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


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

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