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Case Series
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| Management of millers class III marginal tissue recession associated with endodontic lesion: Report of two cases managed using second-stage surgery | ||||||
| Sangeeta Singh1 | ||||||
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1MDS, (Periodontology), Military Dental Centre, Jhansi.
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| How to cite this article: |
| Singh S. Management of millers class III marginal tissue recession associated with endodontic lesion: Report of two cases managed using second-stage surgery. International Journal of Case Reports and Images 2012;3(12):1–5. |
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Abstract
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Introduction:
Endoperio lesions are common conditions that are often difficult to diagnose and are persistent if not treated completely. However, if the patient's history is taken carefully and thorough evaluation of all possible routes of infection is carried out, these lesions can be completely eliminated to give excellent results. A correct diagnosis helps in formulating an appropriate treatment plan and in most of the cases, a properly done endodontic treatment is sufficient to eliminate the infection. However, wherever a secondary periodontal involvement exists, it requires specific therapy to achieve success.
Case Series: In the first case, the involved maxillary left first premolar had a severe marginal tissue recession completely exposing the buccal root. The case was further complicated by the presence of an endodontic lesion. After successfully completing endodontic therapy, a free gingival autograft was placed to increase the zone of attached gingiva. Subsequently, a connective tissue graft was placed using pouch and tunnel technique to augment the zone further. The second case had a Millers class III recession associated with an endo perio lesion. This case was managed by a using a resorbable membrane with a bone graft substitute to correct the osseous defect in the first stage after a successful endodontic therapy. The second-stage surgery was done using an envelope technique for connective tissue grafting. In both the cases, there was an increase in both width and thickness of the zone of attached gingiva following the two-step surgical procedure after a successful endodontic therapy. Conclusion: Successful treatment reported in both the cases can be attributed to a correct diagnosis, successful endodontic therapy and an increased zone of attached gingiva achieved using a two-step surgical technique. | |
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Keywords:
Marginal tissue recession, Endo perio lesions, Root coverage, Pouch and Tunnel
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Author Contributions
Sangeeta Singh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Sangeeta Singh 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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