Successful treatment of Endo Perio Lesion with furcation involvement in mandibular first molar: A case report

Introduction: Pulp and periodontal tissues have embryonic, anatomical, and functional attachments so that infections can easily spread to each other. Endo-perio lesions are commonly found in teeth with pulp necrosis, especially involving the furcation area. The lateral connecting channel between the pulp tissue and the periodontal tissue causes this condition.
Case Report: A 20-year-old healthy male came with the main complaint of a loose lower right back tooth and bleeding gums when brushing his teeth. Intra-oral examination revealed plaque and BOP (+) in all dental quadrants, caries, and grade 2 mobility in tooth 46. The treatment plan in Periodontology is regenerative surgery on tooth 46.
Case Management: Flap surgical therapy was performed on tooth 46 with granulation tissue debridement, bone graft, and membrane application to the furcation area.
Conclusion: Treatment of furcation involvement by regenerative therapy using bone graft and membrane can provide good results in endo perio lesions. The key to successful treatment in this case is a combination of endodontic treatment and periodontological treatment.