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Treatment of a tooth with furcation involvement and extensive alveolar bone resorption due to endodontic-periodontal combined lesion using root resection: a case report

Oral Biology Research 2021년 45권 1호 p.41 ~ 48
최윤경, 김소연, 전혜미, 정경화, 최나래, 주지영, 김현주, 권은영,
소속 상세정보
최윤경 ( Choi Youn-Kyung ) - Pusan National University Hospital Dental Clinic Center
김소연 ( Kim So-Yeun ) - Pusan National University Hospital Dental Clinic Center
전혜미 ( Jeon Hye-Mi ) - Pusan National University Hospital Dental Clinic Center
정경화 ( Jung Kyoung-Hwa ) - Pusan National University Hospital Dental Clinic Center
최나래 ( Choi Na-Rae ) - Pusan National University Hospital Dental Clinic Center
주지영 ( Joo Ji-Young ) - Pusan National University School of Dentistry Department of Periodontology
김현주 ( Kim Hyun-Joo ) - Pusan National University School of Dentistry Department of Periodontology
권은영 ( Kwon Eun-Young ) - Pusan National University Hospital Dental Clinic Center

Abstract


Due to the complex anatomical structure of the molar, endodontic-periodontal combined lesions often occur, resulting in furcation involvement and extensive alveolar bone resorption. When endodontic-periodontal combined lesions occur through the apical foramen and the periodontal tissue is destroyed up to the furcation, root canal therapy after a surgical periodontal treatment is performed if necessary. However, if a normal healing process does not occur after conventional treatment, root resection, which removes only the affected root that is the source of infection, may be a good alternative. The purpose of this study is to report a case of the maxillary molar with furcation involvement and extensive alveolar bone resorption due to an endodontic-periodontal combined lesion that had been preserved by root resection.

키워드

Alveolar bone loss; Periodontal attachment loss; Periodontal diseases; Root canal therapy

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