The merging of periodontal and endodontic disease has created much confusion amongst most of the dental practitioners regarding the diagnosis and its treatment plan. More than 50% of tooth mortality faced in the present scenario includes both Pulpal and Periodontal problems. Severe periodontal disease would result in destruction of supporting tissue further bringing down the prognosis of a true combined lesion to poor (or) even hopeless. This paper highlights a case of a lingually inclined tooth with a combined perio-endo lesion, which has been treated using both endodontic and periodontic measures. Successful management of such problems depends on patient compliance, possibility of tooth restoration and cost-effectiveness together favoring in proper treatment planning.
Key words: Periodontic Endodontic Lesion, Healiguide, Periobone-G, Plasma rich derivative, Free gingival graft.
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