Open AccessManagement of an endo-perio lesion: A multidisciplinary approach
Author(s) -
Anshul Tayal,
Sandip Ghosh,
Haridas Das Adhikari,
Amrita Ghosh
Publication year - 2021
Publication title -
ip indian journal of conservation and endodontics/ip indian journal of conservative and endodontics
Language(s) - English
Resource type - Journals
eISSN - 2581-9534
pISSN - 2581-8988
DOI - 10.18231/j.ijce.2021.037
Subject(s) - medicine , dentistry , lesion , root canal , orthodontics , surgery
The presence of pulpal pathosis and inflammatory periodontal disease concomitantly can complicate diagnosis and treatment planning of any tooth. It requires a combined treatment approach involving endodontic, periodontic and prosthodontic intervention. Often, the periodontal and prosthodontic aspects are neglected by the clinicians after successful endodontic treatment resulting in failure. The present case report describes a multidisciplinary approach for the treatment of a tooth that presented with an endo-perio lesion; using non-surgical root canal treatment and periodontal regenerative surgery (non-incised papillae surgical approach, {NIPSA} long with GTR membrane and an alloplastic bone graft) which were then followed by the placement of a conservative tooth coverage restoration (endocrown). A significant gain in clinical attachment level was seen 6 months postoperatively. Radiographically also a significant amount of bone fill was observed.