Revitalizing pulpo perio complex

Endodontic–periodontal combined lesions pose a treatment challenge for clinicians, especially when the lesion is persistent and does not show signs of healing after nonsurgical endodontics. This case report describes interdisciplinary management of a nonhealing combined lesion related to a periapica...

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Bibliographic Details
Published inJournal of interdisciplinary dentistry Vol. 12; no. 2; pp. 53 - 56
Main Authors Yewale, Manasi, Bhat, Subraya, Mullick, Tarini
Format Journal Article
LanguageEnglish
Published Mumbai Medknow Publications & Media Pvt. Ltd 01.05.2022
Subjects
Bone grafts
Enucleation
Fibrin
Lesions
Periodontics
Regeneration
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Summary:Endodontic–periodontal combined lesions pose a treatment challenge for clinicians, especially when the lesion is persistent and does not show signs of healing after nonsurgical endodontics. This case report describes interdisciplinary management of a nonhealing combined lesion related to a periapical cyst through an integrated approach of apicoectomy and regenerative periodontics. A 51-year-old male patient presented with a sinus tract for 4 months after endodontic retreatment of the maxillary right central and lateral incisor. Surgical enucleation of the cystic lesion together with regenerative periodontics using bone graft, advanced platelet-rich fibrin plus membrane, and guided tissue regeneration membrane to treat the tunnel bony defect was done. Clinical and radiographic examination at 6 months showed resolution of lesion, reduction in probing depths, and good bone fill of the defect.
ISSN:2229-5194
2231-2706
DOI:10.4103/jid.jid_1_22