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. 2008 Apr;11(2):54-62.
doi: 10.4103/0972-0707.44046.

The periodontal - endodontic continuum: A review

Affiliations

The periodontal - endodontic continuum: A review

Raja Sunitha V et al. J Conserv Dent. 2008 Apr.

Abstract

Periodontal therapy deals with many aspects of the supporting structures, including the prevention and repair of lesions of the gingival sulcus. Endodontics deals primarily with disease of the pulp and periapical tissues. The success of both periodontal and endodontic therapy depends on the elimination of both disease processes, whether they exist separately or as a combined lesion. The relationship between periodontal and endodontic disease has been a subject of speculation for many years. This paper aims at presenting a comprehensive review of several aspects of perio-endo lesions.

Keywords: Classification; combined lesions; perio-endo lesion.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
The possible anatomic pathways of communication between the pulp and the periodontium; apical foramen, lateral canals and dentinal tubules
Figure 2
Figure 2
Diagrammatic representation of the etiopathogenesis of endo perio lesions. (Modified from Rotstein I, Simon JHS. Diagnosis, prognosis and decision making in the treatment of combined periodontal-endodontic lesions. Periodontology 2000 2004:34;265-303)
Figure 3
Figure 3
Diagrammatic representation of possible endo perio problems based on the classification of Simon JH, Glick DH, Frank JL 26, 27

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