Endo-perio Lesions: An Enigma Tto Endodontists
endo perio lesions
Keywords:
Endo-periodontal lesion, endodontic, sulcus, canal
Abstract
The connection between endodontic and periodontal issues has been a topic of debate and contention for years. Pulp and periodontal issues contribute significantly to tooth loss, with over 50% of cases attributed to them. Endo-perio lesions can arise from various causes, presenting challenges for clinicians in diagnosis and prognosis. A comprehensive understanding of these lesions' origins, along with the requisite skills for performing restorative, endodontic, or periodontal treatments either individually or in combination, is crucial for accurate diagnosis and effective management..This review article gives an insight on various aspects of endo perio lesions such as etiology,classification,diagnosis,prognosis and the management of these lesions
References
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13) Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Periodontol. 1972;43(4):202–8
14) Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Endod. 2013;39(5):e41–6
15) Gautam S, Galgali SR, Sheethal HS, Priya NS. Pulpal changes associated with advanced periodontal disease: a histopathological study. J Oral Maxillofac Pathol. 2017;21(1):58–63.
16)Guldener PHA. Beziehung zwischen Pulpa-und Parodontaler krankungen. In: Guldener PHA, Langeland K, editors. Endodontologie. Stuttgart: Thieme; 1982. p. 368–78.
17) Belk CE, Gutmann JL. Perspectives, controversies and directives on pulpal-periodontal relationships. J Can Dent Assoc. 1990;56(11):1013–7.
18) Pierre K , Eric B The Journal of Contemporary Dental Practice (2020): 10.5005/jp-journals-10024-2876
19) Segura-Egea JJ, Castellanos-Cosano L, Machuca G, Lopez-Lopez J, Martin-Gonzalez J, Velasco-Ortega E, et al. Diabetes mellitus, periapical inflammation and endodontic treatment outcome. Med Oral Patol Oral Cir Bucal. 2012;17(2):e356–61.
20) Pettiette MT, Zhong S, Moretti A, Khan AA. Potential correlation between statins and pulp chamber calcification. J Endod. 2013;39:1119–23.
21)Harrington GW. The perio-endo question: differential diagnosis. Dent Clin N Am. 1979;23(4):673–90.
22))Parolia A, Gait TC, Porto IC, Mala K. Endo-perio lesion: A dilemma from 19th until 21st century. J Interdiscip Dentistry 2013;3: 2-11.
23) Patel S, Dawood A, Mannocci F, Wilson R, Pitt Ford T. Detection of periapical bone defects in human jaws using cone beam computed tomography and intraoral radiography. Int Endod J. 2009;42(6):507–15. https:// doi.org/10.1111/j.1365-2591.2008.01538.x.
24) Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in endodontics - a review. Int Endod J. 2015;48(1):3–15. https://doi.org/10.1111/iej.12270.
25)Preetinder Singh Endo-Perio Dilemma: A Brief Review Dent Res J 2011; 8(1): 39-47
2)Simring M, Goldberg M. The pulpal pocket approach: retrograde periodontitis. J Periodontol. 1964;35:22–48.
3)Vishal A , Vivek G , Minkle G Endo-Perio Lesion: Part I (The Pathogenesis) – A Review, Archives of Dental Sciences Vol.3, Issue 1, Jan.-Mar., 2012
4)Charles Soloman, Henry Chalfin, Mitchell Kellert. The endodontic-periodontal lesion: A rational approach to treatment;JADA 1995;126:473-479.
5) Haapasalo M, Udnaes T, Endal U. Persistent, recurrent, and acquired infection of the root canal system post-treatment. Endod Top. 2003;6:29–56.
6) Loe H. The role of bacteria in periodontal diseases. Bull World Health Organ. 1981;59(6):821–5.
7) Zehnder M. Endodontic infection caused by localized aggressive periodontitis: a case report and bacteriologic evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(4):440–5.
8)Kerekes K, Olsen I. Similarities in the microfloras of root canals and deep periodontal pockets. Endod Dent Traumatol. 1990;6(1):1–5
9) Kurihara H, Kobayashi Y, Francisco IA, Isoshima O, Nagai A, Murayama Y. A microbiological and immunological study of endodontic-periodontic lesions. J Endod. 1995;21(12):617–21.
10) Trope M, Rosenberg E, Tronstad L. Darkfield microscopic spirochete count in the differentiation of endodontic and periodontal abscesses. J Endod. 1992;18(2):82–6.
11) Rocas IN, Siqueira JF Jr, Santos KR, Coelho AM. “Red complex” (Bacteroides forsythus, Porphyromonas gingivalis, and Treponema denticola) in endodontic infections: a molecular approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(4):468–71.
12) Stoodley P, Sauer K, Davies DG, Costerton JW. Biofilms as complex differentiated communities. Annu Rev Microbiol. 2002;56:187–209.
13) Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Periodontol. 1972;43(4):202–8
14) Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Endod. 2013;39(5):e41–6
15) Gautam S, Galgali SR, Sheethal HS, Priya NS. Pulpal changes associated with advanced periodontal disease: a histopathological study. J Oral Maxillofac Pathol. 2017;21(1):58–63.
16)Guldener PHA. Beziehung zwischen Pulpa-und Parodontaler krankungen. In: Guldener PHA, Langeland K, editors. Endodontologie. Stuttgart: Thieme; 1982. p. 368–78.
17) Belk CE, Gutmann JL. Perspectives, controversies and directives on pulpal-periodontal relationships. J Can Dent Assoc. 1990;56(11):1013–7.
18) Pierre K , Eric B The Journal of Contemporary Dental Practice (2020): 10.5005/jp-journals-10024-2876
19) Segura-Egea JJ, Castellanos-Cosano L, Machuca G, Lopez-Lopez J, Martin-Gonzalez J, Velasco-Ortega E, et al. Diabetes mellitus, periapical inflammation and endodontic treatment outcome. Med Oral Patol Oral Cir Bucal. 2012;17(2):e356–61.
20) Pettiette MT, Zhong S, Moretti A, Khan AA. Potential correlation between statins and pulp chamber calcification. J Endod. 2013;39:1119–23.
21)Harrington GW. The perio-endo question: differential diagnosis. Dent Clin N Am. 1979;23(4):673–90.
22))Parolia A, Gait TC, Porto IC, Mala K. Endo-perio lesion: A dilemma from 19th until 21st century. J Interdiscip Dentistry 2013;3: 2-11.
23) Patel S, Dawood A, Mannocci F, Wilson R, Pitt Ford T. Detection of periapical bone defects in human jaws using cone beam computed tomography and intraoral radiography. Int Endod J. 2009;42(6):507–15. https:// doi.org/10.1111/j.1365-2591.2008.01538.x.
24) Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in endodontics - a review. Int Endod J. 2015;48(1):3–15. https://doi.org/10.1111/iej.12270.
25)Preetinder Singh Endo-Perio Dilemma: A Brief Review Dent Res J 2011; 8(1): 39-47
Published
2024-08-24
How to Cite
javed, faiza, iftekhar, huma, TEWARI, R. K., & mishra, surendra kumar. (2024). Endo-perio Lesions: An Enigma Tto Endodontists. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 10(3). https://doi.org/10.21276/ujds.2024.10.3.17
Section
Review Article
