One session endodontic treatment as the only solution to an apparent endo-periodontal lesion. A clinical case report
DOI:
https://doi.org/10.59334/ROV.v2i27.208Keywords:
root canal treatment, endoperio lesion, one session, apical periodontitisAbstract
This case report describes the successful management of an apparent endoperio lesion on a mandibular left lateral incisor that was treated only with conventional endodontic therapy in one session.
The aim of this case is demonstrate that proper diagnosis, followed by removal of etiological factors such as bacterias and their communication between root canal and periodontal tissue will prevent the need for unnecessary interventions and will restore health and function on a tooth with severe attachment loss caused by an apparent endoperio lesion.
Downloads
References
Burch, JG, Hulen S. (1974). A study of the presence of accessory formina and the topography of molar furcations. Oral Surg Oral Med Oral Pathol;38:451-455. https://doi.org/10.1016/0030-4220(74)90373-9
Chugal, Mn., Clive, MJ., Spangberg, SWL. (2003). Endodontic infection: Some biologic and treatment factors associated with outcome. Journal of Endodontics;96:81-90. https://doi.org/10.1016/S1079-2104(02)91703-8
De Deus, QD. (1975). Frequency, location and direction of lateral, secundary and accessory canals. Journal of Endod 1:361. https://doi.org/10.1016/S0099-2399(75)80211-1
Fabricius, L., Dahlen, G., Holm, SE., Möller, (1982). Influence of combinations of oral bacteria on periapical tissues of monkeys. Scand. J Dent Res;90:200-206. https://doi.org/10.1111/j.1600-0722.1982.tb00728.x
Gutmann, JL. (1978). Prevalence, location and patency of accessory canals in the furcation region of permanent molars. J. Periodontol 49:21-26. https://doi.org/10.1902/jop.1978.49.1.21
Kakehashi, S., Stanley, HR., Fitzgerald, RJ. (1965). The effect of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surgery, Oral Medicine, Oral Pathology an Endodontic 20:340-9. https://doi.org/10.1016/0030-4220(65)90166-0
Kurihara, H., Kobayashi, Y., Francisco, I., Isoshima, O., Nagai, A., Murayama, Y. (1995). A microbiological and immunological study of endodontic-periodontic lesions. Journal of Endodontics; 21:617-621. https://doi.org/10.1016/S0099-2399(06)81115-5
Lin, LM., Di Fiore, PM., Lin, J., Rosenberg, PA. (2006). Histological study of periradicular tissue responses to unifected and infected devitalized pulps in dogs. Journal of Endodontics;32:34-8. https://doi.org/10.1016/j.joen.2005.10.010
Lin, LM., Lin, J., Rosenberg, PA. (2007). One- appointment endodontic therapy. Biological considerations Journal of American Dental Association,; 138:1456-1462. https://doi.org/10.14219/jada.archive.2007.0081
Molander, A., Warfvinge, J., Reit, C., Kvist, T., (2007). Clinical and radiographic evaluation of one-and two-visit endodontic treatment of asymptomatic necrotic teeth with apical periodontitis: A randomized clinical trial. Journal of Endodontics ;33:1145-1148. https://doi.org/10.1016/j.joen.2007.07.005
Möller, AJR., Fabricius, L., Dahlen, G., Öhman, AE., Heyden, G. (1981). Influence on periapical tissues of indigenous oral bacteria and necrotic pulp tissue in monkeys. Scandinavian Journal of Dental Research. 89:475-84. https://doi.org/10.1111/j.1600-0722.1981.tb01711.x
Patel, S., Ricucci, D., Durak, C., Tay, F. (2010). Internal root resorption: A Review. Journal of Endodontics 36: 1107-1121. https://doi.org/10.1016/j.joen.2010.03.014
Penesis, VA., Fitzgerald, PI., Fayad, MI., Wenckus, CS., BeGole, ES., Johnson, BR. (2008). Outcome of one-visit endodontic treatment of necrotic teeth with apical periodontitis: a randomized controlled trial with one-year evaluation, Journal of Endodontics 34:251-7. https://doi.org/10.1016/j.joen.2007.12.015
Peters, LB., Wensselink, PR. (2002). Periapical healing of endodontically treated teeth in one and two visits obturated in the presence or absence of detectable microorganisms. International Endodontic Journal 35:660-667. https://doi.org/10.1046/j.1365-2591.2002.00541.x
Sathorn, C., Parashos, P., Messer, HH. (2005). Effectiveness of single- versus multiple-visit endodontic treatment of teeth with apical periodontitis: a systematic review and meta-analysis. International Endodontic Journal 38:347-55. https://doi.org/10.1111/j.1365-2591.2005.00955.x
Simon, JH., Glick, DH., Frank, AL. (1978). The relationship of endodontic-periodontic lesions. Journal of Periodontology 43(4)202-208. https://doi.org/10.1902/jop.1972.43.4.202
Simring M, Goldberg M.(1964) The pulpal pocket approach: retrogade periodontitis. Journal of Periodontology 35: 22-48. https://doi.org/10.1902/jop.1964.35.1.22
Downloads
Published
Issue
Section
License
Copyright (c) 2017 Roberto Sánchez Lara Tajonar

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Odontología Vital agree to the following terms:
- Authors retain the copyright and grant Universidad Latina de Costa Rica the right of first publication, with the work simultaneously licensed under a Creative Commons Attribution 4.0 International license (CC BY 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the Odontología Vital's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.