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Resective or Regenerative Periodontal Therapy: Considerations during Treatment Planning: A Case Report
The New York State Dental Journal
|December 19, 2018
Summary
Regenerative periodontal therapy successfully managed advanced periodontal disease with endodontic issues in a molar, showing significant bone fill and attachment gain over two years. This highlights its potential over resective surgery for complex cases.
Area of Science:
- Dentistry
- Periodontology
- Endodontics
Background:
- Advanced periodontal disease with secondary endodontic involvement presents complex management challenges for periodontists.
- Treatment decisions are multifactorial, requiring careful consideration of disease severity and patient-specific factors.
Observation:
- A patient presented with a deep periodontal pocket on the mandibular first molar, exhibiting periapical bone loss extending to the root apex.
- Initial treatment involved scaling, root planing, and endodontic therapy, followed by periodontal surgery.
Findings:
- Regenerative periodontal therapy was chosen over resective options after evaluating prognosis, risk-benefit, and patient preference.
- Two-year follow-up demonstrated successful outcomes, including clinical attachment gain and radiographic evidence of bone regeneration.
Implications:
- Regenerative periodontal therapy is a viable and effective treatment option for molars with advanced periodontal disease and endodontic complications.
- This case underscores the importance of individualized treatment planning and patient-centered decision-making in complex periodontal cases.
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