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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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Acute apical periodontitis Chronic apical periodontitis Combined periodontic-endodontic lesions Fistula Periapical abscess Phoenix abscess Vertical root fracture.

A sequential approach in treatment of perio-endo lesion

Related articles Endo-perio lesions periodontal pulpal diagnosis. International Journal of Dentistry. Clinical studies with bioactive glass particulate have been gaining momentum in recent scenario. Bilateral buccal radicular groove in maxillary incisors: Conflict of Interests The authors declare that there is no ehdoperio of interests regarding the publication of this paper.

Acute exacerbation of a chronic apical lesion on a tooth with a necrotic pulp may drain coronally lesoins the periodontal ligament into the gingival sulcus.

The influence of endodontic infection on progression of marginal bone loss in periodontitis. New insights into etiology, diagnosis and treatment.

Knowledge of these disease processes is essential in coming to the correct diagnosis. The use of guided tissue regeneration principles in endodontic surgery for induced chronic periodontic-endodontic lesions: J Am Dent Assoc. Text Book Of Periodontics: Long-term existence of the defect has resulted in deposits of plaque and calculus in the pocket with subsequent advancement of the periodontal disease.

The apical foramen is the main access route between the pulp and the periodontium, with the participation of all root canal system: Also thorough scaling and root planning was carried out on the exposed root surface area of the defect.

An endo-perio lesion can have a varied pathogenesis which ranges from simple to relatively complex one.

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

Pathologic interactions in pulpal and periodontal tissues. It could be of two subcategories. The success of a endkperio periodontal and endodontic lesion depends on the elimination of both of these disease processes. Patient complained of pus discharge from gums in between central incisors. Diagnosis, prognosis and lesilns making in the treatment of combined periodontal-endodontic lesions. When the pocket is probed, endopfrio is narrow and lacks width. Combined periodontic-endodontic lesions take the form of abscesses and can originate from either or both of two distinct locations [1] and may be informally subclassified as follows:.

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.

Combined periodontic-endodontic lesions

J Br Endod Soc ;6: Three case reports with two-year follow-up. The pathogenesis and treatment of endo-perio lesions. Endopeerio 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.

Some authors such as Rubach and Mitchell [ 18 ] affirmed that the periodontal disease may affect the pulp when there is exposure of the accessory canals through the apical foramina and the canaliculi in the furcation. Complete healing after 6 months Click here to view. Various treatment modalities[ 2 ] have been proposed for the treatment of furcation involvement alone including open flap debridement, bio-modification of root surface, and various regenerative procedures including GTR and bone grafts.

D Chemicals Used in Dentistry. How to cite this article: Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal-endodontic origin.

An evaluation of endodontically treated vertically fractured teeth. Lesion characteristics and diagnostic features of endo-perio lesions Click here to view.

It is known that the main cause of the periodontal lesions is the presence of the bacterial plaque, formed by aerobic and anaerobic microorganisms [ 9 — 12 ]. The area selected for surgery was anesthetized using xylocaine with adrenaline 1: 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 radiograph was taken with a gutta percha cone inserted in the sinus so as to gauge the path of the sinus tract as shown in Figure 2. The differential diagnosis kesions endodontic and periodontal diseases can sometimes be difficult but it is of vital importance to make a correct diagnosis so that the appropriate treatment can be provided.

Periodontal disease, bacteria, and pulpal histopathology. Effects of new adhesive resin root canal filling materials on vertical root fractures. Received Dec 27; Accepted Jun 2. Clin Oral Investig ;4: J Clin Periodontol ;