Management of Combined Periodontal Treatment with Endodontic Therapy: A Case Report

Abstract

The management of endo-perio lesions is complex, involving multiple factors from diagnosis to treatment. While some lesions can be managed by endodontic or periodontal therapy alone, others require an interdisciplinary approach with various treatment options. This case report explores about management of a Palatogingival Groove Through Combined endodontic and Periodontal Therapy. The periodontal disease is a factor for tooth loss in patients with periodontitis; it is pulpal infection, necrosis, and deep caries. A 39-year-old woman reported from the Periodontology Unit, Department of Endodontics, Faculty of Dentistry, with the chief complaint of tooth length and swelling from gums in relation to upper left front tooth for last 1 year. Root canal treatment RCT by Calcium Hydroxide 30 days and then root canal filling by gutta-percha was performed and periodontal open flap technique. Clinical evaluation revealed that periodontal pocket depths returned to normal (3-4 mm) and tooth mobility decreased. With a structured maintenance program and improved patient compliance, even questionable teeth can have a long-term prognosis. The recommended treatment protocol involves initial root canal treatment with Calcium Hydroxide, followed by regular RCT, and subsequent surgical periodontal treatment.