Step-wise treatment of two periodontal-endodontic lesions in a heavy smoker

International Endodontic Journal
C WalterRoland Weiger

Abstract

To report a clinical case of two advanced periodontal-endodontic lesions with a focus on treatment issues related to tobacco use. A 53-year-old Caucasian male was referred to the School of Dentistry, Basel, Switzerland, for periodontal treatment. The major diagnoses were chronic (smoker) periodontitis and advanced combined periodontal-endodontic lesions on the mandibular left lateral incisor and right incisor. Conventional root canal treatment was performed, and subsequently led to reduced radiolucencies around the affected roots after 14 months. The remaining osseous defect was augmented by guided tissue regeneration using bovine bone substitute and resorbable membrane. The follow-up revealed a stable situation from clinical (probing depth 2-4 mm) and radiological points of view 32 months after initiation of treatment. Treatment considerations related to tobacco use are discussed. * After conventional root canal treatment, osseous healing should occur before further complementary therapy is taken into account. * Issues related to tobacco use have to be considered before treatment is initiated.

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Citations

Dec 12, 2012·Clinical Oral Investigations·Fabiola-Regina RodriguezClemens Walter
Dec 17, 2014·Journal of Conservative Dentistry : JCD·Ritu SharmaPratul Agarwal
Aug 2, 2011·The American Journal of the Medical Sciences·Fawad JavedKhalid Al-Hezaimi
Apr 29, 2014·Journal of Clinical Periodontology·Julia C SchmidtRoland Weiger
Feb 19, 2017·Clinical Oral Investigations·Fabiola-Regina RodriguezClemens Walter

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