after the treatment. Conclusion: Periodontal-endodontic lesions are complex in nature and have various pathogenesis. The long-term prognosis after treatment of perio-endo lesions is determined by correct primary diagnosis and careful endodontic treatment, followed by periodontal treatment if necessary.

Keywords

• endodontic-periodontal lesion
• root canal treatment
• periapical radiolucency
• furcation defect