An Evaluation of Decision-making in the Treatment of Combined Periodontal-endodontic in Lao Patient, Faculty of Dentistry, Lao PDR

Abstract

Background:  Periodontal disease and endodontic problem is a major problem affecting human dentition, Early diagnosis and evaluation of the results of periodontal treatment is important for controlling the disease. Objective: To compare the efficacy of various treatment of periodontal disease on periodontal root planning, root canal filling technique and root canal filling combined periodontal open flap technique. Methods: A Cross-sectional clinical descriptive study within 40patients who was diagnosis with a combined periodontal-endodontic lesion which peri pocket depth (PD 4-9 mm) who were recruited from patients seeking treatment at dental clinic, Faculty of dentistry University of Health Sciences, Results: After treatment both types of treatment root canal filling combined with root planning and root canal filling combined with periodontal open flap the patient cleans the teeth better, Inflammation is reduced effectively, the reduction of pocket depth and gain in the clinical attachment level. Conclusion: After compared result of all clinical indicators between Two type treatment including Bleeding on probing (BOP), Pocket depth (PD) and Clinical attachment level (CAL) were not different. It is suggested that for patients with the perio-endo (PD 4-9 mm) the dentist while considering on a treatment option should hence explain an integrated approach of taking proceed into consideration with patients and thereby providing each individual patient with the best possible option.