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CASE REPORT
Year : 2016  |  Volume : 1  |  Issue : 2  |  Page : 27-30

Comprehensive treatment of endo-perio lesion: A case report


1 Assitant Professor, Department of Periodontics and Community Dental Sciences (PCS), King Khalid University, College of Dentistry, Abha, Saudi Arabia
2 Associate Professor, Department of Periodontics and Community Dental Sciences (PCS), King Khalid University, College of Dentistry, Abha, Saudi Arabia

Correspondence Address:
BDS, MDS Shahabe Saquib
Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


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Pulpal infection may cause a tissue destructive process that proceeds from the apical region of a tooth toward the gingival margin. The term “retrograde periodontitis” was suggested in order to differentiate this from marginal periodontitis in which the infection spreads from the gingival margin toward the root apex. Proper diagnosis of the various disorders affecting the periodontium and the pulp is important to exclude unnecessary and even detrimental treatment. This is a clinical case report of an endodontic–periodontic lesion in relation to lower centrals and left lateral incisor. Root canal treatment has been done with the respected teeth six months ago, but the lesion showed no sign of healing. Radiographic examination revealed peri-radicular radiolucency in relation to 31, 41, and 42. Periodontal flap surgery was performed with apicectomy and the defect was filled with bone graft. Patient reviewed for one year which showed uneventful healing and no recurrence of the lesion.


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