Published date: Apr 25 2022

Journal Title: KnE Medicine

Issue title: The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar

Pages: 61-69

DOI: 10.18502/kme.v2i1.10838

Sri Wahyu Putriandisriwahyuputri@gmail.comPeriodontology Specialist Educational Programme, Faculty of Dentistry, Hasanuddin University. Jl. Perintis Kemerdekaan KM 10, Tamalanrea, Makassar, Sulawesi Selatan, 90245, Indonesia

Surijana MappangaraPeriodontology Department Faculty of Dentistry, Hasanuddin University. Jl. Perintis Kemerdekaan KM 10, Tamalanrea, Makassar, Sulawesi Selatan, 90245, Indonesia

Asdar GaniPeriodontology Department Faculty of Dentistry, Hasanuddin University. Jl. Perintis Kemerdekaan KM 10, Tamalanrea, Makassar, Sulawesi Selatan, 90245, Indonesia

Sri Pamungkas Sigit NardiatmoPeriodontology Specialist Educational Programme, Faculty of Dentistry, Hasanuddin University. Jl. Perintis Kemerdekaan KM 10, Tamalanrea, Makassar, Sulawesi Selatan, 90245, Indonesia

Gustivanny Dwipa APeriodontology Specialist Educational Programme, Faculty of Dentistry, Hasanuddin University. Jl. Perintis Kemerdekaan KM 10, Tamalanrea, Makassar, Sulawesi Selatan, 90245, Indonesia

Background: Periodontal tissue and pulp are interconnected anatomically. In some circumstances, the inflammation may extend from the periodontal region to the pulp or vice versa. In perio-endo lesions, an appropriate treatment plan is required to obtain a predictable and reliable treatment prognosis. The development and progression of these perio-endo lesions can be influenced by many factors such as bacteria, fungi, viruses, trauma, root resorption, perforation and dental malformations. An appropriate treatment plan for perio-endo lesions can provide a good prognosis.

Objective: To describe periodontal treatments performed in patients with perio-endo lesions.

Case Report: A 39-year-old man presented to Hasanuddin University Dental and Oral Hospital with a chief complaint of uncomfortable left posterior maxillary teeth during mastication. Clinical examination showed vital, non-caries, pocket depth of ±9mm on tooth 26. Radiographic examination showed a radiolucent lesion that extended to the apically. Regenerative periodontal treatment was performed using a combination of platelet-rich fibrin (PRF) with demineralized freeze-dried bone xenograft (DFDBX).

Results: During the observation period, pocket depth was reduced, and the pain was absent.

Conclusion: Periodontal inflammation that extends to the pulp tissue can be prevented by regenerative periodontal treatment using a combination of PRF and DFDBX, which shows promising results.

Keywords: endo-perio lesions, periodontal regenerative, periodontal surgery

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