Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups

• Published in: Restorative dentistry & endodontics Vol. 39; no. 1; pp. 56 - 62
• Main Authors: Lim, Jae-Hyung, Lee, Ji-Hyun, Shin, Su-Jung
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Conservative Dentistry 01.02.2014; Korean Academy of Conservative Dentistry; 대한치과보존학회
• Subjects: Case Report; 치의학; Diagnosis and treatment; Periodontal; Primary endodontic lesions
• ISSN: 2234-7658; 2234-7666
• DOI: 10.5395/rde.2014.39.1.56

A tooth with primary endodontic disease that demonstrates a periodontal defect might be extracted because of misdiagnosis as severe periodontal disease or a vertical root fracture. The aim of this case report was to demonstrate the long-term survival of endodontically treated teeth, which had been initially considered unsavable. With meticulous evaluation including the patient's dental history, clinical and radiographic examinations, teeth with primary endodontic lesions could be differentiated and saved after proper root canal treatment. Pain history, vitality test, and radiographic examinations, as well as a general periodontal condition check with periodontal probing on an affected tooth, might be the key methods to differentiate endodontic pathosis from that of periodontal disease.