Saving Single-rooted Teeth with Combined Endodontic-periodontal Lesions

Pico-Blanco, Alexandre; Castelo‐Baz, Pablo; Caneiro-Queija, Leticia; Liñares-González, Antonio; Martín-Lancharro, Pablo; Blanco‐Carrión, Juan

doi:10.1016/j.joen.2016.08.015

Cited by 9 publications

(10 citation statements)

References 23 publications

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“…10 , 41 One maxillary molar in a healthy patient was treated with SRP, endodontic treatment, root resection, and periodontal regenerative surgery. 35 In this case, a 6-month follow-up RVG showed decreased radiolucent areas, and a 12-month RVG follow-up demonstrated complete healing. One mandible molar did not undergo regeneration surgery and showed complete healing at 6-month follow-up RVG.…”

Section: Discussionmentioning

confidence: 60%

“…In systemically compromised patients, endo-perio lesions represent higher risks because focal dental infections have negative effects on systemic conditions 33 and may trigger exacerbation of some autoimmune pathologies such as psoriasis and rheumatoid arthritis. 34 , 35 Regular follow-ups for healing control are essential to prove treatment success and prevent focal dental infections.…”

Section: Discussionmentioning

confidence: 99%

“…One case with PPSE in a single-rooted tooth in a diabetic patient had been previously described. 31 The other seven single-rooted teeth with PPSE 35 , 46 underwent endodontic treatment, SRP, and periodontal regenerative surgery. They showed complete healing and stability over long-term periods (1–17 years).…”

Section: Discussionmentioning

confidence: 99%

“…In the PPSE lesion group, four single-rooted teeth were splinted 35 , 46 (the diabetic patient was not counted) and two were not; 35 , 42 over long-term periods, they had comparable results. In the present case, splinting was done before endodontic treatment, which contributed to the complete healing of the lesion in 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…In patients with PPSE lesions with palatal radicular grooves, 42 – 45 the mean age was 26.5 years (minimum 19 and maximum 35). The mean age of patients with PPSE without radicular grooves was 48 years (minimum 40 and maximum 60), 10 ,– 16 ,– 35 ,– 39 – 46 considering patients with aggressive periodontitis 10 , 41 were not counted. Thus, palatal radicular grooves are predisposing factors that provoke faster formation of endo-perio lesions and lead to endodontic therapy of intact teeth because of retrograde infections.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

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The pulp and periodontium have obvious relationships that have been described in many studies. Pulp infections may affect periodontal tissues and vice versa. Teeth with endo-perio lesions have a worse prognosis than isolated endodontic or periodontal lesions. Elimination of endodontic and periodontal infections is essential for successful treatment, so co-operation between endodontists and periodontists is necessary. In this clinical case, a 44-year-old male presented with primary periodontal disease with secondary endodontic involvement in his lower right canine because of aggressive periodontitis. There was 10 mm of clinical attachment loss and 8 mm periodontal pocket mesial from the tooth and bone radiolucency periapical and lateral from the root. Periodontal therapy was followed by endodontic treatment. Periodontal therapy included root scaling and planing, treatment of the periodontal pocket with ozone gas, systemic antibiotics, oral hygiene instructions, and chlorhexidine rinsing. Endodontic therapy included root canal instrumentation with rotary endodontic files, irrigation, root canal treatment with ozone gas, and obturation with lateral compaction. Radiographs at a 6-month follow-up appointment showed complete healing of the periapical lesion and alveolar bone lateral to the root. Using an interdisciplinary approach to treat endo-perio lesions provides favorable clinical outcomes. Ozone therapy is beneficial for the successful treatment of endo-perio lesions with narrow periodontal pockets in patients with aggressive periodontitis and poor prognosis.

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Section: Discussionmentioning

confidence: 60%