Simultaneous periodontal and endodontic surgery: report of four clinical cases
Article Sidebar
Main Article Content
Case Description:
Four cases of patients aged 41, 33, 43 and 68 years who presented periapical lesions and needed periodontal surgery for pre-prosthetic purposes.
Clinical Findings:
The first case presented an intra-radicular retainer that was difficult to remove and likely to generate a root fracture. In addition, asymmetry of the gingival zenith was observed. The second case presented a complete crown at 16 with mesial marginal mismatch and subgingival margins distally. The third case presented a vestibular fistula with inflammation at the cervical level. The fourth case presented a vestibular fistula in the upper right lateral incisor. All patients showed apical lesions.
Treatment and Outcome:
The first three cases received coronal lengthening and apical surgery in the same surgical procedure. In the fourth case, apical surgery was performed, and placement of implants 13 and 15 with a pontic of 14. During the clinical control and radiographs performed after the surgical procedures, bone filling of the lesion was found.
Clinical Relevance:
Considering the results obtained, performing the periodontal and endodontic surgery procedures in a single surgical act is suggested. This reduces costs, travel, number of appointments, medication intake and post-surgical complications.
- Endodontic surgery
- periodontal disease
- periapical
- periodontitis
- Apicoectomy
- Gingivectomy
- Dental Pulp Cavity
Pablo Emilio Molano, Escuela de Odontología, Universidad del Valle, Cali, Colombia
https://orcid.org/0009-0001-0550-8810
Juan Sebastián Duque F, Universidad del Valle
https://orcid.org/0009-0008-8428-1263
Deisy Milena Urbano Gómez, Universidad del Valle, Facultad de Salud, Escuela de Odontología, Cali, Colombia 2. Colegio Odontológico Colombiano, Cali, Colombia
https://orcid.org/0000-0001-9962-4937
Matos Cruz R, Bascones-Martínez A. Tratamiento periodontal quirúrgico: Revisión. Conceptos. Consideraciones. Procedimientos. Técnicas. Av Periodon Implantol. 2011; 23(3): 155-70. https://doi.org/10.4321/S1699-65852011000300002
Lindhe J, Westfelt E, Nyman S, Socransky SS, Heijl L, Bratthall G. Healing following surgical/non-surgical treatment of periodontal disease. A clinical study. J Clin Periodontol. 1982; 9(2): 115-28. https://doi.org/10.1111/j.1600-051X.1982.tb01227.x
Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod. 2006; 32(7): 601-23. https://doi.org/10.1016/j.joen.2005.12.010
Baruwa AO, Martins JNR, Pires MD, Pereira B, Cruz PM, Ginjeira A. Management of Apico-marginal Defects With Endodontic Microsurgery and Guided Tissue Regeneration: A Report of Thirteen Cases. J Endod. 2023; 49(9): 1207-15. https://doi.org/10.1016/j.joen.2023.07.009
Setzer FC, Kratchman SI. Present status and future directions: Surgical endodontics. Int Endod J. 2022; 55 Suppl 4: 1020-58. https://doi.org/10.1111/iej.13783
Villaerde G, Carrion B, Barbosa R, Bascones I, Bascones A. Tratamiento quirúrgico de las coronas clínicas cortas: técnica de alargamiento coronario. Av Periodon Implantol. 2000; 12: 117-26. https://doi.org/10.4321/S1699-65852000000300002
Hempton T, Esrason F. Crown lengthening to facilitate restorative treatment in the presence of incomplete passive eruption. J Can Dent Assoc 2000; 28: 290 - 1. https://doi.org/10.1080/19424396.2000.12223077
Lai JY, Silvestri L, Girard B. Anterior esthetic crown - lengthening surgery: a case report. J can dent Assoc 2001; 67: 600 - 3.
Mohan S, Lavu V. Gingival Zenith Correction by Laser Gingivectomy. Cureus 2024; 16(1): e51495. https://doi.org/10.7759/cureus.51495
Cabrera I, Guerrero F. Peyrallo F. Alargamiento quirúrgico coronario. Quintessence. 1997; 10: 442-5.
Weinberg MA, Fernandez AR, Scherer W. Delayed passive eruption: an old concept with a distinct guise. Gen Dent. 1996; 44(4): 352-5.
Bensimon GD. Procedimiento de alargamiento quirúrgico de la corona para mejorar el aspecto estético. Int J Per Rest Dent 1999; 19: 333-41.
Bruhnke M, Krastl G, Neumeyer S, Beuer F, Herklotz I, Naumann M. Forced Orthodontic Extrusion to Restore the Unrestorable: A Proof of Concept. Int J Periodontics Restorative Dent 2023; 43(5): 560-9. https://doi.org/10.11607/prd.6155
Jorgensen MG, Nowzari H. Aesthetic crown lengthening. Periodontol 2000. 2001; 27: 45-58. https://doi.org/10.1034/j.1600-0757.2001.027001045.x
Dello Russo NM. Placement of crown margins in patients with altered passive eruption. Int J Periodontics Restorative Dent. 1984; 4(1): 58-65.
Lai JY, Silvestri L, Girard B. Anterior esthetic crown-lengthening surgery: a case report. J Can Dent Assoc. 2001; 67(10): 600-3.
Davarpanah M, Jansen CE, Vidjak FMA, Étienne D, Kebir M, Martinez H. Consideraciones restauradoras y periodontales de coronas clínicas cortas. Rev Int Odont Rest Per. 1998; 2(5): 401-7.
Palomo F, Kopczyk RA. Rationale and methods for crown lengthening. J Am Dent Assoc. 1978; 96(2): 257-60. https://doi.org/10.14219/jada.archive.1978.0066
Dolt AH 3rd, Robbins JW. Altered passive eruption: an etiology of short clinical crowns. Quintessence Int. 1997; 28(6): 363-72.
Coslet JG, Vandarsall RL, Weigold A. Diagnosis and classification of delayed passive eruption of the dentogingival junction in the adult. Alpha Omegan. 1977; 70: 24 - 8.
Moreno Rodríguez JA, Ortiz Ruiz AJ. Periodontal granulation tissue preservation in surgical periodontal disease treatment: a pilot prospective cohort study. J Periodontal Implant Sci. 2022; 52(4): 298-311. https://doi.org/10.5051/jpis.2105780289
Correa A. J, Alister J. P, Manterola C. Uso de la Fibrina Rica en Plaquetas Inyectable (i-PRF) en Defectos Infra Óseos en Terapia Periodontal no Quirúrgica. Reporte de Dos Casos. Int. J. Odontostomat. 2019; 13(3): 271-4. https://doi.org/10.4067/S0718-381X2019000300271
Ibrahim AA, Tawfik OK, ElNahass H. Partial (incomplete) removal of granulation tissue using modified minimally invasive surgical technique in treatment of infrabony defects (randomized control clinical trial). BMC Surg. 2024; 24(1): 230. https://doi.org/10.1186/s12893-024-02509-w
Bahar ŞÇ, Karakan NC, Vurmaz A. The effects of injectable platelet-rich fibrin application on wound healing following gingivectomy and gingivoplasty operations: single-blind, randomized controlled, prospective clinical study. Clin Oral Investig. 2024; 28(1): 85. https://doi.org/10.1007/s00784-023-05477-2
Downloads
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use