{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T19:17:50Z","timestamp":1778354270512,"version":"3.51.4"},"reference-count":18,"publisher":"S.C. JURNALUL PENTRU MEDICINA SI VIATA S.R.L","issue":"4","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMedLife"],"abstract":"<jats:p>This case report describes the diagnosis, multidisciplinary treatment, and long-term follow-up of a severely compromised tooth in a patient who was referred for assessing a gingival recession. Clinical evaluation of the left maxillary canine showed 12 mm of mid-buccal gingival recession, probing depth of 14 mm on the mesial-buccal aspect, and grade III mobility. A periapical radiograph revealed extensive periapical and lateral radiolucency. The first step of the treatment was to carry out oral hygiene instructions and full-mouth debridement. After that, endodontic treatment was performed immediately. Periodontal reevaluation four months after endodontic therapy revealed that probing depths of all sites were within 3 mm and periapical radiograph showed a slight decrease in periapical and lateral radiolucency. It was subsequently decided to perform root coverage with a laterally positioned flap and subepithelial connective tissue graft. Six months after surgery, the root surface showed 1 mm recession, representing root coverage of 91.7% and a gain of attachment of 13 mm. The patient was enrolled in a 6-month supportive periodontal therapy. Treatment outcomes were evaluated over 18 years, with successful radiographic and clinical results throughout the follow-up period. The successful management of endo-periodontal lesions requires an accurate diagnosis, which is imperative to provide proper therapy in the correct treatment sequence.<\/jats:p>","DOI":"10.25122\/jml-2020-0017","type":"journal-article","created":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T08:36:54Z","timestamp":1668760614000},"page":"629-634","source":"Crossref","is-referenced-by-count":5,"title":["A Multidisciplinary Approach of an Endo-Perio Lesion in a Severely Compromised Tooth: An 18-Year Follow-up Case Report"],"prefix":"10.25122","volume":"13","author":[{"given":"Ram\u00f3n","family":"Pereira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Periodontics, Private Practice, Bogot\u00e1, Colombia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Universidad Nacional de Colombia, School of Dentistry, Bogot\u00e1, Colombia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silie","family":"Arboleda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Unit of Clinical Oral Epidemiology Investigations (UNIECLO), School of Dentistry, Universidad El Bosque. Bogot\u00e1, Colombia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Dr. Silie Arboleda, DDS, Periodontist, Assistant Professor, School of Dentistry, Universidad El Bosque, Bogot\u00e1, Colombia.Av. Cra. 9 #131A\u201302 E-mail: siliesoad@gmail.com","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10755","published-online":{"date-parts":[[2020,10]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"1. Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontology 2000 2015;68:333-368.","DOI":"10.1111\/prd.12059"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"2. Watson PJ. Gingival recession. J Dent 1984;12:29-35.","DOI":"10.1016\/0300-5712(84)90003-4"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"3. Joss-Vassalli I, Grebenstein C, Topouzelis N, Sculean A, Katsaros C. Orthodontic therapy and gingival recession: a systematic review. Orthod Craniofac Res 2010;13:127-141.","DOI":"10.1111\/j.1601-6343.2010.01491.x"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"4. Renkema AM, Fudalej PS, Renkema A, Kiekens R, Katsaros C. Development of labial gingival recessions in orthodontically treated patients. Am J Orthod Dentofacial Orthop 2013;143:206-212.","DOI":"10.1016\/j.ajodo.2012.09.018"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"5. Javed F, Al-Kheraif AA, Romanos EB, Romanos GE. Influence of orthodontic forces on human dental pulp: a systematic review. Arch Oral Biol 2015;60:347-356.","DOI":"10.1016\/j.archoralbio.2014.11.011"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"6. Rotstein I, Simon JH. Diagnosis, prognosis, and decision-making in the treatment of combined periodontal-endodontic lesions. 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Some periodontal tissue reactions to orthodontic tooth movement in monkeys. J Clin Periodontol 1987;14:121-129.","DOI":"10.1111\/j.1600-051X.1987.tb00954.x"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"11. Hamersky PA, Weimer AD, Taintor JF. The effect of orthodontic force application on the pulpal tissue respiration rate in the human premolar. Am J Orthod 1980;77:368-378.","DOI":"10.1016\/0002-9416(80)90103-7"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"12. Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Periodontol 1972;43:202-208.","DOI":"10.1902\/jop.1972.43.4.202"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"13. Grupe HE, Warren RF. Repair of gingival defects by a sliding flap operation. J Periodontol 1956;27:92-95.","DOI":"10.1902\/jop.1956.27.2.92"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"14. Staffileno H. Management of gingival recession and root exposure problems with periodontal disease. Dent Clin North Am 1964;3:111\u2013120.","DOI":"10.1016\/S0011-8532(22)02003-1"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"15. Wennstrom JL. Mucogingival therapy. Ann Periodontol 1996;1:671-701.","DOI":"10.1902\/annals.1996.1.1.671"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"16. Nelson SW. The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J Periodontol 1987;58:95-102.","DOI":"10.1902\/jop.1987.58.2.95"},{"key":"ref17","unstructured":"17. Chambrone LA, Chambrone L. Treatment of Miller Class I and II localized recession defects using laterally positioned flaps: A 24-month study. Am J Dent 2009; 22:339-44."},{"key":"ref18","unstructured":"18. Esteibar JR, Zorzano LA, Cundin EE, Blanco JD, Medina JR. Complete root coverage of Miller Class III recessions. The International journal of periodontics & restorative dentistry 2011;31:1-7."}],"container-title":["Journal of Medicine and Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-13-629.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T08:37:13Z","timestamp":1668760633000},"score":1,"resource":{"primary":{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-13-629.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["JMedLife-13-629"],"URL":"https:\/\/doi.org\/10.25122\/jml-2020-0017","relation":{},"ISSN":["1844-122X","1844-3117"],"issn-type":[{"value":"1844-122X","type":"print"},{"value":"1844-3117","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}