1 research outputs found
ENDOPERIO LESION
Endo-Perio lesions often remain free of symptoms for long periods, until it starts acute symptoms of
inflammation and/or increased pain.The differential diagnosis of endodontic and periodontal diseases can be
challenged but a correct diagnosis has a vital importance so that appropriate treatment can be provided.
Endodontic treatment is highly predictable and has high successful rate when appropriately performed. If
majority of bony support has been lost from periodontitis, regardless of predictability of endodontic therapy,
tooth may have hopeless prognosis. Regeneration, root resection and hemisection are indicated as a part of
strategic treatment of multirooted teeth. Differentiating between a periodontal and an endodontic problem
can be difficult. A symptomatic tooth may have pain of periodontal and/or pulpal origin. The nature of that
pain is often the first clue in determining the etiology of such a problem. Radiographic and clinical evaluation
can help clarify the nature of the problem. In some cases, the influence of pulpal pathology may cause the
periodontal involvement and vice versa. The simultaneous existence of pulpal problems and inflammatory
periodontal disease can complicate diagnosis and treatment planning. An endo-perio lesion can have a varied
pathogenesis which ranges from simple to relatively complex one