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Case Reports
. 2014 Oct-Dec;7(4):542-4.

Endo-periodontal lesion--endodontic approach

R Jivoinovici  1 , I Suciu  1 , B Dimitriu  1 , P Perlea  1 , R Bartok  2 , M Malita  3 , C Ionescu  4
Affiliations
Case Reports

Endo-periodontal lesion--endodontic approach

R Jivoinovici et al. J Med Life. 2014 Oct-Dec.

Erratum in

  • Errata.
    [No authors listed] [No authors listed] J Med Life. 2014 Oct-Dec;7(4):627. J Med Life. 2014. PMID: 25729444 Free PMC article. No abstract available.

Abstract

Endo-perio lesions might be interdependent because of the vascular and anatomic connections between the pulp and the periodontium. The aim of this study is to emphasise that primary endodontic lesion heals after a proper instrumentation, disinfection and sealing of the endodontic space. The primary endodontic lesion with a secondary periodontal involvement first requires an endodontic therapy and, in the second stage, a periodontal therapy. The prognosis is good, with an adequate root canal treatment; it depends on the severity of the periodontal disease, appropriate healing time and the response to the treatment. A correct diagnosis is sometimes difficult; an accurate identification of the etiologic factors is important for an adequate treatment. Primary perio-endo lesion may heal after a proper disinfection and sealing of the endodontic system, the one-year follow-up radiograph showing bonny repair. Invasive periodontal procedures should be avoided at that moment. The microorganisms and by-products from the infected root canal may cross accessory and furcal canals and determine sinus tract and loss of attachment. In both clinical cases presented in this article, successful healing was obtained after a proper disinfection and sealing of the endodontic system.

Keywords: Endo-periodontal lesion; canal; endodontic; sulcus.

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Figures

Fig. 1
Fig. 1
Tooth 45 with enlargement of the periodontal space, apical and lateral radiolucency
Fig. 2
Fig. 2
Radiograph after conventional endodontic treatment
Fig. 3
Fig. 3
Follow-up radiograph, one year after root canal therapy, the resolution of the periradicular bone lesions is evident
Fig. 4
Fig. 4
Preoperative radiograph indicates bone loss around the apices of 27 and furcal radiotransparency 26 and 27
Fig. 5
Fig. 5
One year follow up radiograph showing resolution of most of the periradicular lesions
Fig. 6
Fig. 6
However, a bonny defect at the furcal area was still present and also a solitary pocket extended towards the apex was found regarding the mesial aspect of 26 and distal aspect of 27
See this image and copyright information in PMC

References

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