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

A clinical and roentgenological study of 55 cases of root perforation. The endo-perio lesion is a condition characterized by the association of periodontal and pulpal disease in the same dental element. The nature of that pain is often the first clue in determining the etiology of ;erio a problem.

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

Types and incidence of human periapical lesions obtained with extracted teeth. Lesuon iatrogenic lesions Although the first priority is to close the iatrogenic communication, the aim is to produce a seal. The endodontium and periodontium are closely related and diseases of one tissue may lead to the involvement of the other.

Endo-Perio Dilemma: A Brief Review

International Journal of Dentistry. Advanced lesions and true-combined lesions are difficult to differentiate between and therefore, where doubt exists they should be considered as an endodontic lesion in origin. The differential diagnosis of endodontic and periodontal diseases can sometimes be difficult but it is of vital importance to make a lesoin diagnosis so that the appropriate treatment can be provided. Clinical diagnosis and treatment of endodontic and periodontal lesions.


Vertical root fractures are caused by trauma and have been reported to occur in both vital and endp teeth. On the other hand, Langeland et al. Long-term prognosis of 66 permanent anterior teeth with root fracture.

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

An in leesion study. Dent Res J Isfahan ;8: Rubach and Mitchell [ 18 ] suggested that the periodontal disease may affect the pulp health when the accessory canal exposure occurs, allowing the periodontopathogenic bacteria to cause lesoin reactions followed by pulp necrosis.

Dent Res J Isfahan. Effects on periodontal healing in mature and immature replanted monkey teeth. D Chemicals Used in Dentistry. Rotstein I, Simon JH. Treatment strategy for guided tissue regeneration in combined endodontic-periodontal lesions: Torabinejad M, Kiger RD.

Bacterial invasion in root cementum and radicular dentin of periodontally diseased teeth in humans.

Clin Oral Investig ;4: Diagnosis and clinical considerations. J Am Dent Assoc ; J Clin Periodontol ; Simring M, Goldberg M.

Endo-Perio Dilemma: A Brief Review

Diagnosis of teeth with necrotic pulps can be difficult to establish. Alteration of the root surface occurs by loss of the outer cementoblast layer and results in shallow resorptive lesions of cementum. Int Endod J ; Patient gave a history mild impact trauma on mandibular anterior 10 years ago. At the site of perforation, an inflammatory reaction in periodontal ligament occurs and leads to the formation of a lesion enxo can progress as a conventional primary endodontic lesion.


Based on these classifications, the most widely used classification of endodontic-periodontal lesions is the one that has been classified by Simon et al. If a draining sinus tract through the periodontal ligament is present before root canal treatment, resolution of the probing defect is expected.

International Journal of Dentistry

An evaluation of coronal microleakage lession endodontically treated teeth. Symptoms may be acute, with periodontal abscess formation associated with pain, swelling, pus exudate, pocket formation, and tooth mobility.

Radiographic and clinical evaluation can help clarify the nature of the problem. Principles and Practice of Endodontics.

Related articles Diagnosis endo-perio lesions management. Differentiating between a periodontal and an endodontic problem can be difficult. Ray and Trope [ 14 ] reported that defective restorations and adequate root canal fillings had a higher incidence of failures than teeth with inadequate root canal fillings and adequate restorations.

The actual relationship between periodontal and pulpal disease was first described by Simring and Goldberg in The pathogenesis and treatment of endo-perio lesions.