Skuteczne leczenie zębów z różnymi rodzajami zmian endo-perio
In endodontic-periodontal lesions, the cause of the lesion is endodontic or periodontal in origin, and the patient may benefit from undergoing root canal therapy first [20, 21] because pulpal infection could promote marginal epithelial downgrowth along the root surfaces of the teeth [22]. Unhealed lesions with persistent infection were further managed through endodontic-periodontal surgery or through periodontal regenerative surgery alone. This sequence of treatment conveys a good chance for primary healing, a better assessment of the periodontal conditions of the involved teeth, and controls reinfection by bacteria or their by-products [20].
Regenerative techniques involve cell differentiation, cell proliferation and induction, and/or tissue formation conduction. All of these factors work together to complete the healing of damaged periapical tissues. This healing can be obtained by using bone grafts (e.g., autografts, allografts, alloplasts, and xenografts), periodontal membranes (e.g., nonabsorbable or absorbable of the natural or synthetic type), growth factors, or a combination of these [7, 23].
In the first two cases, soft and hard tissue healing commenced with administering root canal therapy alone or perforation repair. However, in the third case, follow-up for 3 months after completing the root canal revealed a persistent bone defect and periodontal pocket, which indicated the need for a further treatment modality to restore the health of the periodontal tissues.
Von Arx and Cochran [24], Dietrich et al. [25], and Kim and Kratchman [26] described various [...]
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