Unlike the endoperio lesion that has clearly been recognized as a fact, the pathway producing the perioendo lesion is far less recognized clinically. The subject of combined endoperio lesions is surrounded by considerable confusion. This is characterized by a nonvital pulp response, a deeply probing pocket, and the usual signs of periodontal disease such as plaque, calculus, and other indications of poor oral hygiene. Endoperio lesions might be interdependent because of the vascular and anatomic connections between the pulp and the periodontium. One frequently hears diagnoses of endoperio lesions when in fact there is an endodontic lesion mimicking periodontal disease or, vice versa, a purely periodontal lesion perfectly is camouflaged as an endodontic pathology.
Jffa aza syd page 2 pulpoperiodontal problems perioendo lesion periodontitis by extension of inflammation from the gingiva into deeper periodontal tissues. This article is an attempt to provide a rational approach to the perio endo endo perio question in order to scientifically diagnose and treat these lesions with predictable success. The treatment of the endo perio lesion differ individually but should be judged based on progression of the lesion. How and why to use it for antiaging, lymphatic drainage, and depuffing duration. Accessory canals may not be big enough to allow bacterial penetration, periodontal disease must reach the apex to induce an endodontic lesion. Mandibular right irst molar had been hypersensitive to cold and sweets over the.
Unlike the endo perio lesion that has clearly been recognized as a fact, the pathway producing the perio endo lesion is far less recognized clinically. Syed wali peeran, madhumala thiruneervannan, khaled awidat abdalla, marei hamed mugrabi. The periodontium includes the gingiva,cementum, periodontal ligament pdl, andalveolar bone. Be a great product leader amplify, oct 2019 adam nash. A healthy, 65yearold male presented with pain and swelling in the lower left quadrant. The aim of this study is to emphasise that primary endodontic lesion heals after a proper instrumentation, disinfection and sealing of the endodontic space.
Jul 12, 2019 an endoperio lesion can have a varied. The aim of this case report is to present a case involving the multidisciplinary treatment of a patient with a periodontalendodontic lesion with mobility. Fig 3 radiograph of tooth 46 immediately following obturation of root canals with guttapercha. The following case is intended to give insight into and even possibly make us question some of our decisionmaking before we condemn a suspected endoperio involved tooth. The actual relationship between periodontal and pulpal disease was first described by simring and goldberg in 1964. Aug 20, 2014 endo perio lesions primarily occur by way of the intimate anatomic and vascular connections between the pulp and the periodontium. Divya bhat abstract an endo perio lesion has been one of the most common problems associated with the tooth.
Mar 25, 2020 an endoperio lesion can have a varied. Simon endodonticperiodontal lesions present challenges to the clinician as far as diagnosis and prognosis of the involved. Similarly, both pulpal and periodontal infections can coexist in the same tooth, termed combined lesions, where the treatment depends on the. Pdf the interrelationship between endodontic and periodontal diseases has. An endodonticperiodontal lesion consists of concurrent pulpal and periodontal disease in the. The subject of combined endo perio lesions is surrounded by considerable confusion. Endoperio lesions periodontology notes dentalnotebook. If we were to look at endo perio lesions that began from the endodontic tissue, there are a number of potential causes. Endo perio lesions present challenges to the clinicians in their proper diagnosis, apt treatment and prognosis of the involved teeth. One frequently hears diagnoses of endo perio lesions when in fact there is an endodontic lesion mimicking periodontal disease or, vice versa, a purely periodontal lesion perfectly is camouflaged as an endodontic pathology.
The prognosis for a tooth with periodontal disease is determined by the result of the periodontal therapy. Successful management of teeth with different types of endodontic. Endoperio inter relationship perio diseases and disorders. Acute periodontal lesions periodontal abscesses and. Condensing osteitis is a diffuse radiopaque lesion representing a localized bony reaction to a lowgrade inlammatory stimulus usually seen at the apex of the tooth. In the case of a combined endoperio lesion, the endodontic therapy results in healing of the endodontic component, while the prognosis of tooth would finally depend on the healing of the periodontal lesion. An essential primer to clarify diagnosis and treatment of endoperiodontal lesions. The most conventional classification used for endodonticperiodontal lesions was given by simon et al. Based on this analysis, the most reliable criteria and the missing patterns of endo perio lesions were identified, and then described in a proposed new classification. Endodontic periodontal relationship, endo perio lesion deepa jinan.
Based on this analysis, the most reliable criteria and the missing patterns of endoperio lesions were identified, and then described in a proposed new classification. A clinical dilemma pushpendra kumar verma 1, ruchi srivastava 2, kk gupta 2, amitabh srivastava 2 1 department of conservative dentistry and endodontics, sardar patel postgraduate institute of dental and medical sciences, lucknow, uttar pradesh, india 2 department of periodontology and implantology, sardar patel postgraduate institute of dental and. For differential diagnosis and treatment purposes, endo perio lesions are classified as either. This article is an attempt to provide a rational approach to the perioendoendoperio question in order to scientifically diagnose and treat these lesions with predictable success. First, an untreated, long standing endodontic lesion may result in chronic, marginal periodontal breakdown. Dec 06, 2015 4 of 5 presentations about endodontic periodontic disease. Endodonticperiodontal combined lesion is a clinical dilemma because making a differential diagnosis and deciding a prognosis are difficult. Pdf endoperio lesions are occasionally encountered complicated dental conditions. To critically evaluate the existing literature on acute lesions occurring in the periodontium periodontal abscesses pa, necrotizing periodontal diseases npd, and endo. Abstractpulpal and periodontal problems are responsible for more than half of the. So, all of authors and contributors must check their papers before submission to making assurance of following our antiplagiarism policies.
An endoperio lesion can have a varied pathogenesis which ranges from simple to relatively complex one. A dilemma from 19 th until 21 st century abhishek parolia 1, toh choo gait 2, isabel c. Pdf on jan 1, 2012, vishal anand and others published endoperio lesion. In the case of a combined endo perio lesion, the endodontic therapy results in healing of the endodontic component, while the prognosis of tooth would finally depend on the healing of the periodontal lesion. Knowledge of these disease processes is essential in coming to the correct diagnosis. A sequential approach in treatment of endoperio lesion a. In either case, a nonvital pulp means endodontic treatment will be done if the goal is to save the tooth. Jun 06, 2019 an endoperio lesion can have a varied. A perio endo lesion can have a varied pathogenesis which ranges from quite simple to relatively complex one. Concomitant endoperio lesion is an additional classification that has been proposed to describe the presence of endo and perio disease as two separate and distinct entities. The differential diagnosis of endodontic and periodontal diseases can sometimes be difficult, but it is of vital importance to make a correct diagnosis for providing the appropriate treatment.
Jun 20, 2014 endo perio lesions might be interdependent because of the vascular and anatomic connections between the pulp and the periodontium. Endodonticperiodontal lesions evidencebased multidisciplinary. Dec 06, 2015 2 of 5 presentations about endodontic periodontic disease. An essential primer to clarify diagnosis and treatment of endo periodontal lesions. Management of an advanced endodonticperiodontal lesion in. This article explores and defines the three possible presentations of endodonticperiodontal relationships that all clinicians face on a daily basis, and provides clarity to make accurate diagnosis simple and routine. Etiologic factors such as bacteria, fungi, and viruses as well as various contributing factors such as trauma, root resorptions, perforations, and dental malformations play an important role in the development and progression of such lesions. This article is from journal of clinical and experimental dentistry, volume 6.
Colleagues for excellence 4 condensing osteitis is a diffuse radiopaque lesion representing a localized bony reaction to a lowgrade inlammatory stimulus usually seen at the apex of the tooth. Nov 14, 2019 an endoperio lesion can have a varied. An endo perio lesion can have a varied pathogenesis which ranges from simple to relatively complex one. These endodontic lesions are compared with primary periodontal lesions and primary periodontal lesions with secondary endodontic participation. Ijcr is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. Mandibular right irst molar had been hypersensitive to cold and sweets over the past few months but the symptoms have subsided.
Dec 31, 2018 the treatment of the endo perio lesion differ individually but should be judged based on progression of the lesion. Abundant case documentation illustrates the close connection between the dental pulp and the periodontium and shows the variety of clinical situations in which this dualnatured pathology can present. A case series associated with different kinds of endo. If we were to look at endoperio lesions that began from the endodontic tissue, there are a number of potential causes. How and why to use it for antiaging, lymphatic drainage, and depuffing. Endo perio lesions by ijstr research publications issuu. Endoperio lesions are occasionally encountered complicated dental conditions, difficult to diagnose and treat. Pdf periodontal aspects of endodonticperiodontal lesions.
Endoperio lesions primarily occur by way of the intimate anatomic and vascular connections between the pulp and the periodontium. For differential diagnosis and treatment purposes, endoperio lesions are classified as either. Concomitant endo perio lesion is an additional classification that has been proposed to describe the presence of endo and perio disease as two separate and distinct entities. Radiograph shows separate progression of endodontic disease and periodontal disease. A diagram that summarises lesion development the relationships between them.
The tooth remained untreated and consequently the two. Pdf a new classification of endodonticperiodontal lesions. These types of lesions can be a devil to diagnose and treat successfully. Endodonticperiodontal lesions present challenges to the clinician as far as diagnosis and prognosis of. A 50yearold female patient with uncontrolled diabetes type 2 is suffering from a purulent discharge coming from the upper right canine. Pdf endodontic periodontal lesions occur as a combination of an endodontic infection and periodontal disease in a single tooth. Sep 03, 2019 an endoperio lesion can have a varied. A periapical lesion originating in pulpal infection. This work is to discuss the management of an endoperio lesion, which represents a challenge to clinicians when it comes to diagnosis and prognosis of the involved teeth and especially with an altered general condition. The simultaneous involvement of pulpal problems and inflammatory periodontal disease can complicate. Endodonticperiodontal lesions present challenges to the clinician as far as diagnosis and prognosis of the involved teeth are concerned. There is a need for more such studies in this area and for subclassifying the combined lesion in terms of factors such as crownroot ratio, width of defect crestally, root housing in bone, and mobility to enable comparability of. Combined periodonticendodontic lesions take the form of abscesses and can originate from either or both of two distinct locations and may be informally subclassified as follows.
The health of the periodontium is importantto the proper function of a tooth. A new classification of endodonticperiodontal lesions. This work is to discuss the management of an endo perio lesion, which represents a challenge to clinicians when it comes to diagnosis and prognosis of the involved teeth and especially with an altered general condition. How to diagnose and treat periodontal endodontic lesions. Porto 3, kundabala mala 4 1 faculty of dentistry, divison of oral clinical sciences, international medical university, kuala lumpur, malaysia 2 school of dentistry, international medical university, kuala lumpur, malaysia 3 department of restorative dentistry, cesmac university. The success of management of a combined periodontal and endodontic lesion depends on the elimination of both of the disease processes. Ppt endodontic periodontal lesions powerpoint presentation.
110 1067 473 83 806 398 992 45 776 820 1392 94 37 1532 779 157 867 16 1279 337 1189 366 1242 134 557 344 930 550 21 1458 240 1185 787 914