No abstract

Gingivitis is a major and frequent unwanted effect accompanying pregnancy. Sometimes, pregnancy gingivitis may show a tendency for localized enlargement, which is called "pregnancy granuloma". The local factors such as plaque and calculus are known to be responsible for gingival enlargement during pregnancy. The hormonal factors also play a role in aggravating the enlargement. The management of gingival enlargement includes nonsurgical approach, surgical approach, or both of them for severe cases. This case report illustrates a successful nonsurgical management of a 32-year-old female patient with gingivitis associated to localized gingival enlargement. The lesion was observed during pregnancy and persisted postpartum, a total regression of the gingival enlargement without any surgical procedure was observed. And it highlights therefore the key role of supportive periodontal therapy in maintaining good and stable outcomes over years of follow-up.

Endodontic-periodontal combined lesion is a clinical dilemma because establishing a differential diagnosis and predicting a prognosis are difficult. A correct diagnosis is sometimes difficult; an accurate knowledge of the etiologic factors is essential for adequate choice of treatment. The management of endodontic-periodontal combined lesion demands both endodontic and periodontal therapy. Root resection therapy is one treatment option for preserving multirooted tooth with furcation involvement. This case report reviews root resective therapy and the concomitant endodontic management as a treatment option for an endo-periodontal lesion in periodontitis patients in maxillary molar. The role of root resection and treatment strategy are also discussed based on a review of the endodontic and periodontal literature.