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Case Reports
. 2024 Aug 29:2024:1048933.
doi: 10.1155/2024/1048933. eCollection 2024.

Regenerative Surgical Management of an Endodontic Periodontic Lesion of the Mandibular Molar Combined With External Inflammation Root Resorption

Henytaria Fajrianti  1 , Fauziah Karimah  1 , Safitri Kusuma Dewi  1 , Diatri Nari Ratih  1 , Nungky Devitaningtyas  2 , Vincensia Maria Karina  3 , Silviana Farrah Diba  4
Affiliations
Case Reports

Regenerative Surgical Management of an Endodontic Periodontic Lesion of the Mandibular Molar Combined With External Inflammation Root Resorption

Henytaria Fajrianti et al. Case Rep Dent. .

Abstract

Endo-perio lesions are lesions involving pulp tissue with periodontal tissue. The bacterial infection of the pulp can spread to the furcation area through the accessory canal, causing damage to the furcation area. Regeneration therapy has good success when performed with flap surgery and is performed in cases of Grades I and II furcation involvement. Demineralized freeze-dried bone allograft (DFDBA) is a regenerating material that has osteoinductive and osteoconductive abilities. It has the advantage of successful treatment of bone defects. Biodentine is an agent used for direct pulp capping, root perforation and furcation repair, and apexification. It can bind and enter the dentinal tubules and create interlocking crystals with dentin. This case report presents the treatment of furcation involvement Grade II originating from endo-perio lesions by using DFDBA and Biodentine as regeneration materials with 6 months of follow-up.

Keywords: Biodentine; demineralized freeze-dried bone allograft; endodontics; endo–perio lesion; furcation involvement; periodontology.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Clinical examination of Tooth #46.
Figure 2
Figure 2
Preoperative radiograph.
Figure 3
Figure 3
Root canal treatment under rubber dam isolation.
Figure 4
Figure 4
Postoperative radiograph.
Figure 5
Figure 5
Cone beam computed tomography (CBCT) of Tooth #46 before periodontal surgery. (a) Sagittal view, (b) coronal view, and (c) axial view.
Figure 6
Figure 6
Triangular incision.
Figure 7
Figure 7
Debridement.
Figure 8
Figure 8
Biodentine application on root resorption.
Figure 9
Figure 9
Bone graft and membrane application.
Figure 10
Figure 10
Suturing.
Figure 11
Figure 11
Periodontal dressing application.
Figure 12
Figure 12
Crown insertion at Tooth #46.
Figure 13
Figure 13
Cone beam computed tomography (CBCT) of Tooth #46 at 3-month follow-up. (a) Sagittal view, (b) coronal view, and (c) axial view.
Figure 14
Figure 14
Cone beam computed tomography (CBCT) of Tooth #46 at 6-month follow-up. (a) Sagittal view, (b) coronal view, and (c) axial view.
Figure 15
Figure 15
CBCT (a, d, g) before periodontal treatment, (b, e, h) 3 months, and (c, f, i) 6 months of follow-up arranged sequentially, consisting of coronal, sagittal, and axial views.
See this image and copyright information in PMC

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