References

IJMABHR

International Journal of Medical and All Body Health Research

IJMABHR

2582-8940

Anfo Publication House

206

Endodontic-periodontal continuum: An enigma for dentistry

Saha

Anindya Priya

Abdullah

Irum

Choudhury

Priyanka

Guha

Chiranjan

Das

Saurav

1Assistant Professor, Department of Periodontics, Dr. R. Ahmed Dental College and Hospital, India 2Former House Surgeon, Dr. R. Ahmed Dental College and Hospital, India 3Assistant Professor, Department of Pediatric and Preventive Dentistry, National Medical College, Nepal 4Assistant Professor, Department of Conservative Dentitry and Endodontics, Haldia Institute of Dental Science and Research, India 5Consultant Orthodontist, India

2024

5 2 01 06 02022024 06032024

CC BY-NC-SA 4.0

Endodontic-periodontal lesions are a challenge to everyday clinical practice. The key factor to achieve success in treatment of endodontic periodontic lesions is elimination of the disease process in both areas. .In cases where there is combined lesion, the endodontic treatment helps in elimination of existing inflammation and healing of the endodontic component while the tooth survival and prognosis depends on healing of periodontal lesion. This article aims to discuss clinical, microbial, and the radiological aspects involved in diagnosis and sequential treatment protocol of perio-endo lesions.

retrograde pulpitisretrograde periodontitispulpperiodontium

References 1

Turner JH, Drew AH. Experimental injury into bacteriology of pyorrhea. Proc R Soc.Med (Odontol). 1919; 12:104.

Simring M, Goldberg M. The pulpal pocket approach: retrograde periodontitis. J Periodontol. 1964; 35:22.

De Deus QD. Frequency location and direction of lateral, secondary and accessory canals. J Endod. 1975; 1:361-366.

Gutmann JL. Prevalence, location, and patency of accessory canals in the furcation region of permanent molars. Journal of Periodontol. 1978; 49(1):21-26.

Mandi FA. Histological study of the pulp changes caused by periodontal disease. J Br Endod Soc. 1972; 6:80-82.

Hannula J, Saarela M, Alaluusua S, Slots J, Asikaainen S. Phenotypic and genotypic characterization of oral yeasts from Finland and the United States. Oral Microbiol Immunol. 1997; 12:358-365.

Slots J, Rams TE, Listgarten MA. Yeasts, enteric rods and pseudomonas in the subgingival flora of severe adult periodontitis. Oral Microbiol Immunol. 1988; 3:47-52.

Sabeti M, Simon JH, Nowzari H, Slots J. Cytomegalovirus and Epstein-Barr virus active infection in periapical lesions of teeth with intact crowns. J Endod. 2003; 29:321-323.

Contreras A, Nowzari H, Slots J. Herpes viruses in periodontal pocket and gingival tissue specimens. Oral Microbiol Immunol. 2000; 15:15-18.

Simon P, Jacobs D. The so-called combined periodontal-pulpal problem. Dent Clin North Am. 1969; 13:45-52.

Stock CJ. Messing. In: A color Atlas of Endodontics. Singapore: Wolf Medical Publication Ltd; 1988.

Al-Fouzan KS. A New Classification of Endodontic-Periodontal Lesions. International Journal of Dentistry. 2014.

Weine FS. Endodontic periodontal problem in endodontic therapy. 3rd ed. Toronto: CV. Mosby Co; 1982.

Armitage GC. Development of a classification system for periodontal diseases and conditions; Annals of Periodontology. Annals of Periodontology. 1999; volm. 4(issue 1).

Raja Sunitha V et al. The periodontal – endodontic continuum: A review. J Conserv Dent. 2008; 11(Issue 2).

Storrer et al. How to diagnose and treat periodontal-endodontic lesions? RSBO. 2012; 9(4):427-433.

Syed Wali Peeran et al. Endo-Perio Lesions. International journal of scientific & technology research. 2013; Volume 2(Issue 5).

Mandel E, Machton P, Torabinejad M. Clinical diagnosis and treatment of endodontic and periodontal lesions. Quintessence Int. 1993; 24:135-139.

Rotstein I, Simon JH. Diagnosis, prognosis and decision making in the treatment of combined periodontal-endodontic lesions. Periodontol 2000. 2004; 34:265-303.

Czarnecki RT, Schilder H. A histologic evaluation of the human pulp in teeth with varying degrees of periodontal disease. J Endod. 1979; 5:242-253.

Seltzer S, Bender IB, Nazimov H, Sinai IP. Ulpitis-induced interradicular periodontal changes in experimental animals. J Periodontol. 1967; 38:124-129.

Ehnevid H, Jansson LE, Lindskog SF, Blomlöf LB. Periodontal healing in relation to radiographic attachment and endodontic infection. J Periodontol. 1993; 64:1199-1204.

Clarke NG. Periodontal defects of pulpal origin: Evidence in early man. American Journal of Physical Anthropology. 2005; 82(3):371–376.

Clarke NG, Hirsch RS. Two critical confounding factors in periodontal epidemiology. Community Dent Health. 1992; 9(2):133-141.

Bender IB, Seltzer S. The effect of periodontal disease on the dental pulp. Oral Surg. 1972; 33:458.

Mastromihalis N, Goldstein S, Greenberg. Applications for guided bone regeneration in endodontic surgery. N Y State Dent J. 1999; 65:30-32.

Langeland et al. Periodontal disease, bacteria and pulp histopatology. Oral Surg Oral Med Oral Pathol. 1974; 34:357.

Trope M, Rosenberg E, Tronstad L. Dark field microscopic spirochete count in the differentiation of endodontic and periodontal abscesses. J Endod. 1992; 18(2):82-86.

Kobayashi T et al. The microbial from root canals and periodontal pockets of non-vital teeth associated with advanced periodontitis. Int Endod J. 1990; 23:100-106.

Fagundes CF et al. Lesões endoperiodontais – considerações clínicas e microbiológicas. RSBO. 2007; 4(2):54-60.

Schmitz MS et al. Influence of cervical preflaring on determination of apical file size in mandibular molars: SEM analysis. Braz Dent J. 2008; 19(3):245-251.

Milano F, Melsen B. Guided tissue regeneration using International Journal of Medical and All Body Health Research www.allmedicaljournal.com bioresorbable membranes: what is the limit in the treatment of combined periapical and marginal lesions? Int J Periodontics Restorative Dent. 1997; 17:416-425.

Tal H, Kafee I, Littner MM, Tamse A. Combined periodontic-endodontic lesions: a diagnostic challenge. Quintessence Int. 1984; 12:1257-1265. Copyright and License © The Author(s). Authors retain the copyright of their published articles. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution Non Commercial-Share A like 4.0 International (CC BY-NC-SA 4.0) License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.