Abstract
A female patient of 16 years of age reported with a chief complain of severe pain , swelling and pus discharge with respect to right lower back tooth region since two days,with a previous history of sensitivity to hot and cold. On the basis of case history ,clinical and radiographic findings case was diagnosed as primary endodontic lesion with secondary periodontal involvement,and was decided to treat it first endontically followed by periodontal surgery based on the principles of periodontal regeneration by using synthetic bonegraft and resorbable GTR membrane.At the end of 6months the case showed the positive results with gain in both soft and hard tissue parameters .
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