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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

Factors influencing radiographic appearance of bony lesions. Simon, Glick and Frank Madison S, Wilcox LR. A review of patient, months post-operatively should show healing of the periodontal pocket and bony repair. Radiographic examination will aid in detection of carious lesions, extensive or defective wndo, pulp caps, pulpotomies, previous root canal treatment and possible mishaps, stages of root formation, canal obliteration, root resorption, root fractures, periradicular radiolucencies, thickened periodontal ligament, and alveolar bone loss.

Classification and clinical indications. Assessment of pulp vitality: The prognosis of these cases depends on the severity of periodontal disease and the response endoo periodontal treatment.

A New Classification of Endodontic-Periodontal Lesions

Ten Cate A R. It is of utmost importance that the patient maintains good oral hygiene and obtains regular professional care for this region. The endodontic-periodontal continuum revisited: Primary endodontic diseases usually heal following root canal treatment.

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Coronal microleakage of permanent lingual access restorations in endodontically treated anterior teeth. A rational approach to treatment. Endodontic pathogens in periodontal disease augmentation. Czarnecki RT, Schilder H.

Moule AJ, Kahler B. The relationship of endodontic-periodontic lesions. Root perforations may result from extensive carious lesions, resorption, or from operator error occurring during root canal instrumentation or post preparation.

Madison S, Wilcox LR.

It is generally advisable to treat both tissues concurrently in order to create the most favorable environment for healing. Teeth with lesions caused by vertical root fractures have a hopeless prognosis and should be extracted. 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 ]. Barrier membrane technique in endodontic microsurgery.

How to cite this URL: This enables the operator to construct a suitable treatment plan where unnecessary, prolonged or even detrimental treatment is avoided.

Effects on periodontal healing in mature and immature replanted monkey teeth. Clinical outcomes and postoperative morbidity.

The interrelationship between periodontal and endodontic disease has aroused confusion, queries and controversy. Russell bodies in the pulp of a primary tooth. Int Dent J ; Endodontic failure caused by inadequate restorative procedures: Determining the prognosis depends upon the stage of periodontal disease and the efficacy of periodontal treatment.

Several authors, through their studies, diverge on the contamination routes. Radiographs are essential for detection of anatomic landmarks and a variety of pathological conditions. Three case reports with two-year follow-up. Histological study of the pulp changes caused by periodontal disease.


Endo-Perio Dilemma: A Brief Review

This condition is most often seen as a complication of luxation injuries, especially in avulsed teeth that have been out of their sockets in dry conditions for several hours. Endotoxins produced by plaque bacteria also have an irritant effect on overlying soft tissue, preventing repair. The most common cause of vertical root fracture in endodontically treated teeth is the excessive force used during lateral condensation of gutta-percha.

Widening of the periodontal ligament along one or both sides of the root, or bone loss in solitary tooth are the major radiographic findings. Characterization of new periodontal and endodontic isolates of spiro chetes.


This would increase the likelihood of cumulative damage to the pulp. An in vitro periio. In such cases, it is not essential to determine which disease entity occurred first as the treatment will involve both endodontic and periodontal management.