Are ypu facing a difficult clinical situation ? Post the query on the forums.

  • Sharebar

Combined periodontic-endodontic lesions

3 replies [Last post]
tirath's picture
Offline
Joined: 31 Oct 2009

Source of infection
Combined periodontic-endodontic lesions take the form of abscesses and can originate from either or both of two distinct locations[1] and may be informally subclassified as follows:

1.Endo-Perio: infection from the pulp tissue within a tooth may spread into the bone immediately surrounding the tip, or apex, or the tooth root, forming a periapical abscess. This infection may then proliferate coronally to communicate with the margin of the alveolar bone and the oral cavity by spreading through the periodontal ligament.
2.Perio-Endo: infection from a periodontal pocket may proliferate via accessory canals into the root canal of the affected tooth, leading to pulpal inflammation.
Neither the prognosis, treatment nor expected treatment outcome depend on the source of the infection.[2]

A combined lesion may also be the result of a fractured tooth
Treatment
Treatment includes conventional endodontic therapy followed by conventional periodontal therapy. If the lesion is deemed too severe for treatment, the involved tooth may require extraction.

up
0 users have Like. User Likes
drsantoshpatil's picture
Offline
Joined: 10 Jul 2009
Re: Combined periodontic-endodontic lesions

Hemisection, bicuspidisation are the other treatment modalities for managing Endo-Perio lesions

up
0 users have Like. User Likes
sushantpatel_doc's picture
Offline
Joined: 30 Nov 2009
Re: Combined periodontic-endodontic lesions

The success rate is not much and so i guess these procedures are not done often..

up
0 users have Like. User Likes