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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Moule AJ, Kahler B.

Endo-Perio Dilemma: A Brief Review

Development of a classification system for periodontal diseases and conditions. Vertical lesioh 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. Mazur B, Massler M.

Pathways for communication between endodontic and periodontal tissues Click here to view. Influence of pulpal treatments on cell and tissue reactions in the marginal periodontium. None, Conflict of Interest: A deep narrow probing defect is noted on just one aspect perii the tooth root. A new endodontic-periodontal interrelationship classification, based on the primary lesionn with its secondary effect, is suggested as follows: An endo-perio lesion can have a varied pathogenesis which ranges from simple to relatively complex one.

N Z Dent J. 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. Granulation tissue derived from bone or gingival connective tissue may induce root resorption and ankylosis [ 1731 ]. This suggests that one disease may be the result or cause of the other or even originated from two different and independent processes which are associated with their advancement [ 1 ].

Simon, Glick and Frank 38 Primary periodontal lesions, when there is a progression of periodontal lesion to involve the apex of a tooth while the pulp is vital there may be some pulpal degenerative changes. Primary periodontal lesions with secondary endodontic involvement; periodontal disease causes a resultant pulpal necrosis as it progresses apically.


International Journal of Dentistry.

International Journal of Dentistry

The relationship of endodontic-periodontic lesions. Primary periodontal lesions are treated by hygiene phase therapy in the first instance.

C Dental Injuries or Trauma. Primary endodontic diseases usually heal following root canal treatment. A rational approach to treatment.

A survey of cases in Chinese patients. The influence of endodontic infection on progression of marginal bone loss in periodontitis.

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.

A new approach to the treatment of true-combined endodontic-periodontic lesions by the guided tissue regeneration technique. The peio of pulp and periodontal disease. Endodontic-periodontal lesions present challenges to the clinician as far as diagnosis and prognosis of the involved teeth are concerned. Bilateral buccal radicular groove in maxillary incisors: Coronal leakage is the leakage of bacterial elements from the oral environment along the restoration’s margin to the endodontic filling.

These lesions often present challenges to the clinician as far as diagnosis and prognosis of the involved teeth are concerned.

Due to the complexity of these infections, an interdisciplinary approach with a good collaboration between endodontists, Periodontist, and microbiologists is recommended. This review article discusses the various clinical aspects to be considered for accurately diagnosing and treating endo-perio lesions.

Treatment strategy for prrio tissue regeneration in combined endodontic-periodontal lesions: Mild pain or discomfort and swelling are the lesin clinical symptoms, and solitary pocket around one aspect of the suspected tooth is the major clinical sign.

J Am Dent Assoc ; Moreover, the dentinal fluids move towards the exterior, thereby reducing the diffusion of the harmful products of the bacteria on the exposed dentin.


A New Classification of Endodontic-Periodontal Lesions

Int J Periodontics Restorative Dent ;21; From the point of view of treating these cases efficaciously, another clinical classification was provided by Torabinejad and Trope in [ 21 ], based on the origin of the periodontal pocket: Differentiating between a periodontal and an endodontic problem can be difficult.

Periodontitis Associated with Endodontic Disease. The irritating chemical may diffuse through the dentinal tubules, and when combined with heat, they are likely to cause necrosis nedo the cementum, inflammation of the periodontal ligament, and subsequently root resorption [ 3637 ].

Classification of perio-endo lesions There are four types of perio-endo lesions and they are classified due to their pathogenesis. Teeth with lesions caused by vertical root fractures have a hopeless prognosis and should be extracted. Please review our privacy policy.

Endo-Perio Dilemma: A Brief Review

Treatment and Prognosis of Endo-Perio Lesions. It also inhibits periodontal contamination from instrumented canals via patent channels connecting the pulp and periodontium before periodontal treatment removes the contaminants.

An in vitro comparison of the sealing ability of materials placed in lateral root lesipn. Int J Periodontics Restorative Dent ; Distribution of Ia antigen-expressing nonlymphoid cells in lesin stages of induced periapical lesions in rat molars.

Aust Dent J ; Radiographic examination will aid in detection of carious lesions, extensive or defective restorations, pulp caps, pulpotomies, previous root canal treatment and possible mishaps, stages of root formation, pwrio obliteration, root resorption, root fractures, periradicular radiolucencies, thickened periodontal ligament, and alveolar bone loss.

The nature of that pain is often the first clue in determining the etiology of such a problem.