Keywords
Endodontics
Dental Infection Control
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To report the case of a patient with a primarily endodontic endoperiodontal lesion with secondary periodontal involvement in the lower left second premolar, scientifically reviewing the diagnosis and its interrelationships. Case details: Female patient, 42 years, without any systemic changes, reporting pain when chewing in element 35. Clinical examination, probing, pulp sensitivity tests, palpation and percussion tests in the left lower hemi-arch and radiographic examinations were performed. Upon radiographic evaluation, an extensive lesion associated with the periapex of element 35 was noted, extending from the distal cortical bone to the lingual bone. A primarily endodontic endoperiodontal lesion with secondary periodontal involvement was diagnosed. The treatment addressed was endodontic associated with periodontal, carried out simultaneously, evaluated through radiographic examinations over a period of 3 months. Final considerations: Simultaneous endodontic and periodontal treatment in primarily endodontic endo-periodontal lesions with secondary periodontal involvement can optimize treatment success, leading to a better prognosis in a short period of time.
References
ALSHAWWA H, et al. Manejo bem-sucedido de um dente com lesão endodôntico-periodontal: relato de caso. Jornal Mundial de Casos Clínicos . 2020; 8 (20):5049–5056.
AKSEL H e SERPER A. A case series associated with different kinds of endo-perio lesions. Journal of Clinical and Experimental Dentistry, 2014;6(1):91.
AL- FOUZAN KS. A new classification of endodontic-periodontal lesions. International Journal of Den-tistry, 2014;1-5.
ALJASSER R, et al. Regenerative Therapy Modality for Treatment of True Combined Endodontic-Periodontal Lesions: A Randomized Controlled Clinical Trial. Int J Environ Res Public Health, 2021;18(12):6220.
DWIYANTI S. A Multi-Disciplinary Approach in the Management of Endo-Perio Lesions: A 4-year Follow-Up Case Report. Case Reports in Dentistry, 2023;23:3024-3031.
FAGUNDES CF, et al. Lesões endoperiodontais: considerações clínicas e microbiológica. Revista Sul-Brasileira de Odontologia, 2007; 4(2): 54-60.
GAMBIN DJ e CECCHIN D. Estratégias de tratamento das lesões endoperiodontais: uma revisão de literatura. Periodontia, 2019:29(1):30-36.
GAUTAM S, et al. Pulpal changes associated with advanced periodontal disease: A histopathological study. Journal of Oral and Maxillofacial Pathology, 2017; 21(1): 58-63.
GENARI B, et al. Endoperiodontal lesion: Clinical Case Report. Journal of Clinical Pharmacol Ther, 2023;4(2):1041.
PAROLIA A, et al. Endo-perio dilemma: a brief review. Dent Res J, 2013;8(1):39-47.
PRASHAANTHI N, et al. Prevalência de lesão endo perio - um estudo institucional. Revista Internacional de Odontologia e Ciência Oral . 2021; 8 (6):2858–2862.
ROVAI ES, et al. Microbial profile and endotoxin levels in primary periodontal lesions with secondary endodontic involvement. Brazilian dental journal, 2019;30(4):356-362.
SINGH P. Endo-perio dilemma: a brief review. Dental Research Journal, 2011;8(1):39-47
TEWARI S, et al. Effect of immediate periodontal surgical treatment on periodontal healing in combined endodontic–periodontal lesions with communication - A randomized clinical trial. Journal of Oral Biology and Craniofacial Research, 2018;8(2):105-112.
USTAOĞLU G, et al. Comparison of GTR, T-PRF and open-flap debridement in the treatment of intra-bony defects with endo-perio lesions: a randomized controlled trial. Medicina Oral, Patologia Oral y Cirugia Bucal, 2020;25(1):117-123.