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Endodontic–Periodontal Interrelationship

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Endodontic Diagnosis, Pathology, and Treatment Planning

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Summary

The periodontal tissues and pulp–dentine complex form an intimate continuum through which pathological changes of either one may lead to infection of the other. The management of such lesions can be fraught with diagnostic and therapeutic difficulty requiring a methodical multidisciplinary approach. Traditional classifications of endodontic–periodontal lesions are largely academic and based inappropriately on an attempt to identify the primary source of infection. Treatment and prognosis of endodontic–periodontal lesions depend on the cause and the correct diagnosis of each tissue. It is critical to determine whether the lesion is primarily endodontic or periodontal in origin since this will determine which treatment plan is instigated. True combined lesions require a staged approach with endodontic treatment initiated followed by a 2–3-month review to reassess outcome. Appropriate periodontal therapy can then be initiated followed by further review to assess outcome. The long-term prognosis for such cases will be guarded requiring not only careful clinical management but also patient motivation.

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    Bobby Patel

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Patel, B. (2015). Endodontic–Periodontal Interrelationship. In: Endodontic Diagnosis, Pathology, and Treatment Planning. Springer, Cham. https://doi.org/10.1007/978-3-319-15591-3_16

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  • DOI: https://doi.org/10.1007/978-3-319-15591-3_16

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