Efficacy Of Endodontically Treated Teeth With And Without Periodontal Surgical Intervention: A Clinical Study
DOI:
https://doi.org/10.64252/rvqmsr39Keywords:
Endodontic treatment, Root canal treatment, Combined endo-perio lesions.Abstract
Objective: To evaluate whether the addition of periodontal surgical intervention following root canal treatment (RCT) reduces periodontal contamination by endodontic pathogens, as measured by Plaque Index (PI), Gingival Index (GI), Probing Depth (PD), and Clinical Attachment Level (CAL).
Methods: Ten teeth in each of two groups (Group A: RCT only; Group B: RCT + periodontal surgery) were enrolled. Clinical parameters—PI, GI, PD, CAL—were recorded at baseline, 1 month, 3 months, and 6 months. Data were analyzed using repeated-measures ANOVA and independent t‑tests.
Results: Both groups improved over time, but Group B showed significantly greater reduction in PD and gain in CAL at 3‑ and 6‑month follow‑ups (p < 0.05). No significant between‑group differences for PI and GI.
Conclusion: Periodontal flap surgery one month post‑RCT enhances PD reduction and CAL gain, suggesting improved periodontal healing in endodontically involved teeth.
