IJCRR - 7(20), October, 2015
Pages: 22-29
A GUIDE TO MANAGEMENT OF VARIOUS ENDODONTIC PERIODONTAL LESIONS - A CASE SERIES
Author: Rajendran Maheaswari, A. Selvam, M. Jeeva Rekha, A. Mahalakshmi, Tukaram Kshirsagar Jaishree
Category: Healthcare
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Abstract:
Aim: To explain the key to identify the primary disease and secondary disease of the endodontic periodontal lesion and its management using a case series.
Case description: Four cases belonging to different types of endodontic periodontal lesion such as primary endodontic with secondary periodontic lesion, primary periodontic with secondary endodontic lesion, combined lesion, iatrogenic periodontal lesion were explained. The appropriate management and its outcome for each case was elaborated and justified.
Discussion: In all the four cases, patient presented with established chronic secondary disease. Hence all the cases were planned to complete the endodontic therapy initially and then proceed with periodontal therapy such as open flap debridement, hemisection and bone graft, platelet rich fibrin and guided tissue regeneration.
Conclusion: Treatment outcome will be more predictable if the clinician has more thorough knowledge about the diagnosis, treatment sequence with inter-disciplinary approach .Thereby the immediate and true management of the endodontic- periodontic lesions can impede the loss of the natural tooth and delay the more complex treatment.
Keywords: Endo perio lesion, Platelet rich fibrin, Palato radicular groove, Hemisection, Iatrogenic perforation
Citation:
Rajendran Maheaswari, A. Selvam, M. Jeeva Rekha, A. Mahalakshmi, Tukaram Kshirsagar Jaishree. A GUIDE TO MANAGEMENT OF VARIOUS ENDODONTIC PERIODONTAL LESIONS - A CASE SERIES International Journal of Current Research and Review. 7(20), October, 22-29
References:
1. Mandel E, Machtou P, Torabinejad M. Clinical diagnosis and treatment of endodontic and periodontal lesions. Quintessence Int. 1993;24:135-9.
2. Jansson L, Ehnevid H, Lindskog S, Blomlöf L. The influence of endodontic infection on progression of marginal bone loss in periodontitis. J ClinPeriodontol 1995;22:729-73.
3. Jansson L, Ehnevid H, Blomlöf L, Weintraub A, Lindskog S. Endodontic pathogens in periodontal disease augmentation. J ClinPeriodontol 1995;22:598-602.
4. Jansson L, Ehnevid H, Lindskog S, Blomlöf L. Relationship between periapical and periodontal status. A clinical retrospective study. J ClinPeriodontol 1993;20:117-23.
5. Turner JH, Drew AH. Experimental injury into bacteriology of pyorrhea, Proc R Soc.Med (Odontol) 1919;12:104.
6. Simring M., Goldberg M.The pulpal pocket approach: retrograde periodontitis, J Periodontol 1964; 35:22.
7. Adriaens PA, de Boever JA, Loesche WJ. Bacterial invasion in root cementum and radicular dentin of periodontally diseased teeth in humans: a reservoir of periodontopathic bacteria. J Periodontol 1988; 59(4):222-230.
8. Adriaens PA, Edwards CA, de Boever JA,Loesche WJ. Ultrastructural observations on bacterial invasion in cementum and radicular dentin of periodontally diseased human teeth. J Periodontol 1988.;59(8): 493-503.
9. Haapasalo M, Ranta H, Ranta K,Shah H. BlackpigmentedBacteroides spp. in human apical Periodontitis.Infect Immun. 1986;53(1):149-153.
10. Trope M, Tronstad L, Rosenberg ES, Listgarten M. Darkfield microscopy as a diagnostic aid in differentiating exudates from endodontic and periodontal abscesses. J Endod. 1988; 14(1); 35-38.
11. Jansson L, Ehnevid H, Bloml¨of L, Weintraub A,Lindskog S. “Endodonticpathogens in periodontal disease augmentation. J Clin Periodontol 1995: 22(8); 598-602.
12. DahleUR, Tronstad L, Olsen I. “Characterization of new periodontal and endodontic isolates of spirachet´es,” Eur J Oral Sci.1996 :104(1); 41-47.
13. .Khalid S. Al-Fouzan. A New Classification of Endodontic-Periodontal Lesions Hindawi Publishing Corporation International Journal of Dentistry Volume 2014, Article ID 919173, 5 pages http://dx.doi.org/10.1155/2014/919173
14. Cohen S, Burns RC. Pathways of the pulp, 4thEdition, 1990;840- 844.
15. Newman, Takei, Carranza, et al. Carranza’sClinical Periodontology, 10th edition, 2007.
16. Lindhe J, Karring T and Lang NP.ClinicalPeriodontology and Implantology, 4th edition, 2003.
17. Walton RE, Torbinejad M. Principles and practice of endodontic, 1st Edition, 1986; 665-667.
18. Richard E Walton and Mahmoud Torabinejad. Principles and Practice of Endodontics. 3rd Edition Philadelphia W B Saunders Company; 2002 pp. 467-84.
19. Rotstein I, Simon JH. Diagnosis, prognosis and decision-making in the treatment of combined periodontal-endodontic lesions. Periodontol 2000 2004;34:165-203.
20. Harrington GW, Steiner DR, Ammons WF. The periodontalendodontic controversy. -Periodontol 2000 2002;30:123-30.
21. Meng HX. Periodontic-endodontic lesions. Ann Periodontol 1999;4:84-9.
22. Maldonado A, Swartz ML, Phillips RW. An in vitro study of certain properties of a glass ionomer cement. J Am DentAssoc 1978; 96: 785-791.
23. Vermeersch G, Leloup G, Delmee M, Vreven J Antibacterial activity of glass-Ionomer cements, compomers and resin composites: relationship between acidity and material setting phase. J Oral Rehabil 2005; 32: 368-374.
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