Palatal-root Resection in Endodontic–Periodontal Combined Lesions - A Case Report
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Keywords

Endodontic-periodontal lesion
Furcation involvement
Root resection

Categories

How to Cite

1.
El Ayachi H, Er-raji S, Semmach J, Benazza D. Palatal-root Resection in Endodontic–Periodontal Combined Lesions - A Case Report. Integr J Med Sci [Internet]. 2021 Feb. 11 [cited 2024 Apr. 19];8. Available from: https://mbmj.org/index.php/ijms/article/view/411

Abstract

Endodontic-periodontal combined lesion is a clinical dilemma because establishing a differential diagnosis and predicting a prognosis are difficult. A correct diagnosis is sometimes difficult; an accurate knowledge of the etiologic factors is essential for adequate choice of treatment. The management of endodontic-periodontal combined lesion demands both endodontic and periodontal therapy. Root resection therapy is one treatment option for preserving multirooted tooth with furcation involvement. This case report reviews root resective therapy and the concomitant endodontic management as a treatment option for an endo-periodontal lesion in periodontitis patients in maxillary molar. The role of root resection and treatment strategy are also discussed based on a review of the endodontic and periodontal literature.

https://doi.org/10.15342/ijms.2021.411
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References

Simring M, Goldberg M. The pulpal pocket approach: retrograde periodontitis. J Periodontol. 1964;35:22-48. https://doi.org/10.1902/jop.1964.35.1.22

Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Periodontol. 1972;43:202-8. https://doi.org/10.1902/jop.1972.43.4.202

Herrera D, Retamal-Valdes B, Alonso B, Feres M. Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo-periodontal lesions. J Periodontol. 2018;89(Suppl 1):S85–S102. https://doi.org/10.1002/jper.16-0642

Silness J., Loe H. Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand.1964;22:121-35. https://doi.org/10.3109/00016356408993968

Loe H, Silness J. Periodontal disease in pregnancy I. Prevalence and severity. Acta Odontol Scand. 1963;21:533-51. https://doi.org/10.3109/00016356309011240

Miller SC. Textbook of Periodontia, ed. 3, Philadelphia, Blakiston Division, McGraw-Hill Book Company; 1950:125.

Glickman I: Clinical periodontology. Saunders Philadelphia; 1953.

American association of endodontists. Glossary of endodontic terms, 8th ed. Chicago: AAE; 2012.

Basaraba N. Root amputation and tooth hemisection. Dent Clin North Am. 1969: 13: 121-132.

Farrar JN. Radical and heroic treatment of alveolar abscess by amputation of roots of teeth. Dental Cosmos. 1884; 26:79.

Rosenberg MM, Kay HB, Keough BE, Holt RL. Periodontal and prosthetic management for advanced cases. Chicago: Quintessence; 1988.

Svardström G, Wennström JL. Periodontal treatment decisions for molars: an analysis of influencing factors and long-term outcome. J Periodont. 2000;71: 579–585. https://doi.org/10.1902/jop.2000.71.4.579

Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multirooted teeth. results after 5 years. J Clin Periodont. 1975; 2: 126–135. https://doi.org/10.1111/j.1600-051x.1975.tb01734.x

Carnevale G., Pontoriero R. and Di Febo G. Long-term effects of root-resective therapy in furcation-involved molars. J Clin Periodontol. 1998 Mar;25(3):209-14. https://doi.org/10.1111/j.1600-051x.1998.tb02430.x

Langer B, Stein SD, Wagenberg B. An evaluation of root resections. A ten-year study. J Periodontol. 1981 Dec;52(12):719-22. https://doi.org/10.1902/jop.1981.52.12.719

Bühler H. Evaluation of root-resected teeth. Results after 10 years. J Periodontol. 1988 Dec;59(12):805-10. https://doi.org/10.1902/jop.1988.59.12.805

Blomlöf L, Jansson L, Appelgren R, Ehnevid H, Lindskog S. Prognosis and mortality of root-resected molars. Int J Periodontics Restorative Dent. 1997 Apr;17(2):190-201.

Dannewitz B, Krieger JK, Hüsing J, Eickholz P. Loss of molars in periodontally treated patients: a retrospective analysis five years or more after active periodontal treatment. J Clin Periodontol. 2006 Jan;33(1):53-61. https://doi.org/10.1111/j.1600-051x.2005.00858.x

Dannewitz B, Zeidler A, Hüsing J, Saure D, Pfefferle T, Eickholz P, et al. Loss of molars in periodontally treated patients: results 10 years and more after active periodontal therapy. J Clin Periodontol. 2016 Jan;43(1):53-62. https://doi.org/10.1111/jcpe.12488

Derks H, Westheide D, Pfefferle T, Eickholz P, Dannewitz B. Retention of molars after root-resective therapy: a retrospective evaluation of up to 30 years. Clin Oral Investig. 2018 Apr;22(3):1327-1335.https://doi.org/10.1007/s00784-017-2220-1

Pretzl B, Kaltschmitt J, Kim TS, Reitmeir P, Eickholz P. Tooth loss after active periodontal therapy. 2: tooth-related factors. J Clin Periodontol. 2008 Feb;35(2):175-82. https://doi.org/10.1111/j.1600-051x.2007.01182.x

Lee CT, Huang HY, Sun TC, Karimbux N. Impact of patient compliance on tooth loss during supportive periodontal therapy: a systematic review andmeta-analysis. J Dent Res. 2015 Jun;94(6):777-86. https://doi.org/10.1177/0022034515578910

Helal O, Göstemeyer G, Krois J, Fawzy El Sayed K, Graetz C, Schwendicke F. Predictors for tooth loss in periodontitis patients: systematic review and meta-analysis. J Clin Periodontol. 2019 Jul;46(7):699-712. https://doi.org/10.1111/jcpe.13118

Dommisch H, Walter C, Dannewitz B, Eickholz P. Resective surgery for the treatment of furcation involvement -a systematic review. J Clin Periodontol. 2020 Jul;47 Suppl 22:375-391.https://doi.org/10.1111/jcpe.13241

Fugazzotto PA. A comparison of thesuccess of root resected molars and molar position implants in function in a private practice: results of up to 15-plus years. J Periodontol. 2001; 72:1113–123l. https://doi.org/10.1902/jop.2001.72.8.1113

Zafiropoulos GG, Hoffmann O, Kasaj A, Willerhausen B, Deli G, Tatakis DN. Mandibular molar root resection versus implant therapy: a retrospective nonrandomized study. J Oral Implantol. 2009;35:52-62. https://doi.org/10.1563/1548-1336-35.2.52

Miao H, Chen M, Otgonbayar T, Zhang SS, Hou MH, Wu Z, et al. Papillary reconstruction and guided tissue regeneration for combined periodontal-endodontic lesions caused by palatogingival groove and additional root: a case report. Clin Case Rep. 2015 Nov 6;3(12):1042-9. https://doi.org/10.1002/ccr3.441

Li H, Guan R, Sun J, Hou B. Bacteria community study of combined periodontal-endodontic lesions using denaturing gradient gel electrophoresis and sequencing analysis.J Periodontol. 2014;85:1442–1449. https://doi.org/10.1902/jop.2014.130572

Soares GM, Mendes JA, Silva MP, Faveri M, Teles R, Socransky SS, et al. Metronidazole alone or with amoxicillin as adjuncts to non-surgical treatment of chronic periodontitis: a secondary analysis of microbiological results from a randomized clinical trial. J Clin Periodontol. 2014;41:366–376. https://doi.org/10.1111/jcpe.12217

Raja S, Nath G, Emmadi P, Ramakrishnan, Ahathya. Treatment of an isolated furcation involved endodontically treated tooth -a case report. J Conserv Dent. 2007;10:129–33. [cited 2022 Apr 21];10:129-33. Available from: https://www.jcd.org.in/text.asp?2007/10/4/129/43033

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