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 success of a combined periodontal and endodontic lesion depends on the elimination of both of these disease processes. The antibacterial effect of lwsions hydroxide and chlorhexidine on Enterococcus faecalis. Moreover, the dentinal fluids move towards the exterior, thereby reducing the diffusion of the harmful products of the bacteria on the exposed dentin.

Although the role of pulpal pathology in the etiology of furcation involvement is still unclear, the high incidence of molar teeth with accessory canals supports such an association. Treatment of traumatic dental injuries varies depending on the type of injury and it will determine pulpal and periodontal ligament healing prognosis [ 1729 — 33 ].

The regenerative potential of the periodontal ligament: 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. Radiograph showing gutta percha when inserted though the sinus tract extending till the mesial root of The periodontal-endodontic lesions have been endopero by the involvement of the pulp and periodontal disease in the same tooth. Long-term evaluation of endodontic and periodontal treatment.


Combined periodontic-endodontic lesions – Wikipedia

The simultaneous existence of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning. Effectiveness of selected materials against Enterococcus faecalis: A bioactive glass resulted in a substantial amount of bone fill in the furcation. An experimental study in the monkey. ejdoperio

Intentional re-plantation of a vertically fractured tooth repaired with an adhesive resin. This apatite layer has been shown to be identical to bone mineral and to provide the surface for osteoblast cell attachment and bone deposition.

A sequential approach in treatment of perio-endo lesion

The results of this case report suggest that bioactive glass in the form of putty resulted in a significant amount of bone fill and reduction in HPD. However, lesions which are not true combined lesions, little or no improvement would be seen with the periodontal perspective after endodontic treatment, leaving a very poor and often hopeless prognosis.

Muller HP, Eger T. Improper manipulation of endodontic instruments can also lead to a perforation of the root. Indian J Dent Res ; J Am Dent Assoc ; None, Conflict of Interest: Factors influencing radiographic appearance of bony lesions.

Clinical endoperii and postoperative morbidity. Diagnosis and management of teeth with vertical root fractures. Following the lrsions treatment, the furcation defect was treated using bioactive glass in a putty form. Int J Paediatr Dent ; Barrier membrane technique in endodontic microsurgery. Diagnoses Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Periodontitis as a manifestation of systemic disease Necrotizing periodontal diseases Abscesses of the periodontium Combined periodontic-endodontic lesions.


A New Classification of Endodontic-Periodontal Lesions

Braz J Oral Sci. Electric pulp testing was done to check for tooth vitality, which confirmed that the tooth was nonvital. Progression of the periodontal disease and the pocket leads to pulpal involvement via either a lateral canal foramen or the main apical foramen.

Conventional therapy Debridement Scaling and lesoins planing Full mouth disinfection Full mouth ultrasonic debridement.

For diagnostic purposes, it is imperative for the clinician to insert a gutta-percha cone into the sinus tract and to take one or more radiographs to determine the origin of the lesion. Bilateral buccal radicular groove in maxillary incisors: Bone grafts having a property of osteogenesis, osteoinduction, and osteoconduction have been used in the past.

Treatment map of endodontic-periodontal lesions Click here to view. The nature of that pain is often the first clue in determining the etiology of such a problem.

In this case, following endodontic treatment the periodontal lesion did reduce to an extent on radiographic evaluation after 3 months but did not subside completely with no change in the clinical parameters.