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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Perforations may be produced by powered rotary instruments during the attempt to gain access to the pulp or during preparation for a post.

Endo-Perio Dilemma: A Brief Review

Simon, Glick and Frank A dilemma from 19 th until 21 st century. Discussion It is known that both the pulp and the periodontium are closely linked to each other, eno the apical foramen, accessory canals, and dentinal tubules of the root, and one can interfere on the integrity of the other.

When the pocket is probed, it is narrow and lacks width. Visual examination is dramatically improved by the use of enhanced magnification and illumination.

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: On the other hand, in a tooth with primary periodontal disease, the pulp is vital and responsive to testing. Madison S, Wilcox LR.


How to cite this URL: Some studies [ lesioj38 ] 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. Pulp exposures, periodontitis, and leaion lesions are of significant importance in the development of periodontal-endodontic lesions.

The pulpal pocket approach: None, Lesino of Interest: Due to the complexity of these infections, an interdisciplinary approach with a good collaboration between endodontists, Periodontist, and microbiologists is recommended.

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

Some periodontal lesions of endodontic origin can heal following root canal treatment alone. The pulp may remain vital but may show some degenerative changes over time. Treatment of endodontic perforations. A histological evaluation of the oesion pulp in teeth with varying degrees of periodontal disease. Support Center Support Center.

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International Journal of Dentistry

Llesion is of utmost importance that the patient maintains good oral hygiene and obtains regular professional care for this region. This causes local tissue hypoxia and anoxia resulting in localized necrosis, the chemical mediators of which cause further localized oedema, completing the cycle.

National Center for Biotechnology InformationU. 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, canal obliteration, root resorption, root fractures, periradicular radiolucencies, thickened periodontal ligament, and alveolar bone loss.


The effect of periodontal disease on the pulp. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease.

The periodontal disease has gradually spread along the root surface towards the apex. D Chemicals Used in Dentistry.

Parirokh M, Torabinejad M. The prognosis of these cases depends on the severity of periodontal disease and the response to periodontal treatment.

Treatment of crown fractured incisors with laminate veneer restorations. Mild pain or discomfort and swelling are the major clinical symptoms, and solitary pocket around one aspect of the suspected tooth is the major clinical sign. Periodontal disease, bacteria, and pulpal histopathology.

A New Classification of Endodontic-Periodontal Lesions

Effects on periodontal healing in mature and immature replanted monkey teeth. Subscribe to Table of Contents Alerts. Madison and Wilcox [ 13 ] found that exposure of root canals to the oral environment leads to coronal leakage, and in some cases along the entire length of the root canal.