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Article: Volume 43 Number 8 Page 766 - October 2016

  Dent Update 2016; 43: 766-771  Read article

Restorative dentistry:  The Importance of Correct Diagnosis and Treatment in Endo-Periodontal Lesions- A Two Cases Comparison

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Abstract: This paper illustrates two endo-periodontal lesions treated with the same standardized protocols with different prognoses. In the first case, the endodontics and periodontal therapies were performed with clinical and radiological healing of the lesion. In the second case, the tooth had to be extracted because of repeated inflammatory processes. In order to investigate the reasons for failure, the extracted tooth was submitted to clearing process, followed by stereomicroscope observation. It revealed a vertical fracture running along the palatal root, not detectable by radiographic examination. This pathway between pulpal and periodontal tissues determined the negative prognosis of the treatment.

Clinical relevance: This report aims to highlight how root vertical fractures may not be readily detectable to the standard bi-dimensional radiograph.

Author notes: Sara Bernardi, DDS, Molecular and Ulstrastructure Imaging European PhD, Department Of Life, Health and Environmental Sciences, University of L’Aquila, Via Vetoio 2, Coppito 2, 67100, L’Aquila, Italy, (sara.bernardi@graduate.univaq.it), Christian Frascarelli, DDS, Private Practicer, Pescara, Giulia Fantozzi, Dental Hygienist, Private Practicer, Pescara, Silvia Caruso, DDS, 1st Year Health Science PhD, Roberto Gatto, MD, DDS, Full Professor in Pediatric Dentistry, Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy, Gianna Maria Nardi, Researcher, Department of Dental and Maxillofacial Sciences, University ‘La Sapienza’, Rome, Italy and Maria Adelaide Continenza, Anatomy Associate Professor, Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy.

Objective: To understand the classifications of endo-perio lesions.