Management of Teeth with Grade 3 Endo-Periodontal Lesions by Combined Endodontic and Regenerative Periodontal Therapy
(1) Background: Severely compromised teeth affected by endo-periodontal lesions are often assigned a “hopeless” prognosis, however, there is only limited evidence available. (2) Methods: In a retrospective study, we evaluated the long-term effectiveness of combined endodontic and regenerative period...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/1/93 |
| _version_ | 1797358636353191936 |
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| author | Christina Tietmann Ivet Tezer Emad Youssef Søren Jepsen Karin Jepsen |
| author_facet | Christina Tietmann Ivet Tezer Emad Youssef Søren Jepsen Karin Jepsen |
| author_sort | Christina Tietmann |
| collection | DOAJ |
| description | (1) Background: Severely compromised teeth affected by endo-periodontal lesions are often assigned a “hopeless” prognosis, however, there is only limited evidence available. (2) Methods: In a retrospective study, we evaluated the long-term effectiveness of combined endodontic and regenerative periodontal therapy in teeth with advanced endo-periodontal lesions: 35 patients (age 47–83 years) with a total of 39 teeth diagnosed with grade 3 endo-periodontal lesions were treated by endodontists using an operating microscope followed by regenerative periodontal surgery. (3) Results: Changes in radiographic bone levels (rBl) and probing pocket depths (PPDs) were evaluated after 1 year (T<sub>1</sub>) and up to 7 years postoperatively (T<sub>final</sub>). Mean rBL gain was significant with 4.87 ± 3.47 mm after 1 year (T<sub>1</sub>) and stable results with a mean rBL gain of 4.70 ± 3.37 mm at T<sub>final</sub>. Mean PPD was significantly reduced from 9.74 ± 2.05 mm at baseline to 5.04 ± 1.61 mm at T<sub>1</sub> and to 4.87 ± 2.32 mm at T<sub>final</sub>. Tooth loss amounted to 10.3% (<i>n</i> = 4) and was due to root fracture. (4) Conclusion: The results suggest that the combined endodontic and regenerative periodontal therapy of endo-periodontal lesions of “hopeless” teeth can lead to favorable long-term results with tooth retention for up to 7 years. |
| first_indexed | 2024-03-08T15:04:29Z |
| format | Article |
| id | doaj.art-faf05ed389f3454e9200d9b8e1e45817 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T15:04:29Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-faf05ed389f3454e9200d9b8e1e458172024-01-10T15:01:01ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011319310.3390/jcm13010093Management of Teeth with Grade 3 Endo-Periodontal Lesions by Combined Endodontic and Regenerative Periodontal TherapyChristina Tietmann0Ivet Tezer1Emad Youssef2Søren Jepsen3Karin Jepsen4Private Practice for Periodontology, 52070 Aachen, GermanyDepartment of Periodontology, Operative and Preventive Dentistry, University of Bonn, 53111 Bonn, GermanyDepartment of Periodontology, Operative and Preventive Dentistry, University of Bonn, 53111 Bonn, GermanyDepartment of Periodontology, Operative and Preventive Dentistry, University of Bonn, 53111 Bonn, GermanyDepartment of Periodontology, Operative and Preventive Dentistry, University of Bonn, 53111 Bonn, Germany(1) Background: Severely compromised teeth affected by endo-periodontal lesions are often assigned a “hopeless” prognosis, however, there is only limited evidence available. (2) Methods: In a retrospective study, we evaluated the long-term effectiveness of combined endodontic and regenerative periodontal therapy in teeth with advanced endo-periodontal lesions: 35 patients (age 47–83 years) with a total of 39 teeth diagnosed with grade 3 endo-periodontal lesions were treated by endodontists using an operating microscope followed by regenerative periodontal surgery. (3) Results: Changes in radiographic bone levels (rBl) and probing pocket depths (PPDs) were evaluated after 1 year (T<sub>1</sub>) and up to 7 years postoperatively (T<sub>final</sub>). Mean rBL gain was significant with 4.87 ± 3.47 mm after 1 year (T<sub>1</sub>) and stable results with a mean rBL gain of 4.70 ± 3.37 mm at T<sub>final</sub>. Mean PPD was significantly reduced from 9.74 ± 2.05 mm at baseline to 5.04 ± 1.61 mm at T<sub>1</sub> and to 4.87 ± 2.32 mm at T<sub>final</sub>. Tooth loss amounted to 10.3% (<i>n</i> = 4) and was due to root fracture. (4) Conclusion: The results suggest that the combined endodontic and regenerative periodontal therapy of endo-periodontal lesions of “hopeless” teeth can lead to favorable long-term results with tooth retention for up to 7 years.https://www.mdpi.com/2077-0383/13/1/93endo-periodontal lesionregenerative periodontal therapyfurcation involvementperiodontal attachment lossbovine bone mineralenamel matrix derivative |
| spellingShingle | Christina Tietmann Ivet Tezer Emad Youssef Søren Jepsen Karin Jepsen Management of Teeth with Grade 3 Endo-Periodontal Lesions by Combined Endodontic and Regenerative Periodontal Therapy Journal of Clinical Medicine endo-periodontal lesion regenerative periodontal therapy furcation involvement periodontal attachment loss bovine bone mineral enamel matrix derivative |
| title | Management of Teeth with Grade 3 Endo-Periodontal Lesions by Combined Endodontic and Regenerative Periodontal Therapy |
| title_full | Management of Teeth with Grade 3 Endo-Periodontal Lesions by Combined Endodontic and Regenerative Periodontal Therapy |
| title_fullStr | Management of Teeth with Grade 3 Endo-Periodontal Lesions by Combined Endodontic and Regenerative Periodontal Therapy |
| title_full_unstemmed | Management of Teeth with Grade 3 Endo-Periodontal Lesions by Combined Endodontic and Regenerative Periodontal Therapy |
| title_short | Management of Teeth with Grade 3 Endo-Periodontal Lesions by Combined Endodontic and Regenerative Periodontal Therapy |
| title_sort | management of teeth with grade 3 endo periodontal lesions by combined endodontic and regenerative periodontal therapy |
| topic | endo-periodontal lesion regenerative periodontal therapy furcation involvement periodontal attachment loss bovine bone mineral enamel matrix derivative |
| url | https://www.mdpi.com/2077-0383/13/1/93 |
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