Interdisciplinary endodontic-periodontal management: In hard and soft tissues

Abstract

Introduction: The forces resulting from premature contact or interference in the teeth can prevent a stable occlusal relationship, generating pathologies in the dentino-pulp complex and in the adjacent gingival tissue. Clinical case: We present a clinical case of a 33-year-old female patient, referred from the master's degree in orthodontics, in which the interdisciplinary endodontic-periodontal management of gingival recession and periapical lesion of the left lower canine dental organ is described (O.D. 43). The patient presented malocclusion, crowding, loss of keratinized tissue. Endodontic treatment was performed; subsequently, mucogingival surgery was performed with free gingival graft (IGL) obtained from the palate. Results: In the postoperative follow-up, it showed repair of the periapical lesion as well as favorable healing and a keratinized gingiva gain ≥ to 2mm, which allows maintaining healthy periapical tissues, reduction of gingival recession and correct oral hygiene. Conclusion: The need for interdisciplinary care allows for a comprehensive approach to periapical lesions and associated periodontal tissue involvement, as well as to favor an accurate diagnosis, more predictable therapeutic planning, and long-term functional and aesthetic resolution.