A new approach to the treatment of true-combined endodontic-periodontic lesions by the guided tissue regeneration technique

Chuen Chyi Tseng, Wei Meei Harn, Yea Huey Melody Chen, Chi Chou Huang, Kuo Yuan, Ping Hsien Huang

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Clinicians often have difficulty in the diagnosis and treatment of the combined endodontal and periodontal (endo-perio) lesion. A case of an endoperio true-combined lesion on a maxillary premolar was first treated with conventional endodontic therapy. Periodontal surgery was then completed, which included scaling and root planing and apical curettage on the tooth. The facial bony defect was then filled with a decalcified freeze-dried bone allograft mixed with tetracycline powder. A non-resorbable Teflon membrane was then used to cover the bone material and the periodontal flap sutured over this. This combined treatment resulted in minimal probing depth (2 mm), maximal clinical attachment gain (8 mm), as well as radiographic evidence of alveolar bone gain. This case report demonstrates that proper diagnosis, followed by removal of etiological factors and utilizing the guided tissue regeneration technique combined with osseous grafting, will restore health and function to a tooth with severe attachment loss caused by an endo-perio lesion.

Original languageEnglish
Pages (from-to)693-696
Number of pages4
JournalJournal of Endodontics
Volume22
Issue number12
DOIs
Publication statusPublished - 1996 Jan 1

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Fingerprint Dive into the research topics of 'A new approach to the treatment of true-combined endodontic-periodontic lesions by the guided tissue regeneration technique'. Together they form a unique fingerprint.

Cite this