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Endodontic-periodontic bifurcation lesions: a novel treatment option
Shaul Lin1, Gabriel Tillinger, Offer Zuckerman
1Endodontic and Dental Traumatology Unit, Department of Dental and Oral Medicine, Rambam Medical Center, B. Rappaport - Faculty of Medicine, Technion, Israel. sh_lin@rambam.health.gov.il
Aim:
The purpose of this preliminary clinical report is to suggest a novel treatment modality for periodontal bifurcation lesions of endodontic origin.
Methods And Materials:
The study consisted of 11 consecutive patients who presented with periodontal bifurcation lesions of endodontic origin (endo-perio lesions). All patients were followed-up for at least 12 months. Treatment included calcium hydroxide with iodine-potassium iodide placed in the root canals for 90 days followed by canal sealing with gutta-percha and cement during a second stage. Dentin bonding was used to seal the furcation floor to prevent the ingress of bacteria and their by-products to the furcation root area through the accessory canals.
Results:
A radiographic examination showed complete healing of the periradicular lesion in all patients. Probing periodontal pocket depths decreased to 2 to 4 mm (mean 3.5 mm), and resolution of the furcation involvement was observed in post-operative clinical evaluations.
Conclusions:
The suggested treatment of endo-perio lesions may result in complete healing. Further studies are warranted.
Clinical Significance:
This treatment method improves both the disinfection of the bifurcation area and the healing process in endodontically treated teeth considered to be hopeless.
