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Volume 8 Issue 8 (August, 2020)

Original Articles

Assessment of Root Canal Treatment Alone and in Combination with Periodontal Flap Surgery in the Treatment of Endodontic‑periodontal Lesions- A Comparative Study
Sahil Mogla, Sonakshi

Background: Pulpal infection can drain through the periodontal ligament space and give an appearance of periodontal destruction. The present study was conducted to evaluate and compare the two treatment approaches for the treatment of primary endodontic lesions with secondary periodontal involvement, i.e., RCT with root canal treatment (RCT) and periodontal flap surgery. This study comprised of 40 cases of Endo- Perio lesions of both genders. Patients were divided into 2 groups of 26 each. In group I, patients underwent root canal treatment only, while group II patients underwent root canal treatment along with periodontal flap surgery. Parameters such as gingival index, plaque index, gingival bleeding index, probing depth and radiographic bone level were measured from 0-1 month and 1-4 months. Results showed that Results showed statistically significant (P < 0.05) reduction from baseline to 1 and 4 months in the PD and gain in RAL both on intergroup and intragroup comparison. Thus, from the results of the study, it could be concluded that both treatment approaches revealed a significant improvement in the PD reduction and attachment level gain 4 months postoperatively. However, test group showed a significant difference in the reduction of PD and gain in attachment level. The difference was significant (P< 0.05). Conclusion: Both treatment approaches showed a significant improvement in the probing depth reduction and attachment level postoperatively. Key words: Endo- Perio, gingival index, Probing depth.

 
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