Lesion Sterilization Tissue Repair as Adjunct to Conventional Root Canal Treatment in Management of Combined Endodontic-Periodontic Lesions

Saleh, Ahmed and Eid, Hossam and Abdulaziz, Khalid (2014) Lesion Sterilization Tissue Repair as Adjunct to Conventional Root Canal Treatment in Management of Combined Endodontic-Periodontic Lesions. World Journal of Dentistry, January-March 2014;5(1):47-52, 5 (1). pp. 47-52. ISSN 0976-6006, 0976-6014

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Abstract

Background: Treatment of perio-endo lesions is challenging for the clinician. A combination of root canal treatment and periodontal treatment is needed in order to provide good results. There is a high failure rate due to the difficulty in eliminating the microflora that colonizes and complicates the lesion. Conventional root canal treatment (RCT) sometimes is not enough to prevent failure in such lesions. Hence the Aim of this study was to evaluate of use of LSTR (Lesion Sterilization Tisssue Repair) therapy in conjunction with, periodontal therapy and RCT in management of combined perio-endo lesions. Materials and methods: This study was conducted on 26 patients with perio-endo lesions, The affected teeth were tender to percussion, presented no mobility, and meticulous periodontal probing revealed all pockets to be more than 6 mm in depth. Periapical radiographs of the teeth confirmed the extensive coronal carious lesion involving the pulp and revealed large periapical lesion. The patients were classified into two groups, each of 14 patients, control group (A) RCT done by using conventional sealer, and group (B), RCT done by mixing sealer with LSTR material in equal proportions. All teeth were treated by open flap debridement. Results: In group B patients, after follow-up for 3, 6, 9 and 12 months, we found excellent prognosis (98%), with no symptoms of pain and there was marked improvement in periodontal parameters for all teeth. However, on the other hand, in group A patients, the prognosis was found to be 90%. Conclusion: According to results of this study, we highly recommend the use of LSTR with sealer in RCT together with Original research 1,2Assistant Professor, 3Associate Professor 1Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia Department of Operative Dentistry, Faculty of Dentistry Almansoura University, Egypt 2Department of Preventive Dental Sciences, Division of Periodontics, College of Dentistry, King Khalid University, Abha Saudi Arabia, Department of Oral Medicine and Periodontology Faculty of Dentistry, Suez Canal University, Ismailia City, Egypt 3Department of Restorative Dental Sciences, Division of Biomaterials, College of Dentistry, King Khalid University, Abha Saudi Arabia Corresponding Author: Hossam A Eid, Assistant Professor Department of Preventive Dental Sciences, College of Dentistry KKU, Grager Campus, PO: 3263, Abha-61471, Saudi Arabia Phone: 0530834985, e-mail: dentaleagle2011@gmail, hosam@ kku.edu.sa 10.5005/jp-journals-10009-00 periodontal treatment in management of perio-endo lesions to decrease the rate of failure and improve the periodontal condition.

Item Type: Article
Subjects: Dentistry
Divisions: College of Dentistry > Dentistry
Depositing User: Dr Ahmad Saleh
Date Deposited: 20 Nov 2017 18:48
Last Modified: 20 Nov 2017 18:48
URI: http://eprints.kku.edu.sa/id/eprint/2509

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