Harmony in Dentistry: Orchestrating Solutions for Endo-Perio Lesion.

Abstract

Introduction: Simring and Goldberg initially reported the connection between periodontal and pulpal diseases in 1964. Since then, lesions caused by inflammatory agents that are present in the pulpal tissues and periodontium to differing degrees have been referred to as "perio-endo" lesions. It is the most typical issue. Recurrence of symptoms even after endodontic treatment has been attributed to the difficulty of diagnosis and the disregard for interdisciplinary treatment. Here, CGF and DFDB bone graft have been used to treat an endo perio patient with recurrent abscess, resulting in both radiographic bone fill and clinical symptom relief.

DFDB & CGF showed potential for bone regeneration.

Objectives: We aim to provide a study on periodontal regeneration using DFDB bone graft and concentrated growth factor to treat an endo perio lesion with recurrent abscess formation even after successful endo treatment, thus showing the need for periodontal therapy to be taken into consideration for ultimately saving teeth.

 Methods: A 31-year-old male patient with no systemic history and a history of endodontic infection that led to periodontal damage with a vertical defect was chosen for the trial employing regenerative material i.e DFDB bone graft and CGF.

Results: Periodontal regeneration therapy was successful in terms of clinical and radiographic characteristics.

Conclusions: DFDB bone graft and CGF showed bone fill as well as resolution of clinical symptoms, indicating the need for periodontal consideration in endo perio lesion for the success of endodontic treatment and ultimately saving the tooth.