A case series of root resection of periodontally compromised tooth using an endo- periodontal approach

Abstract

Endodontic-periodontal combined lesion is a clinical quandary because it is difficult to establish a differential diagnosis and predict a prognosis. Correct diagnosis can be difficult at times; accurate knowledge of the etiologic factors is required for appropriate treatment selection. Endodontic and periodontal therapy are required for the treatment of endodontic-periodontal combined lesions. One treatment option for preserving multirooted teeth with furcation involvement is root resection therapy. This case series discusses root resective therapy and concomitant endodontic management as a treatment option for an endo-periodontal lesion in periodontitis patients, because clinical challenges posed by compromised teeth often complicate treatment plans and compromise long-term outcomes. Based on few reviews of the endodontic and periodontal literature, the role of root resection and treatment strategy are also discussed.