Aksel Hacer, Serper Ahmet
Department of Endodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
J Clin Exp Dent. 2014 Feb 1;6(1):e91-5. doi: 10.4317/jced.51219. eCollection 2014 Feb.
Pulpal and periodontal problems are responsible for more than half of the tooth mortality. There are some articles published in the literature about this issue. Many of them are quite old. There has been also lack of knowledge about the effect of endodontic treatment on the periodontal tissue healing and suitable treatment interval between endodontic and periodontal treatments. In this case report, different kinds of endo-perio lesion were treated with sequential endodontic and periodontal treatment. The follow-up radiographs showed complete healing of the hard and soft tissue lesions. The tooth with endo-perio lesions should be evaluated thoroughly in terms of any cracks and fracture, especially furcation areas for a long term prognosis. In this case report, it was showed that 3 months treatment intervals between endodontic treatment and periodontal surgery has no harmful effect on periodontal tissue healing. Key words:Endo-perio lesion, furcation, mandibular molar, bone graft, crack line, treatment interval.
牙髓和牙周问题导致了超过一半的牙齿丧失。文献中已发表了一些关于此问题的文章。其中许多都相当陈旧。关于根管治疗对牙周组织愈合的影响以及根管治疗与牙周治疗之间合适的治疗间隔也缺乏了解。在本病例报告中,不同类型的牙髓-牙周病变采用了根管治疗和牙周治疗的序贯治疗。随访X线片显示硬组织和软组织病变完全愈合。对于患有牙髓-牙周病变的牙齿,应全面评估是否存在任何裂纹和骨折,尤其是根分叉区域,以进行长期预后评估。在本病例报告中,结果表明根管治疗与牙周手术之间3个月的治疗间隔对牙周组织愈合没有有害影响。关键词:牙髓-牙周病变、根分叉、下颌磨牙、骨移植、裂纹线、治疗间隔