MANAGEMENT OF ENDO-PERIO LESION WITH HEMISECTION AND BONE AUGMENTATION OF INFRABONY DEFECT WITH CALCIUM ENRICHED MIXTURE (CEM) CEMENT [ALLOPLAST] AND - PRF A CASE REPORT

Dr. Mundoor Manjunath Dayakar, Dr. Prakash Pai Gurpur, Dr. Vidya G Nair

Abstract


 Endodontic periodontic lesions often creates dilemma to the clinician in making final diagnosis and treatment plan. In cases where there is severe destruction of one root of a tooth due to caries, splitting of the two roots and removal of one root along with associated crown structure is considered as a treatment modality.In cases where there is caries extending upto pulp  associated with severe bone loss, bone augmentation of infrabony defect  can be done ,following the initial endodontic phase of root canal treatment.In this case report root canal treatment was performed on both, endoperidontally involved mandibular first and second molar  .Hemisection of distal root of 47 was done ,following which the infrabony defect persistant in 46 was augmented using CEM (calcium enriched mixture)cement and PRF.


Keywords


Calcium enriched mixture, Endo-periolesion, Hemisection.

Full Text:

PDF

References


Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of periodontology. 2018 Jun;89:S173-82.

Singh P. Endo-perio dilemma: a brief review. Dental research journal. 2011;8(1):39.

Zubery Y, Kozlovsky A. Two approaches to the treatment of true combined periodontal-endodontal lesions. J Endod. 1993;19(8):414–6.

Asgary S, Nosrat A. Conservative management of class 4 invasive cervical root resorption using calcium-enriched mixture cement. Journal of endodontics. 2016 Aug 1;42(8):1291-4.

Kabbinale P, Chethena KC, Kuttappa MA. Role of calcium-enriched mixture in endodontics. Archives of Medicine and Health Sciences. 2015 Jan 1;3(1):80.

Parirokh M, Mirsoltani B, Raoof M, Tabrizchi H, Haghdoost AA. Comparative study of subcutaneous tissue responses to a novel root‐end filling material and white and grey mineral trioxide aggregate. International endodontic journal. 2011 Apr;44(4):283-9.

Chang YC, Zhao JH. Effects of platelet-rich fibrin on human periodontal ligament fibroblasts and application for periodontal infrabony defects. Aust Dent J. 2011;56:365–71

.Fugazzotto PA. A comparison of the success of root resected molars and molar position implants in function in a private practice: Results of up to 15-plus years. Journal of Periodontology. 2001; 72: 1113-1123.

Bühler H. Evaluation of root-resected teeth. Results after 10 years. J Periodontol 1988;59:805-10

Balachandran A, Sundaram S. Resective procedures in the management of mandibular molar furcation involvement: A report of three cases. J Interdiscip Dent 2014;4:41-5

Saad MN, Moreno J, Crawford C. Hemisection as an alternative treatment for decayed multirooted terminal abutment: A case report. J Can Dent Assoc 2009;75:387-90.

Akki S, Mahoorkar S. Tooth hemisection and restoration an alternative to extraction: A case report. Int J Dent Clin 2011;3:67-8

Bollineni S, Karunakar P. Hemisection report of two cases. Int J Dent Clin 2013;5:31-2.


Refbacks

  • There are currently no refbacks.