RESUMO
Introduction: An endodontic-periodontic lesion becomes a challenge for a clinician to diagnose and manage. when it comes to combined endodontic-periodontic lesion the most common treatment alternative is extraction and replacement with prosthesis. With numerous complications associated with prosthesis as well as patient's desire to retain natural teeth make it most important task for clinicians to conserve such teeth. Method: Four patients were included in this case series. Cases were treated with endodontic and periodontic treatment sequentially as per the guidelines. Results: After a follow-up period ranging from 6 months to 2 years, it was observed that all teeth remain asymptomatic and in normal function. Conclusions: This case series shows that it is possible to change the prognosis of teeth affected by combined endodontic-periodontal lesions, provides that correct diagnosis and proper oral hygiene maintenance is implemented
RESUMO
This report describes clinical cases of a palato-gingival groove on a maxillary lateral incisor with associated localized periodontal disease and pulp necrosis. The tooth of the first case was extracted because of severe bone destruction. The palato-gingival groove of the second case was eliminated using a round bur, and the resulting defect was filled with synthetic graft and covered by an absorbable membrane. Both diagnosis and treatment of palato-gingival groove were very difficult and usually extraction of the involved tooth is the treatment of choice, but combined endodontic-periodontic treatment allowed the tooth to be saved.