Treatment strategy for guided tissue regeneration in combined endodontic-periodontal lesions: case report and review.
BACKGROUND
Endodontic-periodontal combined lesion is a clinical dilemma because making a differential diagnosis and deciding a prognosis are difficult.


METHODS
Twenty-six cases from 14 articles involving the successful management of endodontic-periodontal lesions with concurrent regenerative procedures were reviewed. This article also presents successful treatment of an endodontic-periodontal combined lesion involving a grade II mesial furcation of a maxillary molar with root canal treatment and multiple regenerative procedures.


RESULTS
A treatment algorithm is outlined for the application of the guided tissue regeneration (GTR) in managing endodontic-periodontal combined lesion. This treatment algorithm consists of 4 phases: (1) presurgical phase (determining periodontal/regenerative prognosis), (2) endodontic phase, (3) periodontal surgical phase, and (4) post-GTR reevaluation protocol.


CONCLUSIONS
The proposed 4-phase treatment algorithm might provide a beneficial guideline in managing the endodontic-periodontal combined lesions.
Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore, Maryland 21201, USA.
Se-Lim
SL
Oh
Ashraf F
AF
Fouad
Sang-Hoon
SH
Park
D016025:Bone Transplantation; D003788:Dental Pulp Diseases / Q000628:therapy*; D003790:Dental Pulp Necrosis / Q000628:therapy; D012534:Dental Scaling; D005260:Female; D005500:Follow-Up Studies; D017823:Furcation Defects / Q000601:surgery; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods*; D006801:Humans; D008439:Maxillary Diseases / Q000601:surgery; D008567:Membranes, Artificial; D008875:Middle Aged; D008963:Molar / Q000473:pathology; D010347:Patient Care Planning; D010485:Periapical Periodontitis / Q000601:surgery; D010510:Periodontal Diseases / Q000601:surgery*; D012390:Root Canal Therapy; D016745:Root Planing; D016896:Treatment Outcome
D008567:Membranes, Artificial