Fajrianti Henytaria, Karimah Fauziah, Dewi Safitri Kusuma, Ratih Diatri Nari, Devitaningtyas Nungky, Karina Vincensia Maria, Diba Silviana Farrah
Department of Conservative Dentistry Faculty of Dentistry Universitas Gadjah Mada, Yogyakarta, Indonesia.
Department of Periodontics Faculty of Dentistry Brawijaya University, Malang, Indonesia.
Case Rep Dent. 2024 Aug 29;2024:1048933. doi: 10.1155/2024/1048933. eCollection 2024.
Endo-perio lesions are lesions involving pulp tissue with periodontal tissue. The bacterial infection of the pulp can spread to the furcation area through the accessory canal, causing damage to the furcation area. Regeneration therapy has good success when performed with flap surgery and is performed in cases of Grades I and II furcation involvement. Demineralized freeze-dried bone allograft (DFDBA) is a regenerating material that has osteoinductive and osteoconductive abilities. It has the advantage of successful treatment of bone defects. Biodentine is an agent used for direct pulp capping, root perforation and furcation repair, and apexification. It can bind and enter the dentinal tubules and create interlocking crystals with dentin. This case report presents the treatment of furcation involvement Grade II originating from endo-perio lesions by using DFDBA and Biodentine as regeneration materials with 6 months of follow-up.
牙髓-牙周联合病变是累及牙髓组织和牙周组织的病变。牙髓的细菌感染可通过副根管扩散至根分叉区,对根分叉区造成损害。再生治疗联合翻瓣手术成功率较高,适用于Ⅰ度和Ⅱ度根分叉病变。脱矿冻干骨同种异体移植物(DFDBA)是一种具有骨诱导和骨传导能力的再生材料。它在治疗骨缺损方面具有成功的优势。生物活性玻璃陶瓷是一种用于直接盖髓、根管穿孔修复、根分叉修复和根尖诱导成形的材料。它可以结合并进入牙本质小管,与牙本质形成互锁晶体。本病例报告介绍了使用DFDBA和生物活性玻璃陶瓷作为再生材料治疗源自牙髓-牙周联合病变的Ⅱ度根分叉病变,并进行了6个月的随访。