Management of Peri-Apical Defect Caused by an Endo-Perio Lesion Using Bone Graft with and Without Concentrated Growth Factor – A Case Series

Abstract

Periodontal and endodontic structures are related to one another. In a clinical sense, this association facilitates the dissemination of infection, leading to the characteristic presentation of endo-perio lesions. These lesions frequently show no symptoms for extended periods of time before experiencing acute pain and/or inflammatory signs. It can be difficult to differentiate between endodontic and periodontal problems, but getting the diagnosis right is essential to getting the right treatment.This case report highlights the utilization of a new autologous platelet concentrate, concentrated growth factor (CGF), in conjunction with an osseograft in a surgical endodontic procedure. This combination aims to promote a rapid and successful recovery of the periapical region affected by extensive lesions. The incorporation of an osseograft along with CGF offers several advantages, particularly in the formation of sticky bone, enhancing the overall efficacy of the procedure.This article includes case series of endo -perio lesion with post operative follow up radiographs which reveals healing of the hard and soft tissue lesions that proves to attain the repair and regeneration at a faster rate in substantial periapical lesions .