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Endoperiodontal lesion. A case report.

Stefano Sartori1, Maurizio Silvestri, Vitaliano Cattaneo

  • 1UDA Periodontology & Maxillofacial Surgery, S. Matteo Hospital, Pavia, Italy. stefano.sartori@unipv.it

Journal of Clinical Periodontology
|October 23, 2002
PubMed
Summary

This case report details an unusual endodontic lesion mimicking a periodontal defect in an 8-year-old. Endodontic treatment successfully healed the lesion, highlighting the importance of differential diagnosis.

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Area of Science:

  • Dentistry
  • Endodontics
  • Periodontology

Background:

  • Endodontic and periodontal lesions can present with similar radiographic features, complicating diagnosis.
  • Differentiating between endodontic and periodontal pathologies is crucial for effective treatment planning.

Observation:

  • An 8-year-old child presented with an unusual infrabony defect on tooth 46, initially suspected to be of periodontal origin.
  • Radiographic examination showed an infrabony defect, but clinical examination, including periodontal probing and pulp testing, revealed an endodontic cause.

Findings:

  • Despite initial periodontal considerations due to radiographic appearance, diagnostic tests confirmed an endodontic lesion on tooth 46.
  • Endodontic treatment of the affected tooth resulted in complete resolution of the lesion.

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Implications:

  • This case underscores the necessity of thorough diagnostic procedures, including pulp vitality testing, to distinguish endodontic from periodontal lesions.
  • Accurate diagnosis is critical for successful treatment outcomes in pediatric dental cases presenting with complex lesions.