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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Chronic periodontitis Localized aggressive periodontitis Generalized endopfrio periodontitis Periodontitis as a manifestation of systemic disease Necrotizing periodontal diseases Abscesses of the periodontium Combined periodontic-endodontic lesions.
New insights into etiology, diagnosis and treatment. The relationship between pulpal and periodontal disease can be traced to embryological development, since the pulp and the periodontium are derived from a common mesodermal source.
Walton RE, Torabinejad M, editors.
A clinical, radiographic, and histologic evaluation. The use of guided tissue regeneration principles in endodontic surgery for induced chronic periodontic-endodontic lesions: Surgical procedure After taking care of asepsis and sterilization the surgery was planned.
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Combined periodontic-endodontic lesions – Wikipedia
This page was last edited on 28 Novemberat The integrity of the periodontium encoperio be reestablished if root canal treatment is done properly. 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 inflammatory reactions followed by pulp necrosis. Progression of the periodontal disease endooperio the pocket leads to pulpal involvement via either a lateral canal foramen or the main apical foramen.
Bioactive glass shows both osteoconductive and osteostimulatory effects.
Endodontic pathogens in periodontal disease augmentation. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.
Endo-perio lesions: diagnosis and clinical considerations.
A bioactive glass particulate in the treatment of molar furcation invasion. Long-term existence of the defect has resulted in deposits of plaque and calculus in endoperuo pocket with subsequent advancement of the periodontal disease.
Granulation tissue derived from bone or gingival connective tissue endoperii induce root resorption and ankylosis [ 1731 ]. These lesions often present challenges to the clinician as far as diagnosis and prognosis of the involved teeth are concerned.
The patient was then referred to department of conservative dentistry to check for tooth vitality.
Endo-perio lesions: Diagnosis and clinical considerations Shenoy N, Shenoy A – Indian J Dent Res
From Wikipedia, the free encyclopedia. If only one of the problems was treated, then it would be expected that the lesion would not heal adequately. Dndoperio, a deep narrow pocket was found on the mesial aspect of the root suggesting the presence of vertical root fracture. J Conserv Dent ; Diagnoses Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Periodontitis as a manifestation of systemic disease Periodontosis Necrotizing periodontal diseases Abscesses of the periodontium Combined periodontic-endodontic lesions.
J Clin Periodontol ;9: A vertical releasing incision was placed extending into the alveolar mucosa not closer than one tooth to the involved area, i.
Guided tissue regeneration using bioresorbable membranes: In such cases, it is advisable to treat the periodontal tissues only. Based on these classifications, the most widely used classification of endodontic-periodontal lesions is the one that has been classified by Simon et al.
Radiographic appearance of artificially prepared periapical lesions confined to cancellous bone. Indian J Dent Res ; It could be of two subcategories.
International Journal of Dentistry
After taking care of asepsis and sterilization the surgery was planned. After reflection thorough degranulation and debridement was done at the defect area using Gracey’s curette 13 lesilns Dentigerous cyst Calcifying odontogenic cyst Glandular odontogenic cyst. In such cases, it is not essential to determine which disease entity occurred first as the treatment will involve both endodontic and periodontal management.
Combined periodontic-endodontic lesions take the form of abscesses and can originate from either or both of two distinct locations  and may be informally subclassified as follows:.
Radiographic and clinical evaluation can help clarify the nature of the problem. If the periodontium had a previous inflammation, it may lead to dissemination of the inflammation which can result in pulp necrosis [ 17 ].