Multidisciplinary management of concomitant pulpal and periodontal lesion: A case report

Autor: Hadeel Y. Edrees, Ahmad A. Madarati, Aya M.N. Sammani, Mustafa A. Al Attas
Rok vydání: 2017
Předmět:
Zdroj: Journal of Taibah University Medical Sciences
Journal of Taibah University Medical Sciences, Vol 12, Iss 5, Pp 455-460 (2017)
ISSN: 1658-3612
DOI: 10.1016/j.jtumed.2017.05.010
Popis: In this case report, the management of a concomitant endodontic-periodontal lesion case is described. A 31-year-old patient presented with symptomatic apical periodontitis of tooth #36 due to failed endodontic treatment and a generalized aggressive periodontitis. Following full-mouth scaling and root-planing, a root-canal retreatment (tooth #36) was initiated. While the distal and mesio-buccal canals were successfully treated, a transportation perforation of the mesio-lingual canal occurred and was repaired by the MTA. An apical microsurgery of the mesial root combined with surgical periodontal debridement for the lower left quadrant was performed. Three weeks later, resective and regenerative periodontal surgeries of the other 3 quadrants were accomplished. Because of the 6-month post-operative healing, the regenerative periodontal surgery for the lower-left quadrant was performed. The 6-month post-operative recall showed complete healing of the mesial root lesion and reduction of the distal root lesion. The multidisciplinary approach and advanced armamentarium contributed to favourable outcome.
Databáze: OpenAIRE