Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2020; 120(2): 50-55 | DOI: 10.51479/cspzl.2020.012

Healing of endodontic periodontal lesion after non-surgical treatment

E. Hidoussi^1,*, H. Sarraj¹, N. Zokkar¹, W. Batbout¹, N. Douki², L. Bhouri¹

¹ Faculty of Dental Medicine, Department of Restorative Dentistry-Endodontics, Monastir, Tunisia

² Sahloul Hospital of Sousse, Department of Restorative Dentistry-Endodontics, Tunisia

Introduction, aim: An endo-perio lesion is one of the common problems associated with the tooth. The simultaneous presence of pulp-related condition and inflammatory periodontal disease can complicate diagnosis and treatment planning. Furcation involvement presents major challenges in periodontal therapy with pulpal involvement. Regardless the pathology has an endodontic and/or a periodontal origin, the periodontal tissues are attacked, and their healing depends on the establishment of an 
accurate diagnosis and an appropriate therapy.
Thus, the use of a systematic diagnostic process will help in the identification and treatment of endodontic-periodontal lesions. This article presents successful healing of endo-perio lesion after non-surgical endodontic treatment.

Methods: Two cases are presented where a true combined endodontic-periodontal lesion was diagnosed. The treatment included the root canal treatment and subsequent scaling and root planing.

Results: The periapical lesions were significantly reduced six months after the treatment.

Conclusion: Periodontal-endodontic lesions are complex in nature and have various pathogenesis. The long-term prognosis after treatment of perio-endo lesions is determined by correct primary diagnosis and careful endodontic treatment, followed by periodontal treatment if necessary.

Keywords: endodontic-periodontal lesion; root canal treatment; periapical radiolucency; furcation defect

Published: June 1, 2020  Show citation