Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.22
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2017, vol. 54, nr 3, July-September, p. 307–310

doi: 10.17219/dmp/74767

Publication type: clinical case

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Treatment of periodontal defect caused by iatrogenic damage: Case report

Leczenie ubytku tkanek przyzębia wywołanego przez uszkodzenie jatrogenne – opis przypadku

Raif Alan1,A,B,C,D,E, Arslan Terlemez2,C,E

1 Department of Periodontology, University of Necmettin Erbakan, Konya, Turkey

2 Department of Endodontics, University of Necmettin Erbakan, Konya, Turkey

Abstract

Endo-perio lesion is the association of periodontal and pulpal disease contained in the same dental site. In this case, periodontal plastic surgery was performed for the treatment of a periodontal defect that occurred as a result of iatrogenic perforation during endodontic treatment. A 45-year-old female patient was referred because of a non-aesthetic condition and gingival pain in the maxillary anterior area. It was diagnosed as an endo-perio lesion of primary endodontic with secondary periodontal involvement. Initial treatment including the removal of etiological factors, scaling and root planning, and oral hygiene instruction was carried out. After phase I therapy, for treatment of the remaining gingival recession, a laterally positioned flap (LPF) design, which has an excellent post-operative healing process, was combined with platelet-rich fibrin (PRF) obtained from autologous blood. The usage of a LPF design combined with PRF for the treatment of the endo-perio lesion as a result of iatrogenic damage showed satisfactory results such as root coverage, an aesthetic condition with an adequate band of keratinized tissue, and reduced postoperative discomfort.

Key words

gingival recession, periodontal surgery, blood platelets, fibrin

Słowa kluczowe

recesja dziąsła, chirurgia periodontologiczna, płytki krwi, fibryna

References (14)

  1. Singh P. Endo-perio dilemma: a brief review. Dent Res J. 2011;8:39–47.
  2. Menezes R, da Silva Neto UX, Carneiro E, Letra A, Bramante CM, Bernadinelli N. MTA repair of a supracrestal perforation: A case report. J Endod. 2005;31:212–214.
  3. Reddy KKM, Shankar BS, Reddy KA, Reddy SN, Subhakar J, Reddy PSK. Localized interdental bone necrosis: A case report. J Int Oral Health, 2014;6:73–75.
  4. Agarwal K, Chandra C, Agarwal K, Kumar N. Lateral sliding bridge flap technique along with platelet rich fibrin and guided tissue regeneration for root coverage. J Indian Soc Periodontol. 2013;17:801–805.
  5. Chambrone L, Faggion CM Jr, Pannuti CM, Chambrone LA. Evidence-based periodontal plastic surgery: An assessment of quality of systematic reviews in the treatment of recession-type defects. J Clin Periodontol. 2010;37:1110–1118.
  6. Hofmanner P, Alessandri R, Laugisch O, et al. Predictability of surgical techniques used for coverage of multiple adjacent gingival recessions – a systematic review. Quintessence Int. 2012;43:545–554.
  7. Cortellini P, Pini Prato G. Coronally advanced flap and combination therapy for root coverage. Clinical strategies based on scientific evidence and clinical experience. Periodontol 2000. 2012;59:158–184.
  8. Paolantonio M, Dolci M, Esposito P, et al. Subpedicle acellular dermal matrix graft and autogenous connective tissue graft in the treatment of gingival recessions: a comparative 1-year clinical study. J Periodontol. 2002;73:1299–1307.
  9. Zucchelli G, Mele M, Stefanini M, et al. Patient morbidity and root coverage outcome after subepithelial connective tissue and deepithelialized grafts: A comparative randomized-controlled clinical trial. J Clin Periodontol. 2010;37:728–738.
  10. Corso MD, Toffler M, Ehrenfest DM. Use of an autologous leukocyte and platelet-rich fibrin (L-PRF) membrane in post-avulsion sites: An overview of Choukroun’s PRF. J Implant Adv Clin Dent. 2010;9:27–35.
  11. Aleksić Z, Janković S, Dimitrijević B, Pucar A, Lazić V, Leković V. Clinical impact of platelet rich plasma in treatment of gingival recessions. Srp Arh Celok Lek. 2008;136:95–103.
  12. Aleksić Z, Janković S, Dimitrijević B, Divnić-Resnik T, Milinković I, Leković V. The use of platelet-rich fibrin membrane in gingival recession treatment. Srp Arh Celok Lek. 2010;138:11–18.
  13. Aksel H, Serper A. A case series associated with different kinds of endo-perio lesions. J Clin Exp Dent. 2014;6:91–95.
  14. Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000. 2015;68:333–368.