Treatment of Endodontic-Periodontal Lesion: a Case Study of a patient with Primary Endodontic Lesion
Keywords:
Endodontic-Periodontal lesion, Primary endodontic lesion, Root canal treatmentAbstract
Endodontic lesion and Periodontal lesion have different causes, but both of them affect the progression of disease, the treatment plan, and the prognosis of each other. A proper diagnosis requires knowledge of communication channels between pulp and periapical tissue and the influence of the lesions on each other. Endodontic-Periodontal relationship should be considered. Successful treatment depends on correct diagnosis, proper prognosis, and effective sequential treatment plans.
Objective: To study the treatment of an Endodontic-Periodontal lesion in a patient with primary endodontic lesion.
Result: A 42-year-old female patient was found to has an Endodontic-Periodontal lesion with primary endodontic lesion in tooth 46. The patient required an effective root canal treatment in tooth 46 which had a dental pulp stone in the pulp chamber with a partial calcified canal in the mesial root. Following the root canal treatment, the patient received a porcelain fused to metal crown with fiber post for final restoration. After 6-month follow-ups, the clinical and radiographic evaluations showed complete disappearance of signs and symptoms. Periapical film showed the healing of lesion in the periapical and furcation area.
Conclusion: This case study had an Endodontic-Periodontal lesion with primary endodontic lesion that was treated by root canal treatment. Sufficient knowledge of diagnosis, treatment strategies, prognosis, success and survival rates, treatment procedure and techniques for teeth with pulp canal obliteration is essential to obtain successful treatment with no procedural errors.
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