Pulpal and periodontal problems are responsible for more than 50% of tooth mortality today. An endo-perio lesion can have a varied. An endo-perio lesion can have a varied pathogenesis which ranges from simple to relatively complex one. The differential diagnosis of. 10 steps to efficient endo in the general practice. For differential diagnosis and treatment purposes, “endo-perio” lesions are classified as either.

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J Am Dent Assoc ; Vitality testing should be carried out on relevant teeth as well as radiographic examination, paying close attention to shape, location and extension of any lesion, crestal and furcation involvement and signs of fracture or perforation. Rotstein I, Simon JH. Vertical root fractures are most often caused when a tooth, often weakened due to undermining by caries, previous restorative treatment or a non-vital pulp becomes traumatised.

Coronal microleakage of permanent lingual access restorations in endodontically treated anterior teeth.

A New Classification of Endodontic-Periodontal Lesions

However, it is critical to recognize the interrelationship for successful management of these lesions. Treatment of crown fractured incisors with laminate veneer restorations. The differential diagnosis of endodontic and periodontal diseases can sometimes be difficult but it is of vital importance to make a correct diagnosis so that the appropriate treatment can be provided.


Based on current knowledge, the best available method for obtaining clean, microbe-free root canals is instrumentation with antimicrobial irrigation reinforced by an intracanal dressing with calcium hydroxide. Relationship between periapical and periodontal status. If the lesions are not well treated and the canals are not disinfected and sealed completely, they will house bacterial necrotic rests, which account for the progression of the lesion ebdo even for the endodontic reinfection [ 13 — 15 ].

Diagnosis, prognosis and decision-making in the treatment of combined peri-odontal-endodontic lesions. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.

Endo-Perio Dilemma: A Brief Review

An in vitro study. Endodontic and periodontic interrelationships.

Cervical root resorption following bleaching of endodontically treated teeth. Endod Dent Traumatol ;1: In some cases, the influence of pulpal pathology may create periodontal involvement. It could be of two subcategories.

Arch Oral Biol ; Diagnosis and management of teeth with vertical root fractures. Diagnosis is complicated by the fact that these diseases are too frequently viewed as independent entities. Dent Res J Isfahan ;8: This is predominantly a mixed anaerobic infection.


Treatment and Prognosis of Endo-Perio Lesions.

The irritating chemical may diffuse through the dentinal tubules and when combined with heat, they are likely to cause necrosis of the cementum, inflammation of the periodontal ligament, and subsequently root resorption. The teeth are examined for abnormalities such as caries, defective restorations, erosions, abrasions, cracks, fractures, and discolorations. J Clin Periodontol ; The authors declare that there is no conflict of interests regarding the publication of this paper.

Plaque and calculus initiate periodontal lesions. Related articles Diagnosis endo-perio lesions management. Knowledge of these disease processes is essential in coming to the correct diagnosis.

Edno outcomes and postoperative morbidity. Principles and Practice of Endodontics. Molecular epidemiology and association of putative pathogens in root canal infection. Long-term existence of the defect has resulted in deposits of plaque and calculus in the pocket with subsequent advancement of the periodontal disease. The regenerative potential of the periodontal ligament: