Hemisection for treatment of an advanced endodontic-periodontal lesion: a case report.
OBJECTIVE
To emphasize the importance of primary endodontic treatment when dealing with endo-perio lesions and to demonstrate the considerable healing potential of the endodontic aspect.


METHODS
After several years of unsuccessful symptomatic periodontal treatment, an advanced endo-perio lesion on a right-mandibular first molar was successfully treated by root-canal treatment and hemisection after the re-evaluation of the lesion. This successful treatment appeared to have a positive effect on the patient's general well-being.


CONCLUSIONS
The origin of a combined endo-perio lesion is indicated by its clinical and radiographic appearance. The periodontal situation is often misinterpreted. The prognosis for the endodontic element of treatment is excellent. Local pathologic processes in the oral cavity may affect a patient's general health.
Department of Restorative Dentistry, University of Dentistry ZZMK (Carolinum), Johann Wolfgang Goethe University, Frankfurt, Germany. D.Heidemann@emuni-frankfurt.de
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D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D010485:Periapical Periodontitis / Q000150:complications / Q000601:surgery*; D012390:Root Canal Therapy; D019228:Tooth Crown / Q000601:surgery; D014092:Tooth Root / Q000601:surgery*