Periodontal Treatment in Patients with Perio-Endo Lesions: A Case Report

Abstract

Background: Periodontal tissue and pulp are interconnected anatomically. In some circumstances, the inflammation may extend from the periodontal region to the pulp or vice versa. In perio-endo lesions, an appropriate treatment plan is required to obtain a predictable and reliable treatment prognosis. The development and progression of these perio-endo lesions can be influenced by many factors such as bacteria, fungi, viruses, trauma, root resorption, perforation and dental malformations. An appropriate treatment plan for perio-endo lesions can provide a good prognosis.
 Objective: To describe periodontal treatments performed in patients with perio-endo lesions.
 Case Report: A 39-year-old man presented to Hasanuddin University Dental and Oral Hospital with a chief complaint of uncomfortable left posterior maxillary teeth during mastication. Clinical examination showed vital, non-caries, pocket depth of ±9mm on tooth 26. Radiographic examination showed a radiolucent lesion that extended to the apically. Regenerative periodontal treatment was performed using a combination of platelet-rich fibrin (PRF) with demineralized freeze-dried bone xenograft (DFDBX).
 Results: During the observation period, pocket depth was reduced, and the pain was absent.
 Conclusion: Periodontal inflammation that extends to the pulp tissue can be prevented by regenerative periodontal treatment using a combination of PRF and DFDBX, which shows promising results.
 Keywords: endo-perio lesions, periodontal regenerative, periodontal surgery