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Updated: Jun 3, 2026

Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
[Comprehensive treatment of the endo-perio syndrome. Case reports]
Maria Wiernicka-Menkiszak1, Marlena Trabska-Swistelnicka, Katarzyna Sporniak-Tutak
1Zakład Periodontologii Pomorskiej Akademii Medycznej w Szczecinie, al. Powstańców Wlkp. 72, 70-111 Szczecin.
Introduction:
The endo-perio syndrome presenting with periodontitis is very difficult to manage due to its pathomechanism which until today has evaded clarification. Substantial loss of tooth-bearing tissues within the alveolar processes of the maxilla and the alveolar part of the mandible compounds the situation and complicates efforts to control the inflammatory process and restore the missing periodontal tissues, to minimize the costs for the patient, and to achieve a good cosmetic effect. The aim of this work was to assess therapeutic efforts undertaken in some cases of the endo-perio syndrome.
Material And Methods:
The results of periodontic and implantologic treatment in three patients with the endo-perio syndrome caused by periodontitis are presented.
Conclusions:
Conservative treatment of the endo-perio syndrome leads to restoration of periodontal tissues, provides a good esthetic effect, and greatly minimizes the psychosocial costs due to temporary loss of a tooth in the visible part of dental arches.
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