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Volume 32 , Issue 4
August 2012
Pages 433-439

Treatment of Combined Endodontic-Periodontic Lesions Using Guided Tissue Regeneration: Clinical Case and Histology

Carlo Ghezzi, DDS/Mauro Virzì, DDS/Peter Schupbach, PhD/Alessandro Broccaioli, DDS/Massimo Simion, MD, DDS

PMID: 22577649
DOI: 10.11607/prd.00.1081

The aim of this case report is to histologically evaluate periapical healing after combined endodontic-periodontic treatment. A maxillary left central incisor was treated with conventional endodontic therapy, followed by periodontal surgery. The facial bony defect was filled with a mixture of autologous bone and Bio-Oss. A resorbable membrane was used. Histology showed the presence of new cementum, ligament, and bone around the apex of the treated tooth. This finding was clinically associated with minimal residual probing depth and maximum attachment gain. This histologic report demonstrates the possibility of true regeneration in a case of severe periodontal attachment loss resulting from an endodontic-periodontic lesion. (Int J Periodontics Restorative Dent 2012;32:433–439.)

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