Interdisciplinary Management of Periodontal-endodontic Continuum: A Case Report

Abstract

Aim: The aim of the study was to use interdisciplinary approach for the management of endo-perio lesion.

Methods: A 35-year-old male patient with pain in the lower left back tooth region visited the department of endodontics.

On clinical examination, there was occlusal caries in 37 and an 8 mm periodontal pocket in relation to 36. The endodontic

procedure was to be done first, and then the periodontal procedure. Therefore, in 36 cases, endodontic therapy was started

following oral prophylaxis. Then under local anesthetic, open debridement was done in 36 and bone graft was planted in

the fault. Over the graft, resorbable membrane was applied. Periodontal dressing was applied, sutures were positioned,

and a 9-month follow-up was conducted. Results: Resolution of the inflammation and a reduction in probing pocket

depth and gain in clinical attachment gained was observed irt 36. IOPAR taken after 3months showed a healing stage in

furcational area.

Conclusion: This case report shows that an endodontic lesion with apical and periodontal bone loss can nevertheless have a fair prognosis, despite the generally poor prognosis associated with endodontic-periodontal lesions.In this instance, it was accomplished through successful periodontal or surgical treatment that was followed by root canal therapy.

Key words: Endoperio lesion, bone graft, Periodontal pocket