Management of failed periodontal surgical intervention for a furcal lesion with a nonsurgical endodontic approach.
10.5395/rde.2014.39.2.115
- Author:
Saeed ASGARY
1
;
Mahta FAZLYAB
Author Information
1. Iranian Center for Endodontic Research (ICER), Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
- Publication Type:Case Report
- Keywords:
Endodontic-periodontal lesions;
Primary endodontic lesion;
Secondary periodontal lesion
- MeSH:
Bacteria;
Diagnosis;
Fungi;
Molar;
Prognosis;
Tooth;
Transplants
- From:Restorative Dentistry & Endodontics
2014;39(2):115-119
- CountryRepublic of Korea
- Language:English
-
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.