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Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 128-131

Endo-perio lesions: A diagnostic dilemma

Department of Conservative Dentistry and Endodontics, Dayananda Sagar College of Dental Sciences, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Mohd Sibghatullah Khatib
Dayananda Sagar College of Dental Sciences, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmd.ijmd_35_18

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Endodontic and dentistry surgical procedure has surpassed the success rates for ancient dental medicine and dentistry surgical procedures. Achieving primary closure with the grafts contains a positive result on guided tissue regeneration (GTR) outcome. New techniques of dentistry microsurgery, such as minimally invasive papilla conserving flaps with passive internal pad stitching, have managed to obtain 90% primary flap closure over grafted sites. Root surface treatment and acquisition has conjointly shown to be helpful for GTR. The present case report describes a case of the localized primary periodontal lesion with secondary endodontic involvement in a mandibular first molar. The case was managed by root canal therapy followed by a periodontal regenerative procedure using GTR technique. Two years follow-up without replacement of the tooth with crown showed healing of the lesion with a minor defect in the restoration which was replaced by tooth-colored restoration.

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