1,903
Views
5
CrossRef citations to date
0
Altmetric
Case Report

Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review

ORCID Icon, , & ORCID Icon
Pages 447-464 | Published online: 28 Oct 2020

References

  • Abbott PV, Salgado JC. Strategies for the endodontic management of concurrent endodontic and periodontal diseases. Aust Dent J. 2009;54:S70–85.
  • Sunitha VR, Emmandi P, Namasivayan A, Thyegarajan R, Rajaraman V. The periodontal- endodontic continuum: a review. J Conserv Dent. 2008;11(2):54–62. doi:10.4103/0972-0707.44046
  • Jivoinovici R, Suciu I, Dimitriu B, et al. Endo-periodontal lesion – endodontic approach. J Med Life. 2014;7(4):542–544.
  • Rotstein I, Simon JH. Diagnosis, prognosis and decision making in treatment of combined endo-perio lesions. Periodontol. 2000;34:165–203.
  • Zehnder M, Gold SI, Hasselgren G. Pathologic interaction in pulpal and periodontal tissues. J Clin Periodontol. 2002;29(8):663–671. doi:10.1034/j.1600-051X.2002.290801.x
  • Song M, Kang M, Kang DR, Jung HI, Kim E. Comparison of the effect of endodontic-periodontal combined lesion on the outcome of endodontic microsurgery with that of isolated endodontic lesion: survival analysis using propensity score analysis. Clin Oral Investig. 2018;22(4):1717–1724. doi:10.1007/s00784-017-2265-1
  • Rotstein I, Simon JH. The endo-perio lesion: a critical appraisal of the disease condition. Endod Topics. 2006;13(1):34–56. doi:10.1111/j.1601-1546.2006.00211.x
  • Renvert S, Quirynen M. Risk indicators for peri-implantitis. A narrative review. Clin Oral Implants Res. 2015;26(Suppl 11):15–44.
  • Meric P, Buduneli N, Kanmaz B, et al. Cholinergic signalling mechanisms and early implant healing phases in healthy versus generalized aggressive periodontitis patients: a prospective, case-control study. J Clin Periodontol. 2019;46(11):1155–1163. doi:10.1111/jcpe.13185
  • Kavarthapu A, Malaiappan S. Management of periodontic-endodontic lesion in aggressive periodontitis-9 months follow-up: report of a case. Indian J Dent Res. 2019;30:149–153.
  • Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res. 2012;23(Suppl 6):22–38. doi:10.1111/j.1600-0501.2012.02546.x
  • Herrera D, Retamal-Valdes B, Alonso B, Feres M. Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo-periodontal lesions. J Periodontol. 2018;89(1):S85–S102. doi:10.1002/jper.16-0642
  • Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4(1):1–6. doi:10.1902/annals.1999.4.1.1
  • Hany MAA. Different perspectives in understanding he pulp and periodontal intercommunications with a new proposed classification for endo-perio lesions. ENDO (Lond Engl). 2012;6(2):87–104.
  • Al-Fouzan KS. A new classification of endodontic periodontal lesions. Int J Dent. 2014;2014:5. doi:10.1155/2014/919173
  • Aksel H, Serper A. Serper A case series associated with different kinds of endo-perio lesions. J Clin Exp Dent. 2014;6(1):e91–e95. doi:10.4317/jced.51219
  • Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68(1):7–13. doi:10.14219/jada.archive.1964.0034
  • ISO 3950. Dentistry- Designation System for Teeth and Areas of the Oral Cavity. Switzerland: ISO; 2009.
  • British Society of Periodontology. Basic periodontal examination (BPE); 2016. Available from: http://www.bsperio.org.uk/publications/downloads/39_150345_bpe-2016-po-v5-final.pdf.
  • ICD −10 version; 2019. Available from: https://icd.who.int/browse10/2019/en#/K00-K14. Accessed September 26, 2020.
  • Byakova SF, Novozhilova NE, Makeeva IM, Grachev VI, Kasatkina IV. The accuracy of CBCT for the detection and diagnosis of vertical root fractures in vivo. Int Endod J. 2019;52(9):1255–1263. doi:10.1111/iej.13114
  • Bender IB, Seltzer S. The effect of periodontal disease on the pulp. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1972;33(3):458–474. doi:10.1016/0030-4220(72)90476-8
  • Alquthami H, Almalik AM, Alzahrani FF, Badawi L. Successful management of teeth with different types of endodontic-periodontal lesions. Case Rep Dent. 2018;7084245. doi:10.1155/2018/7084245
  • Bhide A, Shah PS, Acharya G. A simplified guide to randomized controlled trials. Acta Obstet Gynecol Scand. 2018;97(4):380–387. doi:10.1111/aogs.13309
  • Singh P. Endo-perio dilemma: a brief review. Dent Res J (Isfahan). 2011;8(1):39–47.
  • Oh SL, Fouad AF, Park SH. Treatment strategy for guided tissue regeneration in combined endodontic-periodontal lesions: case report and review. J Endod. 2009;35(10):1331–1336. doi:10.1016/j.joen.2009.06.004
  • Gupta S, Tewari S, Tewari S, Mittal S. Effect of time lapse between endodontic and periodontal therapies on the healing of concurrent endodontic-periodontal lesions without communication: a prospective randomized clinical trial. J Endod. 2015;41(6):785–790. doi:10.1016/j.joen.2015.02.015
  • Schidt JC, Walter C, Amato M, Weiger R. Treatment of periodontal-endodontic lesions–a systematic review. J Clin Periodontol. 2014;41(8):779–790. doi:10.1111/jcpe.12265
  • Abbott PJ. Endodontic management of combined endodontic-periodontal lesions. NZ Soc Periodontol. 1998;(83):15–28.
  • Goyal L, Gupta N, Gupta ND. Autologous platelet-rich derivatives along with alloplastic bone substitute in the management of complex perio-endo cases. J Indian Soc Periodontol. 2020;24(2):182–185. doi:10.4103/jisp.jisp_81_19
  • Dhoum S, Laslami K, Rouggani F, El Ouazzani A, Jabri M. Endo-perio lesion and uncontrolled diabetes. Case Rep Dent. 2018;2018:7478236. doi:10.1155/2018/7478236
  • Gomes MS, Blattner TC, Sant’Ana Filho M, et al. Can apical periodontitis modify systemic levels of inflammatory markers? A systematic review and meta-analysis. J. Endod. 2013;39(10):1205–1217. doi:10.1016/j.joen.2013.06.014
  • Ishihara K, Ando T, Kosugi M, et al. Relationship between the onset of pustulosis palmaris et plantaris, periodontitis and bacterial heat shock proteins. Oral Microbiol Immunol. 2000;15(4):232–237. doi:10.1034/j.1399-302x.2000.150404.x
  • de Pablo P, Chapple IL, Buckley CD, Dietrich T. Periodontitis in systemic rheumatic diseases. Nat Rev Rheumatol. 2009;5(4):218–224. doi:10.1038/nrrheum.2009.28
  • Pico-Blanco A, Casteli-Baz P, Caneiro-Queija L, Liňares-Gonzá A, Martin-Lacharro P, Blanco-Carrión J. Saving single-rooted teeth with combined endodontic-periodontal lesions. J Endod. 2016;42(12):1859–1864. doi:10.1016/j.joen.2016.08.015
  • Jivoinovici R, Suciu I, Gheorghiu I, Suciu I. Clinical radiological aspects of primary endodontic lesions with secondary periodontal involvement. J Med Life. 2017;10(1):70–75.
  • Kambale S, Aspalli N, Munavalli A, Ajgaonkar N, Babannavar R. A sequential approach in treatment of endo-perio lesion. J Clin Diagn Res. 2014;8(8):ZD22–ZD24. doi:10.7860/JCDR/2014/9927.4692
  • Goyal L. Clinical effectiveness of combining platelet rich fibrin with alloplastic bone substitute for the management of combined endodontic periodontal lesion. Restor Dent Endod. 2014;39(1):51–55. doi:10.5395/rde.2014.39.1.51
  • Varughese V, Mahendra J, Thomas AR, Ambalavanan N. Resection and regeneration - a novel approach in treating a perio-endo lesion. J Clin Diagn Res. 2015;9(3):ZD08–10. doi:10.7860/JCDR/2015/11096.5643
  • Makino-Oi A, Ishii Y, Makino K, et al. Treatment of severe chronic periodontitis with surgical and prosthetic intervention: a 9-year follow-up case report. Bull Tokyo Dent Coll. 2017;58(4):237–246. doi:10.2209/tdcpublication.2016-0043
  • Fahmy MD, Luepke PG, Ibrahim MS, Guentsch A. Treatment of a periodontic-endodontic lesion in a patient with aggressive periodontitis. Case Rep Dent. 2016;2016:7080781. doi:10.1155/2016/7080781
  • Nadig PP, Agrawal IS, Agrawal VS, Srinivasan SC. Palato-radicular groove: a rare entity in maxillary central incisor leading to endo-perio lesion. J Clin Diagn Res. 2016;10(8):ZJ14–ZJ15.
  • Gandhi A, Kathuria A, Gandhi T. Endodontic-periodontal management of two rooted maxillary lateral incisor associated with complex radicular lingual groove by using spiral computed tomography as a diagnostic aid: a case report. Int Endod J. 2011;44(6):574–582. doi:10.1111/j.1365-2591.2011.01868.x.
  • Praveena Devi B, Das A, Kundu R, Bagchi S, Pal AK. The silent killer caught white handed: an interdisciplinary approach to manage a rare case of PGG associated perio-endo lesion. Int J Appl Dent Sci. 2019;5(1):01–04.
  • Naik M, de Ataide Ide N, Fernandes M, Lambor R. Treatment of combined endodontic: periodontic lesion by sealing of palato-radicular groove using biodentine. J Conserv Dent. 2014;17(6):594–597. doi:10.4103/0972-0707.144613
  • Kumar KA, Chakravarthy M, Selvarajan S, Ramakrishnan T, Ari G. Use of an amniotic membrane as a novel barrier in a tooth with a questionable prognosis. J Indian Soc Periodontol. 2017;21(3):237–240. doi:10.4103/jisp.jisp_67_16
  • Kotze MJ, Bütow K, Olorunju SA, et al. A comparison of mandibular and maxillary alveolar osteogenesis over six weeks: a radiological examination. Head Face Med. 2014;10(1):50. doi:10.1186/1746-160X-10-50
  • Hirsch JM, Ahlström U, Henrikson PA, Heyden G, Peterson LE. Periapical surgery. Int J Oral Surg. 1979;8(3):173–185. doi:10.1016/S0300-9785(79)80016-2
  • Bernal G, Carvajal JC, Muňoz-Viveros CA. A review of the clinical management of mobile teeth. J Contemp Dent Pract. 2002;3(4):10–22. doi:10.5005/jcdp-3-4-10
  • Graetz C, Ostermann F, Woeste S, Sälzer S, Dörfer CE, Schwendicke F. Long-term survival and maintenance efforts of splinted teeth in periodontitis patients. J Dent. 2019;80:49–54. doi:10.1016/j.jdent.2018.10.009
  • Setzer FC, Kim S. Comparison of long-term survival of implants and endodontically treated teeth. J Dent Res. 2014;93(1):19–26. doi:10.1177/0022034513504782
  • Molven O, Halse A, Fristad I, MacDonald-Jankowski D. Periapical changes following root-canal treatment observed 20–27 years postoperatively. Int Endod. 2002;J35(9):784. doi:10.1046/j.1365-2591.2002.00568.x
  • Katwal D, Fiorica JK, Bleuel J, Clark SJ. Successful multidisciplinary management of an endodontic-periodontal lesion associated with a palato-radicular groove: a case report. Clin Adv Periodontics. 2020;10(2):88–93. doi:10.1002/cap.10079
  • Ustaoğlu G, Uğur Aydin Z, Özelçi F. Comparison of GTR, T-PRF and open-flap debridement in the treatment of intrabony defects with endo-perio lesions: a randomized controlled trial. Med Oral Patol Oral Cir Bucal. 2020;25(1):e117–e123. doi:10.4317/medoral.23231
  • Hiatt W, Amen C. Periodontal pocket elimination by combined therapy. Dent Clin North Am. 1964;133:44.
  • Storrer CM, Bordin GM, Pereira TT. How to diagnose and treat periodontal endodontic lesions? RSBO. 2012;9:427–433.
  • Schilder H. Endodontic-periodontal therapy. In: Grossman L, editor. Endodontic Practice. 6th ed. Philadelphia: Lea and Febiger; 1965.
  • Lindaman LM. Bone healing in children. Clin Podiatr Med Surg. 2001;18(1):97–108.
  • Torabinejad M, Trope M. Principles and practice of endodontics. In: Walton RE, Torabinejad M, editors. Principles and Practice of Endodontics. 2 ed. Philodelphia: W.B. Saunders company; 1996:452–455.
  • Al Attas MA, Edrees HY, Aya MN, Sammani AA. Madarati multidisciplinary management of concomitant pulpal and periodontal lesion: a case report. J Taibah Univ Med Sci. 2017;12(5):455–460.
  • Moraschini V, Kischinhevsky ICC, Calasans-Maia MD, et al. Ineffectiveness of ozone therapy in nonsurgical periodontal treatment: a systematic review and metaanalysis of randomized clinical trials. Clin Oral Investig. 2020;24(6):1877–1888. doi:10.1007/s00784-020-03289-2
  • Talmaç AC, Çalişir M. Efficacy of gaseous ozone in smoking and non-smoking gingivitis patients. Ir J Med Sci. 2020. doi:10.1007/s11845-020-02271-x
  • Taşdemir Z, Alkan BA, Albayrak H. Effects of ozone therapy on the early healing period of deepithelialized gingival grafts: a randomized placebo-controlled clinical trial. J Periodontol. 2016;87(6):663–671. doi:10.1902/jop.2016.150217
  • Gupta G, Mansi B. Ozone therapy in periodontics. J Med Life. 2012;5(1):59–67.
  • Emingil G, Atilla G, Hüseyinov A. Gingival crevicular fluid monocyte chemoattractant protein-1 and RANTES levels in patients with generalized aggressive periodontitis. J Clin Periodontol. 2004;31(10):829–834. doi:10.1111/j.1600-051X.2004.00584.x
  • Patel PV, Kumar V, Kumar S, Vidya GD, Patel A. Therapeutic effect of topical ozonated oil on the epithelial healing of palatal wound sites: a planimetrical and cytological study. J Investig Clin Dent. 2011;2(4):248–258. doi:10.1111/j.2041-1626.2011.00072.x
  • Ramzy MI, Gomaa HE, Mostafa MI. Management of aggressive periodontitis using ozonized water. Egypt Med J NRC. 2005;6:229–245.
  • Peters LB, Wesselink PR, Moorer WR. The fate and the role of bacteria left in root dentinal tubules. Int Endod J. 1995;28(2):95–99. doi:10.1111/j.1365-2591.1995.tb00166.x
  • Moreno-Rabié C, Torres A, Lambrechts P, Jacobs R. Clinical applications, accuracy and limitations of guided endodontics: a systematic review. Int Endod J. 2020;53(2):214–231. doi:10.1111/iej.13216
  • Bordea IR, Hanna R, Chiniforush N, et al. Evaluation of the outcome of various laser therapy applications in root canal disinfection: a systematic review. PhotodiagnosisPhotodynTher. 2020;29:101611. doi:10.1016/j.pdpdt.2019.101611
  • Toledano M, Osorio E, Aguilera FS, et al. Polymeric nanoparticles for endodontic therapy. J Mech Behav Biomed Mater. 2020;103:103606. doi:10.1016/j.jmbbm.2019.103606
  • Kerekes K, Olsen I. Similarities in the microfloras of root canals and deep periodontal pockets. Endod Dent Traumatol. 1990;6(1):1–5. doi:10.1111/j.1600-9657.1990.tb00378.x
  • Das AC, Sahoo SK, Parihar AS, Bhardwaj SS, Babaji P, Varghese JG. Evaluation of role of periodontal pathogens in endodontic periodontal diseases. J Family Med Prim Care. 2020;9(1):239–242. doi:10.4103/jfmpc.jfmpc_725_19
  • Zehnder M. Endodontic infection caused by localized aggressive periodontitis: a case report and bacteriologic evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(4):440–445. doi:10.1067/moe.2001.117270
  • Johnson BT, Shaw LN, Nelson DC, Ja M. Extracellular proteolytic activities expressed by Bacillus pumilus isolated from endodontic and periodontal lesions. J Med Microbiol. 2008;57(5):643–651. doi:10.1099/jmm.0.47754-0
  • German IJS, Rodrigues ADC, Andreo JC. Ozone therapy in dentistry. A systematic review. Int J Odontostomat. 2013;7(2):267–278. doi:10.4067/S0718-381X2013000200017
  • Ajeti NN, Pustina-Krasniqi T, Apostolska S. The effect of gaseous ozone in infected root canal open access maced. J Med Sci. 2018;6(2):389–396.
  • Nair PN. Pathogenesis of Apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004;15(6):348–381. doi:10.1177/154411130401500604
  • Axelsson P, Nyström B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004;31(9):749–757. doi:10.1111/j.1600-051X.2004.00563.x