Endodontic-periodontic bifurcation lesions: a novel treatment option.
OBJECTIVE
The purpose of this preliminary clinical report is to suggest a novel treatment modality for periodontal bifurcation lesions of endodontic origin.


METHODS
The study consisted of 11 consecutive patients who presented with periodontal bifurcation lesions of endodontic origin (endo-perio lesions). All patients were followed-up for at least 12 months. Treatment included calcium hydroxide with iodine-potassium iodide placed in the root canals for 90 days followed by canal sealing with gutta-percha and cement during a second stage. Dentin bonding was used to seal the furcation floor to prevent the ingress of bacteria and their by-products to the furcation root area through the accessory canals.


RESULTS
A radiographic examination showed complete healing of the periradicular lesion in all patients. Probing periodontal pocket depths decreased to 2 to 4 mm (mean 3.5 mm), and resolution of the furcation involvement was observed in post-operative clinical evaluations.


CONCLUSIONS
The suggested treatment of endo-perio lesions may result in complete healing. Further studies are warranted.


CONCLUSIONS
This treatment method improves both the disinfection of the bifurcation area and the healing process in endodontically treated teeth considered to be hopeless.
Lin
Shaul
S
Endodontic and Dental Traumatology Unit, Department of Dental and Oral Medicine, Rambam Medical Center, B. Rappaport - Faculty of Medicine, Technion, Israel. sh_lin@rambam.health.gov.il
Tillinger
Gabriel
G
Zuckerman
Offer
O
D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002126:Calcium Hydroxide / Q000627:therapeutic use; D003788:Dental Pulp Diseases / Q000150:complications*; D017220:Dentin-Bonding Agents / Q000627:therapeutic use; D004853:Epoxy Resins / Q000627:therapeutic use; D005500:Follow-Up Studies; D017823:Furcation Defects / Q000209:etiology / Q000628:therapy*; D006171:Gutta-Percha / Q000627:therapeutic use; D006801:Humans; D007455:Iodine / Q000627:therapeutic use; D010483:Periapical Diseases / Q000209:etiology / Q000628:therapy*; D010508:Periodontal Abscess / Q000209:etiology / Q000628:therapy; D011193:Potassium Iodide / Q000627:therapeutic use; D019279:Resin Cements / Q000627:therapeutic use; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012388:Root Canal Irrigants / Q000627:therapeutic use; D012391:Root Resorption / Q000209:etiology / Q000628:therapy; D014945:Wound Healing / Q000502:physiology
D000891:Anti-Infective Agents, Local; C438313:Clearfil SE Bond; D017220:Dentin-Bonding Agents; D004853:Epoxy Resins; D019279:Resin Cements; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; C534916:epoxy resin-based root canal sealer; D011193:Potassium Iodide; D006171:Gutta-Percha; D007455:Iodine; D002126:Calcium Hydroxide