Management of failed periodontal surgical intervention for a furcal lesion with a nonsurgical endodontic approach
Asgary Saeed, Fazlyab Mahta,
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( Asgary Saeed ) - Shahid Beheshti University of Medical Sciences Research Institute of Dental Sciences Iranian Center for Endodontic Research
( Fazlyab Mahta ) - Shahid Beheshti University of Medical Sciences Research Institute of Dental Sciences Dental Research Center
KMID : 1034420140390020115
Abstract
As long as the prognosis of teeth remains a matter of concern, the endodontic-periodontal relationship will be considered a challenge for the clinician. Many etiologic factors, including bacteria, fungi, and viruses, plus other contributing factors, such as trauma, root resorptions/perforations, and dental malformations, play a role in the co-occurrence of endodontic and periodontal lesions. Whatever the cause, a correct diagnosis on which to base the treatment plan is the key to successful maintenance of the tooth. This article reports the successful endodontic management of a furcation lesion in a mandibular molar that was nonresponsive to a previous periodontal surgical graft. The case had presented a diagnostic challenge for the clinicians, and this article reviews the key points that can lead to a correct diagnosis and treatment planning.
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Endodontic-periodontal lesions; Primary endodontic lesion; Secondary periodontal lesion
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