Management Of Tooth With Deep Furcal Defect By Endo- Perio Management – An Interdisciplinary Case Report

Multi disciplinary approach was followed in treatment of endo perio lesion in a mandibular molar with furcal involvement and apical lesion. The patient presented with pain and mobility in the right mandibular first molar. There was grade I mobility and periapical lesion along with furcal involvement in relation to 46. A probing depth of 7mm was elicited in relation to buccal aspect of 46. The endodontic management of 46 was done using sonic activation of irrigant along with calcium hydroxide intracanal medicament. Periodontal flap surgery along with placement of bone graft and Platelet rich fibrin was done to facilitate healing kinetics of periapical healing as well as periodontal regeneration. The patient was recalled after 1,3,6 months and at one year follow up, complete healing of the furcal defect was seen in 46.