Endo-paro complications of generalized aggressive periodontitis- a case report
Aim: Aggressive periodontitis (AgP) is a severe, rapidly progressive form of periodontitis, which occurs in early age with specific tendency of manifesting within families. It is characterized by rapid loss of CAL and surrounding bone. Generalized form of AgP usually affects people under 35 years of age. Bone destruction and attachment loss are affecting at least 3 permanent teeth other than the first incisors and molars. Endo-paro lesions are relatively frequent complications with this type of periodontitis. When one of these two tissues is infected, microorganisms circulate between them, and infections from one tissue may cause pathology of another or exacerbate the current disease. Material and Methods: 26-year old female with clinical and radiographic evidence of severe attachment loss and bone destruction is diagnosed with generalized AgP with most affected upper left central incisor, with deep pockets PPD- 15 mm and tooth mobility class III, according to Miller. Deep scaling and root planing with endodontic treatment is performed. Metronidazole 3 x 400 mg, and Amoxicillin 2 x 500 mg for 8 days is prescribed. Tooth 21 was also splinted after perio therapy and before endo therapy. Results: After 2 years tooth 21 has no pockets and its mobility is class I, according to Miller. Conclusion: Correct treatment technique in shaping and filling of root canal with thorough deep scaling and root planning, supported by antibiotic therapy in this case, are the keys to successful healing.