Successful treatment of Endo Perio Lesion with furcation involvement in mandibular first molar: A case report
1 Department of Periodontology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
2 School of Dental Medicine, Universitas Ciputra Surabaya, Indonesia.
Case Study
World Journal of Advanced Research and Reviews, 2024, 24(02), 841–846
Publication history:
Received on 30 September 2024; revised on 07 November 2024; accepted on 09 November 2024
Abstract:
Introduction: Pulp and periodontal tissues have embryonic, anatomical, and functional attachments so that infections can easily spread to each other. Endo-perio lesions are commonly found in teeth with pulp necrosis, especially involving the furcation area. The lateral connecting channel between the pulp tissue and the periodontal tissue causes this condition.
Case Report: A 20-year-old healthy male came with the main complaint of a loose lower right back tooth and bleeding gums when brushing his teeth. Intra-oral examination revealed plaque and BOP (+) in all dental quadrants, caries, and grade 2 mobility in tooth 46. The treatment plan in Periodontology is regenerative surgery on tooth 46.
Case Management: Flap surgical therapy was performed on tooth 46 with granulation tissue debridement, bone graft, and membrane application to the furcation area.
Conclusion: Treatment of furcation involvement by regenerative therapy using bone graft and membrane can provide good results in endo perio lesions. The key to successful treatment in this case is a combination of endodontic treatment and periodontological treatment.
Keywords:
Regenerative periodontal surgery; Endo-perio lesions; Furcation involvement; Bone grafts
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