J Interdiscip Dentistry
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CASE REPORT
Year : 2022  |  Volume : 12  |  Issue : 2  |  Page : 53-56

Revitalizing pulpo perio complex


1 Department of Periodontology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India
2 Department of Periodontology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India; Department of Periodontics, College of Dentistry, Imam Abdulrahman Faisal University, Dammam, KSA
3 Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India, India

Correspondence Address:
Dr. Subraya G Bhat
Department of Periodontology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India; Department of Periodontics, College of Dentistry, Imam Abdulrahman Faisal University, Dammam, KSA

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jid.jid_1_22

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Endodontic–periodontal combined lesions pose a treatment challenge for clinicians, especially when the lesion is persistent and does not show signs of healing after nonsurgical endodontics. This case report describes interdisciplinary management of a nonhealing combined lesion related to a periapical cyst through an integrated approach of apicoectomy and regenerative periodontics. A 51-year-old male patient presented with a sinus tract for 4 months after endodontic retreatment of the maxillary right central and lateral incisor. Surgical enucleation of the cystic lesion together with regenerative periodontics using bone graft, advanced platelet-rich fibrin plus membrane, and guided tissue regeneration membrane to treat the tunnel bony defect was done. Clinical and radiographic examination at 6 months showed resolution of lesion, reduction in probing depths, and good bone fill of the defect.


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