Single Flap Approach with Lingual Access in Conjugation with PRF and Biograft HABG for the Management of Residual Grade II Furcation Defect Occurring from Primary Endodontic with Secondary Periodontal Lesion: An Interdisciplinary Case Report

Sanjeev Kumar Salaria; Navjot Kaur Chahal; Surinder S Chahal; Prabhdiljit Singh

Single Flap Approach with Lingual Access in Conjugation with PRF and Biograft HABG for the Management of Residual Grade II Furcation Defect Occurring from Primary Endodontic with Secondary Periodontal Lesion: An Interdisciplinary Case Report

Sanjeev Kumar Salaria, Navjot Kaur Chahal, Surinder S Chahal, Prabhdiljit Singh

Abstract

The success of an endodontic and periodontal lesion depends on the elimination of both of these disease processes; as the endodontic therapy results in healing of the endodontic component of involvement while the prognosis or outcome of tooth would finally depend on the healing of the periodontal structures. In this case report, a residual grade II furcation defect of primary endodontic with secondary periodontal lesion was managed by endodontic therapy followed by periodontal regenerative therapy with BioGraft® hydroxy apatite active bone graft (HAGB) and platelet rich fibrin (PRF) utilizing single flap access technique. At 6 months post operatively there was reduction in periodontal pocket and gain in clinical attachment level with complete regeneration in grade II furcation bone defect was observed without any post operative complication.

Keywords

endo-perio lesion, residual grade II furcation, root canal therapy, periodontal regeneration, single flap access

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References

Simring M, Goldberg M. The pulpal pocket approach: retrograde periodontitis. J Periodontol. 1964;35:22–48.

Chen SY, Wang HL, Glickman GN. The influence of endodontic treatment upon periodontal wound healing. J Clin Periodontol.1997;24(7):449–56.

Newman T, Klokkevold, Carranza FA. Clinical Periodontology, 10th ed. Philadelphia: Saunders; 2006.

Trombelli L, Farina R, Franceschetti G, Calura G. Single flap approach with buccal access in periodontal reconstructive procedures. J Periodontol. 2009;80:353–60.

Deodhar AK, Rana RE. Surgical physiology of wound healing: a review. J Postgrad Med. 1997;43:52–6.

Giannobile WV. Periodontal tissue engineering by growth factors. Bone. 1996;19(Suppl 1):23S–37S.

Diss A, Dohan DM, Mouhyi J, Mahler P. Osteotome sinus floor elevation using Choukroun’s platelet rich fibrin as grafting material: a 1-year prospective pilot study with microthreaded implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:572e9.

Tsai CH, Shen SY, Zhao JH, Chang YC. Platelet rich fibrin modulates cell proliferation of human periodontal related cells in vitro reports. J Dent Sci. 2009;4:130e5.

Debnath T, Chakraborty A, Pal TK. A clinical study on the efficacy of hydroxyapatite - Bioactive glass composite granules in the management of periodontal bony defects. J Indian Soc Periodontol. 2014;18(5):593–600.

Sharma A, Pradeep AR. Autologous Platelet rich fibrin in the treatment of mandibular degree II furcation defects: a randomized clinical trial. J Periodontol. 2011;82:1396–403.

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