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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In some cases, the influence of pulpal pathology may cause the periodontal involvement and vice versa. Enfoperio a clinician cannot make a definitive diagnosis in the case of an endo-perio lesions, it may be prudent for him or her to initiate either of the treatment modalities and hope for repair.

Int J Periodontics Restorative Dent ; The post-op radiograph shows bone fill in the furcation defect as shown in Figure 8. If the periodontium had a previous inflammation, it may lead to dissemination of the inflammation which can result in pulp necrosis [ 17 ]. Combined periodontic-endodontic lesions are localized, circumscribed areas of bacterial infection originating from either dental pulpperiodontal tissues surrounding the involved tooth or teeth or both.

Primary endodontic diseases usually heal following root canal treatment. The relationship of bacterial penetration and pulpal pathosis in carious teeth. Full thickness flap was raised till the base of furcation defect followed by split thickness flap beyond the mucogingival junction.

Various treatment modalities[ 2 ] have been proposed for the treatment of furcation involvement alone including open flap debridement, bio-modification of root surface, and various regenerative procedures including GTR and bone grafts.

Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement. Diagnosis, prognosis and decision-making in the treatment of combined periodontal-endodontic lesions. In such cases, it is not essential to determine which disease entity occurred first as the treatment will involve both endodontic and periodontal management. Based on these classifications, the most widely used classification of endodontic-periodontal lesions is the one that has been classified by Simon et al.


J Indian Soc Periodontol.

A New Classification of Endodontic-Periodontal Lesions

How to cite this URL: Periodontal and endodontic regeneration. Endodotic and periodontic interelationships. Diagnosis and treatment planning. Pathologic interactions in pulpal and periodontal tissues. A clinical, radiographic, and histologic evaluation. Diagnosis and management of teeth with vertical root fractures. Abstract The success of a combined periodontal and endodontic lesion depends on the elimination of both of these disease processes.

Lesion characteristics and diagnostic features endoperioo endo-perio lesions Click here to view.

Czarnecki RT, Schilder H. Due to the complexity of these infections, an interdisciplinary approach with a good collaboration between endodontists, Periodontist, and microbiologists is recommended.

Int J Periodontics Restorative Dent ; This makes it difficult to diagnose because a single lesion may present signs of both endodontic and periodontal involvement. Relationship between periapical and periodontal status. Therefore within the limits of this study it can be concluded that bioactive glass is effective as a bone graft substitute in treatment of periodontal component of the endodontic lesion.

Pulp exposures, periodontitis, and caries lesions are of significant importance in the development of periodontal-endodontic lesions.

Endo-perio lesions: diagnosis and clinical considerations.

The endo-perio lesion is a condition characterized by the association of periodontal and pulpal disease in the same dental element. Bioactive glass, furcation, perio-endo.

Diagnosis, prognosis and decision making in the treatment of combined periodontal-endodontic lesions. Classification of Periodontal-Endodontic Lesions. Radiographic appearance of artificially prepared periapical lesions confined to cancellous bone. In such cases, it is advisable to treat both tissues [ 23 ].


This was in accordance with the studies by Yukna et al. Classification and clinical indications.

However, this could be overcome by proper history taking and sequential treatment planning. Clinical view of draining sinus in relation to 44 and 45 Click here to view. J Interdiscip Dentistry ;3: An evaluation of endodontically treated vertically fractured teeth. At the end of 9 months, there was a gain in the clinical attachment level and reduction in probing depth.

Factors affecting the healing response of intrabony defects following guided tissue regeneration and access flap surgery.

Sinus tracing with gutta-percha cone showing origin of sinus at apex of 44 Click here to view. Reeves R, Stanley HR.

Combined periodontic-endodontic lesions – Wikipedia

Clinical comparison of bioactive glass bone replacement endoprio material and expanded polytetrafluroethylene membrane in treating human mandibular molar class II furcations. The effect of splinting of teeth in combination with reconstructive periodontal surgery in humans. Case report and review. A rational approach to treatment. Open in a separate window. Endodontic therapy mostly should precede periodontal pocket elimination procedures lessions the case of a primary endo and secondary periodontal involvement; however, endodontic therapy would result only in resolution of the endodontic component of involvement and would have a little effect on the periodontal lesion.

Compend Contin Educ Dent ; Muller HP, Eger T.