Multidisciplinary approach to a combined endodontic-periodontal lesion: a case report.

Esthetic dental treatment under ideal conditions is usually managed routinely without complication. Under such conditions, the periodontium is in a state of health and active periodontal therapy is not needed. However, in the presence of dental pathology, achieving our esthetic goals becomes exceedingly difficult. Correction of periodontal defects often leads to increased recession and interdental spaces, both difficult esthetic problems to manage. When existing periodontal defects are coupled with other pathologic entities, such as caries or trauma, the problems in trying to satisfy our treatment goals are compounded. A multidisciplinary approach is indicated and can provide excellent results.