International Journal of Clinical Case Reports 2016, Vol.6, No.22, 1-8
7
inducing bone formation and attachment gain. The rationale for using GTR membrane in the above case with bone
graft material was to encourage the growth of key surrounding tissues, while excluding unwanted cell types such
as epithelial cells (Oh et al., 2009). GTR therapy has been implemented in endodontic surgeries as a concomitant
treatment procedure during the management of combined endo-perio lesions. However, from clinical and
radiographic findings, there was a significant reduction in probing depth and bone fill. Although traditional
non-surgical periodontal therapy and regular endodontic therapy can be predictably used to arrest mild to
moderate periodontal bone defects in combined endo-perio lesions, it might be inadequate for the treatment of
diseases characterized by deep pockets and/or apico-marginal defects. Currently, regenerative techniques are
widely available in terms of their predictability to regenerate the lost tissue/bone in all types of defects and for all
situations.
4 Conclusion
A careful pre-operative diagnosis, appropriate case selection and knowledge of the factors that can negatively
affect regeneration outcomes can help to optimize successful regenerative attempts. Treatment strategies used in
this case report suggest that combined endo-perio lesions can be successfully managed with combined
regenerative procedures.
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