Management of an endo-perio lesion: A multidisciplinary approach

Case Report

Author Details : Anshul Tayal*, Sandip Ghosh, H. D. Adhikari, Amrita Ghosh

Volume : 6, Issue : 3, Year : 2021

Article Page : 171-175

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The presence of pulpal pathosis and inflammatory periodontal disease concomitantly can complicate diagnosis and treatment planning of any tooth. It requires a combined treatment approach involving endodontic, periodontic and prosthodontic intervention. Often, the periodontal and prosthodontic aspects are neglected by the clinicians after successful endodontic treatment resulting in failure. The present case report describes a multidisciplinary approach for the treatment of a tooth that presented with an endo-perio lesion; using non-surgical root canal treatment and periodontal regenerative surgery (non-incised papillae surgical approach, {NIPSA} long with GTR membrane and an alloplastic bone graft) which were then followed by the placement of a conservative tooth coverage restoration (endocrown). A significant gain in clinical attachment level was seen 6 months postoperatively. Radiographically also a significant amount of bone fill was observed.

Keywords: Endo-perio lesion, NIPSA, Endocrown

How to cite : Tayal A, Ghosh S, Adhikari H D, Ghosh A, Management of an endo-perio lesion: A multidisciplinary approach. IP Indian J Conserv Endod 2021;6(3):171-175

Copyright © 2021 by author(s) and IP Indian J Conserv Endod. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (

Article History

Received : 22-08-2021

Accepted : 03-09-2021

Available online : 25-09-2021

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