Skip to main content

Lesions of Endodontic Periodontal Origin

  • Chapter
  • First Online:
Endodontic-Periodontal Lesions

Abstract

The advance of the endodontic disease involves inflammatory reaction of the peri-radicular tissues while the periodontal involves marginal periodontium and results in the progressive loss of the supportive tissues. There are multiple routes of communication between the root canal space and marginal periodontium. By these communications the bacteria from the root canal space may contaminate and infect the marginal periodontium and vice versa. While in most cases the manifestation of the periodontal and endodontic diseases is clearly distinct, there are certain clinical scenarios when the signs and symptoms may be confusing, making the final diagnosis complicated and subsequently result in the wrong treatment choice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cahn LR. The pathology of pulps found in pyorrhetic teeth. Dent Items Int. 1927;49:598–617.

    Google Scholar 

  2. Simring M, Goldberg M. The pulpal pocket approach: retrograde periodontitis. J Periodontol. 1964;35:22–48.

    Article  Google Scholar 

  3. Chen SY, Wang HL, Glickman GN. The influence of endodontic treatment upon periodontal wound healing. J Clin Periodontol. 1997;24(7):449–56.

    Article  Google Scholar 

  4. Weine F. Endodontic therapy. Saint Luis: Mosby; 1972.

    Google Scholar 

  5. Signoretti FG, Gomes BP, Montagner F, Jacinto RC. Investigation of cultivable bacteria isolated from longstanding retreatment-resistant lesions of teeth with apical periodontitis. J Endod. 2013;39(10):1240–4.

    Article  Google Scholar 

  6. Jakovljevic A, Knezevic A, Karalic D, Soldatovic I, Popovic B, Milasin J, et al. Pro-inflammatory cytokine levels in human apical periodontitis: correlation with clinical and histological findings. Aust Endod J. 2015;41(2):72–7.

    Article  Google Scholar 

  7. Ferreira MC, Dias-Pereira AC, Branco-de-Almeida LS, Martins CC, Paiva SM. Impact of periodontal disease on quality of life: a systematic review. J Periodontal Res. 2017;52(4):651–65.

    Article  Google Scholar 

  8. Belk CE, Gutmann JL. Perspectives, controversies and directives on pulpal-periodontal relationships. J Can Dent Assoc. 1990;56(11):1013–7.

    PubMed  Google Scholar 

  9. Kerekes K, Olsen I. Similarities in the microfloras of root canals and deep periodontal pockets. Endod Dent Traumatol. 1990;6(1):1–5.

    Article  Google Scholar 

  10. Rocas IN, Siqueira JF Jr, Santos KR, Coelho AM. “Red complex” (bacteroides forsythus, porphyromonas gingivalis, and treponema denticola) in endodontic infections: a molecular approach. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(4):468–71.

    Article  Google Scholar 

  11. Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Endod. 2013;39(5):e41–6.

    Article  Google Scholar 

  12. Zanini M, Meyer E, Simon S. Pulp inflammation diagnosis from clinical to inflammatory mediators: a systematic review. J Endod. 2017;43(7):1033–51.

    Article  Google Scholar 

  13. Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol. 2013;62(1):59–94.

    Article  Google Scholar 

  14. Haffajee AD, Socransky SS. Microbiology of periodontal diseases: introduction. Periodontol. 2005;38:9–12.

    Article  Google Scholar 

  15. Loe H. The role of bacteria in periodontal diseases. Bull World Health Organ. 1981;59(6):821–5.

    PubMed  PubMed Central  Google Scholar 

  16. Arambawatta K, Peiris R, Nanayakkara D. Morphology of the cemento-enamel junction in premolar teeth. J Oral Sci. 2009;51(4):623–7.

    Article  Google Scholar 

  17. Bender IB, Seltzer S. The effect of periodontal disease on the pulp. Oral Surg Oral Med Oral Pathol. 1972;33(3):458–74.

    Article  Google Scholar 

  18. Gautam S, Galgali SR, Sheethal HS, Priya NS. Pulpal changes associated with advanced periodontal disease: a histopathological study. J Oral Maxillofac Pathol. 2017;21(1):58–63.

    Article  Google Scholar 

  19. Gutmann JL. Prevalence, location, and patency of accessory canals in the furcation region of permanent molars. J Periodontol. 1978;49(1):21–6.

    Article  Google Scholar 

  20. Komabayashi T, Nonomura G, Watanabe LG, Marshall GWJ, Marshall SJ. Dentin tubule numerical density variations below the CEJ. J Dent. 2008;36(11):953–8.

    Article  Google Scholar 

  21. Ricucci D, Siqueira JF Jr. Fate of the tissue in lateral canals and apical ramifications in response to pathologic conditions and treatment procedures. J Endod. 2010;36(1):1–15.

    Article  Google Scholar 

  22. Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Periodontol. 1972;43(4):202–8.

    Article  Google Scholar 

  23. Torabinejad M, Trope M. Endodontic and periodontal interrelationships. In: Walton RE, Torabinejad M, editors. Principles and Practice of Endodontics; 1996.

    Google Scholar 

  24. Tsesis I, Rosenberg E, Faivishevsky V, Kfir A, Katz M, Rosen E. Prevalence and associated periodontal status of teeth with root perforation: a retrospective study of 2,002 patients’ medical records. J Endod. 2010;36(5):797–800.

    Article  Google Scholar 

  25. Kurihara H, Kobayashi Y, Francisco IA, Isoshima O, Nagai A, Murayama Y. A microbiological and immunological study of endodontic-periodontic lesions. J Endod. 1995;21(12):617–21.

    Article  Google Scholar 

  26. Ng YL, Mann V, Gulabivala K. Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J. 2010;43(3):171–89.

    Article  Google Scholar 

  27. Martin-Cabezas R, Davideau JL, Tenenbaum H, Huck O. Clinical efficacy of probiotics as an adjunctive therapy to non-surgical periodontal treatment of chronic periodontitis: a systematic review and meta-analysis. J Clin Periodontol. 2016;43(6):520–30.

    Article  Google Scholar 

  28. Singh P. Endo-perio dilemma: a brief review. Dent Res J. 2011;8(1):39–47.

    Google Scholar 

  29. Terlemez A, Alan R, Gezgin O. Evaluation of the periodontal disease effect on pulp volume. J Endod. 2018;44(1):111–4.

    Article  Google Scholar 

  30. Mileman PA, van den Hout WB. Evidence-based diagnosis and clinical decision making. Dentomaxillofac Radiol. 2009;38(1):1–10.

    Article  Google Scholar 

  31. Rosenberg W, Donald A. Evidence based medicine: an approach to clinical problem-solving. BMJ. 1995;310(6987):1122–6.

    Article  Google Scholar 

  32. Schmidt JC, Walter C, Amato M, Weiger R. Treatment of periodontal-endodontic lesions--a systematic review. J Clin Periodontol. 2014;41(8):779–90.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tsesis, I., Nemcovsky, C.E., Nissan, J., Rosen, E. (2019). Lesions of Endodontic Periodontal Origin. In: Tsesis, I., Nemcovsky, C., Nissan, J., Rosen, E. (eds) Endodontic-Periodontal Lesions. Springer, Cham. https://doi.org/10.1007/978-3-030-10725-3_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-10725-3_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10724-6

  • Online ISBN: 978-3-030-10725-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics