Management of an endo-perio lesion: A multidisciplinary approach

The presence of pulpal pathosis and inflammatory periodontal disease concomitantly can complicate diagnosis and treatment planning of any tooth. It requires a combined treatment approach involving endodontic, periodontic and prosthodontic intervention. Often, the periodontal and prosthodontic aspects are neglected by the clinicians after successful endodontic treatment resulting in failure. The present case report describes a multidisciplinary approach for the treatment of a tooth that presented with an endo-perio lesion; using non-surgical root canal treatment and periodontal regenerative surgery (non-incised papillae surgical approach, {NIPSA} long with GTR membrane and an alloplastic bone graft) which were then followed by the placement of a conservative tooth coverage restoration (endocrown). A significant gain in clinical attachment level was seen 6 months postoperatively. Radiographically also a significant amount of bone fill was observed.

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Intentional Replantation – The novel technique for the management of separated instrument in apical third of tooth: A case report

Journal of Oral Medicine Oral Surgery Oral Pathology and Oral Radiology ◽

10.18231/j.jooo.2021.065 ◽

2022 ◽

Vol 7 (4) ◽

pp. 250-253

Author(s):

Harshal V Basatwar ◽

Balaji S Kapse ◽

Pradnya S Nagmode ◽

Sharmika B Chechare ◽

Aniruddha G Mundhe ◽

...

Keyword(s):

Case Report ◽

Root Canal ◽

Tooth Extraction ◽

Treatment Approach ◽

Root Canal Treatment ◽

The Novel ◽

Second Molar ◽

Novel Technique ◽

Mandibular Second Molar

Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth into its own alveolus. In this article, intentional replantation is described and discussed as a treatment approach for failed root canal treatment with broken instrument periapically in mandibular second molar.

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Unusual histological presentation of a residual cyst: A case report

IP Archives of Cytology and Histopathology Research ◽

10.18231/j.achr.2021.028 ◽

2021 ◽

Vol 6 (2) ◽

pp. 117-119

Author(s):

Sanpreet Singh Sachdev ◽

Amol Dubey ◽

Parmeet Singh Banga ◽

Akshat Shetty

Keyword(s):

Case Report ◽

Root Canal ◽

Root Canal Treatment ◽

Cystic Lesions ◽

Present Case Report ◽

Source Of Infection ◽

Appropriate Treatment ◽

Inflammatory Changes

Cystic lesions of jaws are fairly common of which radicular cysts that form as a result of inflammatory changes associated with a non-vital pulp are most frequent. The removal of source of infection by either root canal treatment or extraction of the involved tooth leads to resolution of inflammatory cysts. However, infrequently, certain lesions may persist even after appropriate treatment which are termed as ‘residual cysts’. Although residual cysts are histopathologically indistinguishable from radicular cysts, certain changes may occur owing to removal of the aggravating stimulus which may lead to a varied histopathological picture. The present case report comprises of a residual cyst with a relatively unusual histopathological presentation.

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Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

10.25259/aujmsr_23_2020 ◽

2020 ◽

Vol 2 ◽

pp. 120-123

Author(s):

Munish Singla ◽

Iyana Garg ◽

Vandana Goyal ◽

Harleen Kaur ◽

Litik Mittal

Keyword(s):

Case Report ◽

Surgical Management ◽

Root Canal ◽

Case Reports ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Periapical Lesion ◽

Present Case Report ◽

Periapical Lesions ◽

Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

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Massive Submandibular Sialolith: Complete Radiographic Registration and Biochemical Analysis through X-Ray Diffraction

Case Reports in Surgery ◽

10.1155/2014/659270 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4

Author(s):

Ademir Franco ◽

Mayara Jessica de Carvalho Mattos ◽

Francine Ferrari ◽

José Manoel dos Reis Neto ◽

Luiz Carlos Carta Gambus ◽

...

Keyword(s):

Case Report ◽

Salivary Glands ◽

Surgical Approach ◽

Biochemical Analysis ◽

Mouth Opening ◽

X Ray Diffraction ◽

Present Case Report ◽

Pathologic Condition ◽

Local Pain ◽

X Ray

Sialolithiasis is a pathologic condition that affects 60 million people per year, which is caused by the presence of calcified structures, named sialoliths, inside the salivary glands and their salivary ducts. Despite the large incidence of sialolithiasis, its etiology is still unknown. In the present case report, a 47-year-old female patient, presenting with local pain and hampered mouth opening, underwent a surgical approach for the removal of a 20 mm sialolith, which was further analyzed through X-ray diffraction. In parallel, a radiographic registration of 8 years, covering all the period for sialolith formation, is presented along the case report.

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Clinical Evaluation of Type I Bovine Collagen in the Treatment of Localized Gingival Recession

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1034 ◽

2010 ◽

Vol 1 (3) ◽

pp. 167-173

Author(s):

J Praveen ◽

CD Dwarakanath ◽

GV Prashanth ◽

Sidharth Shankar

Keyword(s):

Gingival Recession ◽

Type I ◽

Significant Gain ◽

Root Coverage ◽

Pocket Depth ◽

Clinical Attachment Level ◽

Coronally Advanced Flap ◽

Bovine Collagen ◽

Keratinized Tissue ◽

Attachment Level

ABSTRACT Background Over the years, coronally advanced flap and the use of guided tissue regeneration have been among the more successful techniques in treating gingival recession. The present study compared the relative efficacies of these two techniques in treating gingival recession. Methods Twelve patients presenting with localized identical anterior recessions were taken up in a split mouth design for the study. One site was randomly assigned to be treated with coronally advanced flap supported by membrane while the other was treated with coronally advanced flap alone. Changes in clinical parameters, such as recession width, recession depth, surface area of the recession defect, width of keratinized tissue, gingival status, probing pocket depth and clinical attachment level were measured at baseline and at 3 and 6 months postoperatively. Results In the 10 patients that were followed up, both treatments resulted in a significant gain in root coverage amounting to a mean gain of 66.49% in the membrane group and 65.56% in the CAF group. The differences in root coverage and the clinical attachment level gains between the groups were not significant. However, significant gain in the width of keratinized tissue was seen in the membrane group after treatment. Conclusion This study suggests that coronally advanced flap procedure provides a predictable, simple and convenient technique in the treatment of localized class I gingival recession. Combining this technique with the placement of a bioabsorbable membrane does not seem to improve the results. The addition of a membrane, however, increases the width of keratinized tissue.

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An unusual case of maxillary permanent 1st molar with two pulp canals with pulp necrosis; diagnosis and endodontic management.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.11.6747 ◽

2021 ◽

Vol 28 (11) ◽

pp. 1687-1691

Author(s):

Sarang Suresh Hotchandani ◽

Priya Rani Harjani ◽

Feroze Ali Kalhoro

Keyword(s):

Case Report ◽

Root Canal ◽

Unusual Case ◽

Cone Beam ◽

Therapy Planning ◽

Root Canal Therapy ◽

Present Case Report ◽

Permanent Molar ◽

Root Canal Anatomy

The present case report highlights the need to identify variations in root canal anatomy as a prerequisite for effective nonsurgical root canal therapy planning. As clinicians, we need to develop our observational and clinical abilities as well as amend our understanding of the complexities of the canal anatomy. Reports describing the structure of teeth and pulp canals rarely report the presence of two pulp canals in two permanent upper 1st molars. In this case, it describes the nonsurgical root canal therapy of the upper right 1st permanent molar with two pulp canals, which was confirmed by a cone beam.

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Multidisciplinary Approach in a Child with Complex Trauma of Maxillary Permanent Central Incisors

Journal of Dental and Maxillofacial Surgery ◽

10.18314/jdms.v2i1.1778 ◽

2019 ◽

pp. 147-154

Author(s):

Lucisano MP ◽

Corrêa Leite RGL ◽

Nelson-Filho P ◽

Minto AMP ◽

Ferraz JAB ◽

...

Keyword(s):

Case Report ◽

Conservative Management ◽

Multidisciplinary Approach ◽

Complex Trauma ◽

Central Incisor ◽

Present Case Report ◽

Root Fracture ◽

Crown Root ◽

One Year

The present case report describes a multidisciplinary approach involving endodontic, restorative, surgical and periodontal treatment and rehabilitation of a central incisor with crown-root fracture (CRF) in an 11-year-old child. Although in the future possible sequelae and complications should be considered since it is an extensive trauma, the prognosis of the present case is favorable, with the occurrence of repair, evidenced by clinical, radiographic and tomographic success, after one year and six months of follow-up. It was concluded that the association of prolonged flexible splint, biological endodontic treatment, gingivoplasty and restorative/rehabilitative procedures seem to be an adequate and conservative management for CRF cases.

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Treatment of Two Canals in All Mandibular Incisor Teeth in the Same Patient

Case Reports in Dentistry ◽

10.1155/2014/893980 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4

Author(s):

Vandana B. Kokane ◽

Swapnil N. Patil ◽

Mohit K. Gunwal ◽

Rajesh Kubde ◽

Swaraj Atre

Keyword(s):

Case Report ◽

Root Canal ◽

Endodontic Treatment ◽

Unfavourable Outcome ◽

Pulp Tissue ◽

Mandibular Incisor ◽

Present Case Report ◽

Main Indication ◽

Mandibular Incisors

The main reason for unfavourable outcome in endodontic treatment of mandibular incisor is the inability to detect the presence of second canal. Pain even after extirpation of complete pulp tissue from root canal of vital teeth is the main indication of hidden canals. The present case report is also on pain because of another neglected canal in all mandibular incisors in the same patient.

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Interdisciplinary Approach in Treatment of Endodontic- Periodontal Lesion : A Case Report

Journal of Universal College of Medical Sciences ◽

10.3126/jucms.v1i3.8768 ◽

2013 ◽

Vol 1 (3) ◽

pp. 58-61

Author(s):

G Somanath ◽

G George ◽

JN Sinha ◽

V Gautam

Keyword(s):

Case Report ◽

Alveolar Bone ◽

Interdisciplinary Approach ◽

Medical Sciences ◽

Radiographic Evidence ◽

Clinical Attachment Level ◽

Probing Depth ◽

Operative Evaluation ◽

Clinical Dilemma ◽

Attachment Level

Endodontic periodontal combined lesion is a clinical dilemma because making a clinical diagnosis and deciding a prognosis are difficult. The treatment of endodontic periodontal lesion combined requires both endodontic therapy and periodontal regenerative procedures. This case report evaluates the prognosis of endo- perio lesion which was first treated with conventional endodontic therapy and then followed by periodontal therapy. At a three month post operative evaluation there was gain of clinical attachment level and reduction in probing depth with radiographic evidence of substantial alveolar bone gain.DOI: http://dx.doi.org/10.3126/jucms.v1i3.8768Journal of Universal College of Medical Sciences Vol.1(3) 2013: 58-61

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