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A Multidisciplinary Approach in the Management of a Grade 3 Endo-Periodontal Lesion
Oulghazi Ichraq1, Mariam Mounsif2, Maria Fennich3
1Department of Prosthodontics, Mohammed V University, Rabat, MAR.
Cureus
|July 11, 2025
Summary
Managing endodontic-periodontal lesions requires a combined approach. Successful treatment involves sequential endodontic retreatment and periodontal therapy, emphasizing a proper coronal seal for long-term outcomes.
Area of Science:
- Dentistry
- Endodontics
- Periodontology
Background:
- Endodontic-periodontal lesions present diagnostic and therapeutic challenges due to the intricate connection between pulpal and periodontal tissues.
- Accurate classification is crucial for effective management strategies.
Observation:
- A case report details the multidisciplinary management of a grade 3 endo-periodontal lesion in a 43-year-old female with a failed root canal treatment and severe periodontal involvement.
- Initial presentation included pain, swelling, deep periodontal pockets, and furcation involvement of the mandibular first molar.
Findings:
- The treatment involved emergency drainage, endodontic retreatment with sodium hypochlorite and calcium hydroxide, canal obturation, coronal restoration, and non-surgical periodontal therapy.
- A three-year follow-up demonstrated resolution of symptoms and periodontal stability, confirming treatment success.
Implications:
- This case underscores the importance of a sequential, integrated endodontic and periodontal treatment plan.
- A well-established coronal seal is vital for the long-term prognosis of complex endo-periodontal lesions.
Keywords:
endo-periodontal lesiongrade 3 periodontal lesionmultidisciplinary approachperiodontal therapyroot canal retreatmentMore Related Videos
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