Browse > Article
http://dx.doi.org/10.5395/rde.2014.39.2.115

Management of failed periodontal surgical intervention for a furcal lesion with a nonsurgical endodontic approach  

Asgary, Saeed (Iranian Center for Endodontic Research (ICER), Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences)
Fazlyab, Mahta (Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences)
Publication Information
Restorative Dentistry and Endodontics / v.39, no.2, 2014 , pp. 115-119 More about this Journal
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.
Keywords
Endodontic-periodontal lesions; Primary endodontic lesion; Secondary periodontal lesion;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Zuza EP, Toledo BE, Hetem S, Spolidorio LC, Mendes AJ, Rosetti EP. Prevalence of different types of accessory canals in the furcation area of third molars. J Periodontol 2006;77:1755-1761.   DOI   ScienceOn
2 Oved-Peleg E, Lin S. Periodontal-endodontal interactions. Refuat Hapeh Vehashinayim 2005;22:43- 51,91.
3 Seltzer S, Bender IB, Ziontz M. The interrelationship of pulp and periodontal disease. Oral Surg Oral Med Oral Pathol 1963;16:1474-1490.   DOI   ScienceOn
4 Zehnder M, Gold SI, Hasselgren G. Pathologic interactions in pulpal and periodontal tissues. J Clin Periodontol 2002;29:663-671.   DOI   ScienceOn
5 Tanomaru JM, Leonardo MR, Tanomaru-Filho M, da Silva LA, Ito IY. Microbial distribution in the root canal system after periapical lesion induction using different methods. Braz Dent J 2008;19:124-129.   DOI
6 Lin S, Tillinger G, Zuckerman O. Endodontic-periodontic bifurcation lesions: a novel treatment option. J Contemp Dent Pract 2008;9:107-114.
7 Uzun O, Topuz O, Aslan S, Tinaz AC. Effects of simulated lateral canals on the accuracy of measurements by an electronic apex locator. J Can Dent Assoc 2012;78:c65.
8 De Deus QD. Frequency, location, and direction of the lateral, secondary, and accessory canals. J Endod 1975; 1:361-366.   DOI   ScienceOn
9 Jansson LE, Ehnevid H. The influence of endodontic infection on periodontal status in mandibular molars. J Periodontol 1998;69:1392-1396.   DOI   ScienceOn
10 Alkahtani A, Al-Subait S, Anil S. An in vitro comparative study of the adaptation and sealing ability of two carrier-based root canal obturators. ScientificWorldJournal 2013;2013:532023.
11 Gillen BM, Looney SW, Gu LS, Loushine BA, Weller RN, Loushine RJ, Pashley DH, Tay FR. Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis. J Endod 2011;37:895-902.   DOI   ScienceOn
12 Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J 1995;28:12-18.   DOI   ScienceOn
13 Saunders WP, Saunders EM. Assessment of leakage in the restored pulp chamber of endodontically treated multirooted teeth. Int Endod J 1990;23:28-33.   DOI
14 Rotstein I, Simon JH. Diagnosis, prognosis and decision-making in the treatment of combined periodontal-endodontic lesions. Periodontol 2000 2004;34:165-203.   DOI   ScienceOn
15 Trope M, Bergenholtz G. Microbiological basis for endodontic treatment: can a maximal outcome be achieved in one visit? Endodontic Topics 2002;1:40-53.   DOI
16 Naito T. Single or multiple visits for endodontic treatment? Evid Based Dent 2008;9:24.   DOI   ScienceOn
17 Reit C, Molander A, Dahlen G. The diagnostic accuracy of microbiologic root canal sampling and the influence of antimicrobial dressings. Endod Dent Traumatol 1999; 15:278-283.   DOI
18 Reit C, Dahlen G. Decision making analysis of endodontic treatment strategies in teeth with apical periodontitis. Int Endod J 1988;21:291-299.   DOI
19 K B. Trial suggests no difference between single-visit and two-visit root canal treatment. Evid Based Dent 2013;14:48.   DOI   ScienceOn
20 Figini L, Lodi G, Gorni F, Gagliani M. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev 2007;4:CD005296.
21 Paque F, Balmer M, Attin T, Peters OA. Preparation of oval-shaped root canals in mandibular molars using nickel-titanium rotary instruments: a micro-computed tomography study. J Endod 2010;36:703-707.   DOI   ScienceOn
22 Gulabivala K, Patel B, Evans G, Ng YL. Effects of mechanical and chemical procedures on root canal surfaces. Endodontic Topics 2005;10:103-122.   DOI   ScienceOn
23 Siqueira JF Jr, Lima KC, Magalhaes FA, Lopes HP, de Uzeda M. Mechanical reduction of the bacterial population in the root canal by three instrumentation techniques. J Endod 1999;25:332-335.   DOI   ScienceOn
24 Coldero LG, McHugh S, MacKenzie D, Saunders WP. Reduction in intracanal bacteria during root canal preparation with and without apical enlargement. Int Endod J 2002;35:437-446.   DOI   ScienceOn