Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2020; 8(20): 5049-5056
Published online Oct 26, 2020. doi: 10.12998/wjcc.v8.i20.5049
Successful management of a tooth with endodontic-periodontal lesion: A case report
Hamed Alshawwa, Jia-Feng Wang, Min Liu, Shu-Fen Sun
Hamed Alshawwa, Jia-Feng Wang, Shu-Fen Sun, Department of Endodontics, Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, China
Min Liu, Department of Periodontics, Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Sun SF was responsible for conceptualization and supervision; Alshawwa H was responsible for writing the original draft, reviewing, and editing; Liu M and Alshawwa H contributed to investigation and data curation; Wang JF and Alshawwa H were responsible for the formal analyses; All authors approved the final version to be submitted.
Supported by Jilin Provincial Science and technology Education Department Plan, No. JJKH20190092KJ.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shu-Fen Sun, PhD, Associate Professor, Director, Doctor, Department of Endodontics, Hospital of Stomatology, Jilin University, No. 1500 Qinghua Road, Changchun 130021, Jilin Province, China. gzwssf@163.com
Received: May 29, 2020
Peer-review started: May 29, 2020
First decision: July 25, 2020
Revised: August 1, 2020
Accepted: August 29, 2020
Article in press: August 29, 2020
Published online: October 26, 2020
Processing time: 149 Days and 22.1 Hours
Abstract
BACKGROUND

Endodontic-periodontal lesion is a commonly encountered dental condition. However, the prognosis of the condition varies from good to poor. Some cases are associated with a poor prognosis that requires tooth extraction. This report presents a case of an endodontic-periodontal lesion in a tooth that was successfully treated by root canal treatment.

CASE SUMMARY

A 51-year-old female patient with no medical history complained about persistent pain and discomfort in her left mandibular first molar. Clinical examination showed the left mandibular first molar with poor restoration. It was also associated with underlying necrotic pulp and periodontal involvement. Radiographic examination revealed visible bone defects in the apical and periodontal areas. Based on the findings, the patient was diagnosed with a primary endodontic lesion. A root canal treatment for the endodontic lesion was performed. The patient received a coronal all-ceramic endocrown restoration. A follow-up was arranged to check the prognosis. At the 3 mo follow-up, the clinical and radiography evaluations showed complete disappearance of signs and symptoms and an increase in the radiopacity of the root area.

CONCLUSION

Despite the poor prognosis associated with many endodontic lesions, this case report highlights that a good prognosis is still possible for an endodontic lesion with apical and periodontal bone loss. In this case, it was achieved via successful root canal treatment without the need for periodontal or surgical intervention.

Keywords: Apical bone defect; Endo-perio lesion; Primary endodontic lesion; Root canal treatment; Nonsurgical root canal treatment; Conservative; Case report

Core Tip: We present a case of an endodontic-periodontal lesion in a tooth that was successfully treated by root canal treatment. Sufficient knowledge about the diagnosis, treatment strategies, and intervals of treatment of the endodontic-periodontal lesion is essential to obtain the best outcomes in a short period with a conservative and minimally invasive procedure.