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. 2018 May-Aug;8(2):105-112.
doi: 10.1016/j.jobcr.2018.04.002. Epub 2018 Apr 13.

Effect of immediate periodontal surgical treatment on periodontal healing in combined endodontic-periodontal lesions with communication-A randomized clinical trial

Shikha Tewari  1 , Geetanjali Sharma  1 , Sanjay Tewari  2 , Shweta Mittal  2 , Shweta Bansal  3
Affiliations

Effect of immediate periodontal surgical treatment on periodontal healing in combined endodontic-periodontal lesions with communication-A randomized clinical trial

Shikha Tewari et al. J Oral Biol Craniofac Res. 2018 May-Aug.

Abstract

Background and objective: Management of combined endodontic-periodontal lesions needs more clinical investigations. The aim of this prospective randomized clinical trial was to evaluate the effect oftime interval between the non-surgical endodontic treatment (ET) and open flap debridement (OFD) on periodontal healing in combined endodontic periodontal lesions with apical communication.

Methods: Forty patients were randomly allocated to two treatment protocols. Group 1(immediate periodontal surgery): OFD was performed at 21 days of initiation of ET and SRP, and Group 2(delayed periodontal surgery): OFD was performed after 3 months of initiation of ET and SRP. The primary parameters included probing pocket depth (PPD), relative attachment level (RAL) and bleeding on probing (BOP) and tooth mobility (TM).

Results: Significantly more reduction in PPD, TM and gain in RAL was observed in Group 1 at 3 months of OFD. (P < 0.05) Whereas at 6 months follow up of OFD (6 and 9 months of ET in Group1 and Group 2, respectively), intergroup analysis showed statistically comparable reduction in BOP (%), PPD, TM and gain in RAL (P > 0.05) in both the groups.

Conclusion: Immediate periodontal surgery may not affect the outcome of the treatment of combined endo-perio lesions with apical communication.

Keywords: Chronic periodontitis; Periodontal attachment loss; Periodontal debridement; Root canal therapy; Root planing; Wound healing.

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Figures

Fig. 1
Fig. 1
Clinical procedure in Mandibular right first molar (#46). A. Preoperative Periodontal parameter measurements with UNC 15 probe at baseline B. Preoperative radiograph showing concurrent endo perio lesion with apical communication with gutta percha point in periodontal pocket C. Open flap debridement D. Postoperative radiograph at 3 months after OF E. Postoperative periodontal parameter measurement at 6 months after OFD F. Postoperative radiograph at 6 months after OFD
Fig. 2
Fig. 2
Consolidated standards of reporting trials flowchart.
See this image and copyright information in PMC

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