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J Endod. 2009 Oct;35(10):1331-6. doi: 10.1016/j.joen.2009.06.004.

Treatment strategy for guided tissue regeneration in combined endodontic-periodontal lesions: case report and review.

Author information

1
Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore, Maryland 21201, USA.

Abstract

INTRODUCTION:

Endodontic-periodontal combined lesion is a clinical dilemma because making a differential diagnosis and deciding a prognosis are difficult.

METHODS:

Twenty-six cases from 14 articles involving the successful management of endodontic-periodontal lesions with concurrent regenerative procedures were reviewed. This article also presents successful treatment of an endodontic-periodontal combined lesion involving a grade II mesial furcation of a maxillary molar with root canal treatment and multiple regenerative procedures.

RESULTS:

A treatment algorithm is outlined for the application of the guided tissue regeneration (GTR) in managing endodontic-periodontal combined lesion. This treatment algorithm consists of 4 phases: (1) presurgical phase (determining periodontal/regenerative prognosis), (2) endodontic phase, (3) periodontal surgical phase, and (4) post-GTR reevaluation protocol.

CONCLUSIONS:

The proposed 4-phase treatment algorithm might provide a beneficial guideline in managing the endodontic-periodontal combined lesions.

PMID:
19801225
DOI:
10.1016/j.joen.2009.06.004
[Indexed for MEDLINE]

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