Year : 2021

Volume : Volume 12

Issue : Issue 3

Address for correspondence :
Dr. P. Veerendra Nath Reddy
veerureddy@yahoo.com

Abstract

Background: One of the most challenging problems sustained by the clinician is the endo-perio lesion. It is an impeding problem faced in diagnosing the lesion and a dilemma as to which part of the lesion to be addressed first. The simultaneous involvement of pulpal problems and inflammatory periodontal disease can obscure diagnosis and treatment planning. The present case report shows the importance of periodontal therapy that includes open debridement of the defect followed by placement of alloplast in the defect area. The involved tooth was first treated endodontically that was followed by splinting of the involved tooth preceded by periodontal treatment. There was a significant gain in clinical attachment level 6 months postoperatively in the involved tooth. Radiographically, there was a significant amount of bone fill observed using RVG.

Keywords: Alloplast, Intrabony defects, Regeneration, Open flap debridement.