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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How to cite this URL: A dilemma from 19 th until 21 st century. A perio-endo lesion can have a varied pathogenesis which ranges from quite simple to relatively complex one. In such cases, it is advisable to treat both tissues [ 23 ].

Cvek M, Lindvall AM. View at Google Scholar S. Torabinejad M, Kiger RD. The pulp subsequently becomes necrotic and infected.

Endo-Perio Dilemma: A Brief Review

Support Center Support Center. An endo-perio lesion can have a varied pathogenesis which ranges from quite simple to relatively complex one. Iatrogenic lesions These include root perforations, overfilling of root canals, coronal leakage, trauma, chemical induced root resorption, intra-canal medicaments and vertical root fractures.

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


It could be of two subcategories. In some cases, the influence of pulpal pathology may cause the periodontal involvement and vice versa.

International Journal of Dentistry

Rationale for the application of the GTR principle using a barrier membrane in endodontic surgery: The endo-perio lesion is a condition characterized by the association of periodontal and pulpal disease in the same dental element. Clinically, a deep narrow pocket was found on the mesial aspect of the root suggesting the presence of vertical root fracture.

The apical foramen decreases in size as the proliferation of the Sheath of Hertwig continues. Cholesterol as an aetiological agent in endodontic failures–a review.

Charcot-Leyden crystals within a periapical lesion. Periodontal repair of periapical lesions: A new endodontic-periodontal interrelationship classification, based on the primary disease with its secondary ,esion, is suggested as follows: Radiographic attachment in periodontitis-prone teeth with endodontic infection. An evaluation of coronal microleakage in endodontically treated teeth.

Dazey S, Senia ES. Diagnosis, prognosis and decision-making in the treatment of combined periodontal-endodontic lesions.

It also inhibits periodontal contamination from instrumented canals via patent channels connecting the pulp and periodontium before periodontal treatment removes the contaminants. Another form of the interrelationship is because of the iatrogenic perforations due to either rotary instruments or improper handling of the endodontic instruments [ 16 ].

Classification lesioh Periodontal-Endodontic Lesions. A survey of cases in Chinese patients. The endodontium and periodontium are closely related and diseases of one tissue may lead to the involvement of the other. Strategies for the endodontic management of concurrent endodontic and periodontal diseases.

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When root perforation occurs, communications between the root canal ejdo and either peri-radicular tissues or the oral cavity may often reduce the prognosis of treatment. Three case reports with two-year follow-up.

Endo-perio lesions: Diagnosis and clinical considerations Shenoy N, Shenoy A – Indian J Dent Res

Barrier membrane technique in endodontic microsurgery. Acute exacerbation of a chronic apical lesion on a tooth with a necrotic pulp may drain coronally through the periodontal ligament into the gingival sulcus. The actual relationship between periodontal and pulpal disease was first described by Simring leaion Goldberg in Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal-endodontic origin.

An in vitro comparison of the sealing ability of materials placed in lateral root perforations. The use of non-toxic intracanal therapeutic medicaments is essential to destroy bacteria and to help encourage tissue repair.

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