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Case Reports in Dentistry
Volume 2016, Article ID 7080781, 9 pages
Case Report

Treatment of a Periodontic-Endodontic Lesion in a Patient with Aggressive Periodontitis

1Department of Surgical Sciences, Marquette University School of Dentistry, Milwaukee, WI 53233, USA
2Department of Endodontics, Faculty of Dentistry, Mansoura University, Mansoura 35516, Egypt
3Center of Dental Medicine, Jena University Hospital, Friedrich-Schiller-University, An der Alten Post 4, 07743 Jena, Germany

Received 7 March 2016; Revised 14 May 2016; Accepted 23 May 2016

Academic Editor: Stefan-Ioan Stratul

Copyright © 2016 Mina D. Fahmy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Case Description. This case report describes the successful management of a left mandibular first molar with a combined periodontic-endodontic lesion in a 35-year-old Caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate. In spite of anticipated poor prognosis, the tooth lesion healed. This case report also discusses the rationale behind different treatment interventions. Practical Implication. Periodontic-endodontic lesions can be successfully treated if dental professionals follow a concerted treatment protocol that integrates endodontic and periodontic specialties. General dentists can be the gatekeepers in managing these cases.