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Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement

PURPOSE: The aim of this study was to identify a role for endodontic intervention in enhancing the regenerative potential of the periodontal ligament when combined with periodontal treatment in seriously involved teeth with a secondary endodontic component. METHODS: Patients who exhibited radiolucen...

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Autores principales: Kwon, Eun-Young, Cho, Yunjung, Lee, Ju-Youn, Kim, Sung-Jo, Choi, Jeomil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Periodontology 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701835/
https://www.ncbi.nlm.nih.gov/pubmed/23837128
http://dx.doi.org/10.5051/jpis.2013.43.3.136
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author Kwon, Eun-Young
Cho, Yunjung
Lee, Ju-Youn
Kim, Sung-Jo
Choi, Jeomil
author_facet Kwon, Eun-Young
Cho, Yunjung
Lee, Ju-Youn
Kim, Sung-Jo
Choi, Jeomil
author_sort Kwon, Eun-Young
collection PubMed
description PURPOSE: The aim of this study was to identify a role for endodontic intervention in enhancing the regenerative potential of the periodontal ligament when combined with periodontal treatment in seriously involved teeth with a secondary endodontic component. METHODS: Patients who exhibited radiolucency extending to the periapical region, abnormal electric pulp testing values, and deep probing depth derived from primary periodontal disease with secondary endodontic involvement were included. Intentional root canal treatment was applied to those teeth in which the apical lesions were presumed to communicate with those of the periodontal lesion of the teeth that remained vital. In all three selected cases, regenerative periodontal therapy incorporating either bone graft or guided tissue regeneration was instituted 3 months after the endodontic intervention. RESULTS: Remarkable enhancement in radiographic density was noticeable around the affected teeth as evidenced by changes in radiopacity. There was a significant reduction in the probing pocket depth and gain in the clinical attachment level. Chewing discomfort gradually disappeared from the commencement of the combined treatment. CONCLUSIONS: An intentional endodontic intervention may be a worthwhile approach for the sophisticated management of teeth suffering from serious attachment loss and alveolar bone destruction with concomitant secondary endodontic involvement.
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spelling pubmed-37018352013-07-08 Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement Kwon, Eun-Young Cho, Yunjung Lee, Ju-Youn Kim, Sung-Jo Choi, Jeomil J Periodontal Implant Sci Case Report PURPOSE: The aim of this study was to identify a role for endodontic intervention in enhancing the regenerative potential of the periodontal ligament when combined with periodontal treatment in seriously involved teeth with a secondary endodontic component. METHODS: Patients who exhibited radiolucency extending to the periapical region, abnormal electric pulp testing values, and deep probing depth derived from primary periodontal disease with secondary endodontic involvement were included. Intentional root canal treatment was applied to those teeth in which the apical lesions were presumed to communicate with those of the periodontal lesion of the teeth that remained vital. In all three selected cases, regenerative periodontal therapy incorporating either bone graft or guided tissue regeneration was instituted 3 months after the endodontic intervention. RESULTS: Remarkable enhancement in radiographic density was noticeable around the affected teeth as evidenced by changes in radiopacity. There was a significant reduction in the probing pocket depth and gain in the clinical attachment level. Chewing discomfort gradually disappeared from the commencement of the combined treatment. CONCLUSIONS: An intentional endodontic intervention may be a worthwhile approach for the sophisticated management of teeth suffering from serious attachment loss and alveolar bone destruction with concomitant secondary endodontic involvement. Korean Academy of Periodontology 2013-06 2013-06-30 /pmc/articles/PMC3701835/ /pubmed/23837128 http://dx.doi.org/10.5051/jpis.2013.43.3.136 Text en Copyright © 2013 Korean Academy of Periodontology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).
spellingShingle Case Report
Kwon, Eun-Young
Cho, Yunjung
Lee, Ju-Youn
Kim, Sung-Jo
Choi, Jeomil
Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement
title Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement
title_full Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement
title_fullStr Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement
title_full_unstemmed Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement
title_short Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement
title_sort endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701835/
https://www.ncbi.nlm.nih.gov/pubmed/23837128
http://dx.doi.org/10.5051/jpis.2013.43.3.136
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