Single-Visit Endodontic Management of a Complex Endo-Periodontal Lesion in an Oncologic Patient with Systemic Comorbidities: A 12-Month Case Report.

Background

The endodontic management of patients with complex systemic conditions represents a significant clinical challenge, particularly in cases involving combined endodontic-periodontal lesions and extensive root resorptions. This case report, accompanied by a recent and targeted literature analysis, describes the single-session treatment of an oncologic patient with multiple systemic comorbidities, presenting with a communicating periapical and endodontic-periodontal lesion (EPL), as well as external cervical root resorption (ECR).

Methods

Root canal treatment (RCT), combined with ECR repair, was performed using bioceramic materials, via thorough management and planning with cone-beam computed tomography (CBCT) and the aid of an operating microscope.

Results

At the 12-month follow-up, complete clinical and radiographic healing was observed, including regeneration of the periodontal ligament and full functional recovery of the tooth.

Conclusions

Contrary to what has been reported in the literature, where several studies highlight lower healing rates in patients with systemic comorbidities undergoing endodontic treatment, the present case report demonstrates a favorable and stable outcome. Moreover, the possibility of concentrating the intervention into a single session represents an additional advantage for this category of patients, who often face limited physical and temporal resources due to their concurrent oncologic condition.