Indian J Dent Res. Oct-Dec;21(4) doi: / Endo-perio lesions: diagnosis and clinical considerations. Shenoy N(1), Shenoy . In the case of a combined endo-perio lesion, the endodontic therapy results in healing of the endodontic component of involvement while the prognosis of tooth . Endo – Perio Lesions: A Diagnostic Dilemma. Abstract. Endo-perio lesions primarily occur by way of the intimate anatomic and vascular connections between the.

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Bacterial diseases Acquired tooth disorders. Knowledge of these disease processes is essential in coming to the correct diagnosis. Radiographic evidence showed that there was a significant bony fill. A new endodontic-periodontal interrelationship classification, based on the primary disease with its secondary effect, is suggested as follows: The influence of endodontic treatment on periodontal wound healing.

Primary endodontic lesion with secondary periodontal involvement.

A sequential approach in treatment of perio-endo lesion

The patient was put on regular recall at 1, 3, 6, and 9 months. A dilemma from 19 th until 21 st century. View endopeeio Google Scholar S. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease.

J Conserv Dent ; Leaions the role of pulpal pathology in the etiology of furcation involvement is still unclear, the high incidence of molar teeth with accessory canals supports such an association. Radiographic and clinical evaluation can help clarify the nature of the problem. The artificial pathways between periodontal and pulpal tissues are vertical root fractures.


Dent Res J Isfahan ;8: Treatment includes conventional endodontic therapy followed by conventional periodontal therapy. The density and branching of dentinal tubules in human teeth. Milano F, Melsen B.

Lesions produced as a result of lesikns modalities include the following. But with the advent of new regenerative materials, however, successful periodontal treatment of such lesions has been possible. This review article discusses the various clinical aspects to be considered for accurately diagnosing and treating endo-perio lesions. This confirmed a secondary periodontal involvement along with primary endodontic component.

In the case of leeions combined endo-perio lesion, the endodontic therapy results in healing of the endodontic component of involvement while the prognosis of tooth would finally depend on the healing of the periodontal structures. 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 [ 3637 ].

Arch Oral Biol ; It is known that both the pulp and the periodontium are closely linked to endopfrio other, through the apical foramen, accessory canals, and dentinal tubules of the root, and one can interfere on the integrity of the other. Classification of Periodontal-Endodontic Lesions. This paper aims to discuss a modified clinical classification to be considered for accurately diagnosing and treating endo-perio lesion. Nil Conflict of Interest: A new property of osteostimulation[ 3 ] has been reported in some recently available materials.

Clinically, a deep narrow pocket was found on the mesial aspect of the root suggesting the presence of vertical root fracture.


J Clin Periodontol ; Long-term evaluation of endodontic and periodontal treatment. Radiographic attachment in periodontitis-prone teeth with endodontic infection.

Combined periodontic-endodontic lesions

Abstract The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy.

The lesionw common cause of vertical root fracture in endodontically treated teeth is the excessive force used during lateral condensation of gutta-percha.

Intentional re-plantation of a vertically fractured tooth repaired with an adhesive resin. If only one of the problems was treated, then it would be expected that the lesion would not heal adequately. It is especially effective in endodontic lesions with extensive periapical pathology and pseudo pockets, because of its temporary obturating action which would inhibit periodontal contamination of the instrumented canals via patent channels of communication.

Gingivitis Periodontitis Chronic periodontitis Periodontal disease. The relationship of endodontic-periodontic lesions. They have the potential to cause root resorption. In such cases, it is advisable to treat both tissues [ 23 ]. When a clinician cannot make a definitive diagnosis in the case of an endo-perio lesions, it may be prudent for him or her to initiate either of the treatment modalities and hope for repair.