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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The area selected endlperio surgery was anesthetized using xylocaine with adrenaline 1: At the end of 9 months, there was a gain in the clinical attachment level and reduction in probing depth. Three main pathways[ 4 ] have been implicated in the development of periodontal-endodontic lesions, namely: At the site of perforation, an inflammatory reaction in periodontal ligament occurs and leads to the formation of a lesion which can progress as a conventional primary endodontic lesion.
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The irritating chemical may diffuse through the dentinal tubules, and when combined with heat, they are likely to cause necrosis of the cementum, inflammation of the periodontal ligament, and subsequently root resorption [ 3637 ]. This page was last edited on 28 Novemberat Medicine, Surgery and Implants Elsevier; p.
IOPA also showed widening of periodontal lrsions space in relation with the mesial root and radiolucency in the furcation area. From Wikipedia, the free encyclopedia. Shenoy N, Shenoy A. Dent Clin North Am ; On the other hand, Langeland et al. Footnotes Source of Support: This paper aims to discuss a modified clinical classification to be considered for accurately diagnosing and treating endo-perio lesion.
Post-op instructions The patient was advised proper plaque control, and was prescribed 0. Through this knowledge, the dentist will achieve the correct diagnosis and adequate treatment, resulting in greater chances of obtaining success in the treatment of the periodontal-endodontic lesions.
Moreover, the dentinal fluids move towards the exterior, thereby reducing the diffusion of the harmful products of the bacteria on the exposed dentin. The interrelationship of pulp and periodontal disease. Cohen S, Burns RC, editors.
Combined periodontic-endodontic lesions
Rotstein I, Simon JH. It is especially effective in endodontic lesions with extensive periapical pathology and pseudo pockets, because of its temporary obturating action which would inhibit periodontal contamination of the instrumented canals via patent channels of communication.
Classification and clinical indications. Parirokh M, Torabinejad Lesjons. Diagnosis, prognosis and decision making in the treatment of combined periodontal-endodontic lesions.
Combined periodontic-endodontic lesions – Wikipedia
None, Conflict of Interest: The relationship of endodontic- periodontic lesions. Etiologic factors such as bacteria, fungi, and viruses as well as other various contributing factors such as trauma, root resorptions, perforations, and dental malformations also play an important role in the development and progression of such lesions.
A Rational Approach to Treatment.
Diagnosis is complicated by the fact that these diseases are too frequently viewed as independent entities. The interrelationship between periodontal and endodontic disease endopero always aroused confusion, queries, and controversy. These lesions often present challenges to the clinician as far as diagnosis and prognosis of the involved teeth are concerned.
N Z Dent J ; An endo-perio lesion can have a varied pathogenesis which ranges from quite simple to relatively complex one. Clinical view of draining sinus in relation to 44 and 45 Click here to view. It conveniently provides a blanket diagnosis but could be misleading for any such lesion, regardless of its primary etiology. If the periodontium had a previous inflammation, it may lead to dissemination of the inflammation which can result in pulp necrosis [ 17 ]. Three main pathways[ 4 ] have been implicated in the development of periodontal-endodontic lesions, namely:.
This highlights the importance of taking the complete clinical history and making the right diagnosis to ensure correct prognosis and treatment.