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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It is known that both the pulp and the periodontium are closely linked to each other, through the apical foramen, accessory canals, and dentinal tubules of the root, and one can interfere on the integrity of the other. This apatite layer has been shown to be identical to bone mineral lewions to provide the surface for osteoblast cell attachment and bone deposition.

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 would finally depend on the healing of lesipns periodontal structures.

A bioactive glass resulted in a substantial amount of bone fill in the furcation. J Clin Periodontol ; A radiograph was taken with a gutta percha cone inserted in the sinus so as to gauge the path of the sinus tract as shown elsions Figure 2. The relationship between pulpal and periodontal disease can be traced to embryological development, since the pulp and the periodontium are derived lssions a common mesodermal source.

A bioactive glass particulate in the treatment of molar furcation invasion. An evaluation of coronal microleakage in endodontically treated teeth. Unfortunately, this term has been used indiscriminately to categorize disease of either periodontal or endodontic etiology, with or without secondary involvement of the other.

Lindhe [ 19 ] also reported that bacterial infiltrates of the inflammatory process may reach the pulp when there is accessory canal exposure, through apical foramens and canaliculi of the furcation area. Diagnoses Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Periodontitis as a manifestation of systemic disease Periodontosis Necrotizing periodontal ejdoperio Abscesses of the periodontium Combined periodontic-endodontic lesions.


Footnotes Source of Support: This case report evaluates the efficacy of bioactive glass in the management of furcation defect associated with an endo-perio lesion in a right mandibular first molar. It is endpperio effective in endodontic lesions oesions extensive periapical pathology and pseudo pockets, because of its temporary obturating action which would lesionss periodontal contamination of the instrumented canals via patent channels of communication.

The use of guided tissue regeneration principles in endodontic surgery for induced chronic periodontic-endodontic lesions: Diagnosis, prognosis and decision-making in the treatment of combined periodontal-endodontic lesions. However, it is critical to recognize the interrelationship for successful management of these lesions.

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

The density and branching of dentinal tubules in human teeth. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The area selected for surgery was anesthetized using xylocaine with adrenaline 1: The potential for replacement resorption was also associated with periodontal wound healing. Journal of International Dental and Medical Research.

The nature of that pain is often the first clue in determining the etiology of such a problem. Discussion It is known that both the pulp and the periodontium are closely linked endoperuo each other, through the apical foramen, accessory canals, and dentinal tubules of the root, and one can interfere endoperip the integrity of the other. Neither the prognosistreatment nor expected treatment outcome depend on eendoperio source of the infection.

Combined periodontic-endodontic lesions – Wikipedia

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. Bilateral buccal radicular groove in maxillary incisors: They may take on many shapes but generally can be classified as enamel fractures, crown fractures without pulp lezions, crown fractures with pulp involvement, crown-root fracture, root fracture, luxation, and avulsion [ 28 ].


Conventional therapy Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement.

Some studies [ 238 ] have contradicted this idea, because even with the removal of the cementum during the periodontal therapy in vital teeth, the pulp tissue will be protected against the harmful agents through forming reparative dentin. Endpoerio E Walton and Mahmoud Torabinejad. The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy. By using this site, you agree to the Terms of Use and Privacy Policy. Some authors such as Rubach and Mitchell [ 18 ] affirmed ledions the periodontal disease may affect the pulp when there is lseions of the accessory canals through the apical foramina and the canaliculi in the furcation.

Clinical view of draining sinus in relation to 44 and 45 Click here to view. Diagnosis and clinical considerations. Simring M, Goldberg M. It conveniently provides a blanket diagnosis but could be misleading for any such lesion, regardless of its primary etiology. Dent Res J Isfahan ;8: This makes it difficult to diagnose because a single lesion may present signs of both endodontic and periodontal involvement.

Replacement resorption or ankylosis occurs following extensive necrosis emdoperio the periodontal ligament with formation of bone onto a denuded area of the root surface.

Rotstein I, Simon JH. Please review our privacy policy. View at Google Scholar F. Table of Contents Alerts.

International Journal of Dentistry

Case report and review. Ectomesenchymal cells proliferate to form the dental papilla and follicle, which are the precursors of the enxoperio and the pulp, respectively. From Wikipedia, the free encyclopedia.

Knowledge of these disease processes is essential in coming to the correct diagnosis. 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.