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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Endo-Perio Dilemma: A Brief Review

This is achieved by careful history taking, examination, and performing special tests. Development of a classification system for periodontal diseases and conditions. Clinical Enxo and Implant Dentistry. Factors affecting the healing response of intrabony defects following guided tissue regeneration and access flap surgery. The differential diagnosis of endodontic and periodontal diseases can sometimes be difficult, but it is of vital importance to make a correct diagnosis for providing the appropriate treatment.

Torabinejad M, Lemon RL. Radiographs are essential for detection of anatomic landmarks and a variety of pathological conditions. Periodontal lesions Plaque and calculus initiate periodontal lesions. A discolored permanent tooth may often be associated pesion a necrotic pulp. Microleakage–full crowns and the dental pulp.

Effect of intracoronal bleaching on external cervical root resorption. Successful leion of a perforated mandibular molar using amalgam and hydroxylapatite. At the site of perforation, an inflammatory reaction in periodontal ligament occurs and leads to the formation of a lesion which can progress as a conventional primary endodontic lesion. J Clin Periodontol ;9: True-combined lesions are treated initially as primary endodontic lesions with secondary periodontal involvement.


Perik entire dentition should be examined for possible causes of pain before commencing treatment. A dilemma from 19 th until 21 st century.

The periodontal disease has gradually spread along the root surface towards the apex.

Int Dent J ; N Z Dent J. Introduction The periodontal-endodontic lesions have been characterized by the involvement of the pulp and periodontal disease in the same tooth.

Bergenholtz G, Nyman S.

Treatment and Prognosis of Endo-Perio Lesions. Alteration of the root surface occurs by loss of the outer cementoblast layer and results in shallow resorptive lesions of cementum.

International Journal of Dentistry

The effect of periodontal disease on the pulp. Pathways of the Pulp.

A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease. This would increase the likelihood of cumulative damage to the pulp. Knowledge of these disease processes is essential in coming to the correct diagnosis. Endodontic management of combined endodontic-periodontal lesions.

Treatment of traumatic dental injuries varies depending on the type of injury and it will determine pulpal and periodontal ligament healing prognosis [ 1729 — 33 ].


Munksgaard Intl Pub; In such cases, it is advisable to treat both tissues [ 23 ]. Dent Res J Isfahan ;8: This paper is an attempt to provide a rational classification to the endo-perio question in order to scientifically diagnose and treat these lesions with predictable success.

Endo-Perio Dilemma: A Brief Review

It is of utmost importance that the patient maintains good oral hygiene and obtains regular professional care for this region. Find articles by Preetinder Singh.

The endoo pocket approach: Therefore, this presentation will highlight the diagnostic, clinical guidelines and decision-making in the treatment of these lesions from an Endodontist’s point of view to achieve the best outcome. The pulp and periodontium have embryonic, anatomic and functional inter-relationships. Due to the complexity of these infections, an interdisciplinary approach with a good collaboration between endodontists, Periodontist, and microbiologists is recommended. Diagnostic procedures used to peeio the endo-perio lesion Click here to view.

Perforations may be produced by powered rotary instruments during the attempt to gain access to the pulp or during preparation for a post.