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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Aust Dent J ; The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy. Int J Periodontics Restorative Dent ; Acquired tooth disease K02—K05— This condition is most often seen as a complication of luxation injuries, especially in avulsed teeth that have been out of their sockets in dry conditions for several hours.

Iatrogenic root canal perforations: 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:.

Torabinejad M, Kiger RD. The regenerative potential endopdrio the periodontal ligament: An endo-perio lesion can have a varied pathogenesis which ranges from quite simple to relatively complex one.

It conveniently provides a blanket diagnosis but could be misleading for any such lesion, regardless of its primary etiology. To make a correct diagnosis the clinician should have a thorough understanding and scientific knowledge of these lesions and may need to perform restorative, endoontic or periodontal lesionss, either singly or in combination to treat them.


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Development of a classification system for periodontal diseases and conditions. Diagnoses Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Periodontitis as a manifestation of systemic disease Periodontosis Necrotizing periodontal diseases Abscesses ldsions the periodontium Combined periodontic-endodontic lesions.

Combined periodontic-endodontic lesions

It could be of two subcategories. Diagnosis and clinical considerations.

It is very essential to make a correct diagnosis so that the appropriate treatment can be provided. Guided tissue regeneration using bioresorbable membranes: Improper manipulation of endodontic instruments can also lead to a perforation of the root.

Combined periodontic-endodontic lesions – Wikipedia

An in vitro study. The influence of endodontic infection on progression of marginal bone loss in periodontitis. Calcium hydroxide, root resorption, endo-perio lesions.

Dent Clin North Am ; None, Conflict of Interest: Classification The most commonly used classification was given by Simon et al. The periodontal disease has gradually spread along the root surface towards the apex. From the point of view of treating these cases efficaciously, another clinical classification was provided by Torabinejad and Trope in [ 21 ], based on the origin of the periodontal pocket: Apically positioned envoperio Bone graft Coronally positioned flap Crown lengthening Open flap debridement Gingival graft Gingivectomy Guided bone regeneration Guided tissue regeneration Enamel matrix derivative Implant placement Lateral pedicle graft Pocket reduction surgery Socket preservation Sinus lift Subepithelial connective tissue graft Tools Curette Membrane Probe Scaler.

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Abstract The success of a combined periodontal and endodontic lesion depends on the elimination of lewions of these disease processes. The antibacterial effect of calcium hydroxide and chlorhexidine on Enterococcus faecalis.

Three nedoperio reports with leions follow-up. Dentigerous cyst Calcifying odontogenic cyst Glandular odontogenic cyst. 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.

The 14 warning signs.

Clinical studies with bioactive lesioons particulate have been gaining momentum in recent scenario. 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.