Combination of Regenerative Procedure and Endodontic Treatment in Endo-Perio Lesion: A Case Report

Introduction: The relationship between the periodontal and endodontic lesion disease was first described by Simring and Goldberg in 1964 which referred to it as an “endo-perio lesion”. The success of the treatment is depending on the proper identification of the causes. The treatment might require both endodontic therapies combine with a periodontal regenerative procedure. The present case report shows a combination of endodontic treatment with a GTR procedure. Case Report: A 21 years old man came to periodontics department, University of Sumatera Utara with a chief complaint of tooth mobility in a lower lateral incisor with a gingival enlargement. Intra oral examination shows grade II mobility with an interdentally gingival inflammation and a trauma from occlusion on tooth 42 and clinical examination shows a non-vital tooth with a infrabony pocket. A combination of endodontic treatment and GTR procedure was performed in this case. Discussion: Determination the main causes in endo-perio lesion plays an important role which affected the treatment plan of the case. Proper history taking and sequential treatment planning are important for a successful treatment of this lesion. Combination of guided tissue regeneration (GTR) with an adequate root canal treatment in the involvement of pulpal and periodontal lesion will increase the prognosis of a tooth. Conclusion: Endo-perio lesion presents a challenge in diagnostic and treatment plan. Through proper identification and good treatment plan such as root canal treatment combine with a GTR procedure, it shows a good and predictable outcome.