Treatment Of Endo-perio Lesion Research Articles

The morphological and functional relationship between dental pulp and periodontal tissue in the aspect of endo-perio lesions

Relevance. The growing prevalence of combined endo-perio lesions (EPL) attracts the interest of researchers. Insufficiently covered in the scientific literature, issues of the anatomical and functional relationship between periodontal tissues and dental pulp, the lack of an algorithm for diagnosis and treatment of EPL determine the need for their research. The study aimed to arrange the available data on the morpho-functional aspects of the relationship between dental pulp and periodontal tissues and their features that determine the p athogenesis of EPL.Materials and methods. The study found 2875 publications, presented in the international electronic scientific databases PubMed, Google Search, Embase, Web of Science, ScienceDirect, SciELO and eLibrary. Following the inclusion and non-inclusion criteria, we selected 52 publications, which included the results on studying the structure and function of periodontal tissues, roots and pulp of teeth in the aspect of EPL development. The methodology of this study meets the criteria for systematic reviews and meta-analyses (PRISMA).Results. In EPL lesions, inflammation is maintained by an infection, which persists in the additional root canals and dentinal tubules and the periodontal pocket. Prevention of the formation and elimination of infection foci in the root canal system of the tooth, periapical tissues and periodontal pockets is the basis for EPL prevention and treatment. At the same time, there are no diagnostic and therapeutic algorithms, which allow timely detection of EPL and adequate treatment, depending on the primary lesion of pulpal and periodontal tissues and individual characteristics of the patient. The structure specifics of roots, pulp, cementum, periodontium and alveolar bone are described. The characteristic features of blood supply and innervation of the pulpal and periodontal tissues are presented. Promising areas of scientific research in EPL prevention and treatment are identified.Conclusion. Tooth pulp and periodontal tissues are closely related morphologically and functionally. They are principally connected through the apical foramina and additional canals. Bacterial infection can also penetrate the pulp and periodontal tissues from the infected root canal system of the tooth through the dentinal tubules of the tooth root.

Evaluation of Yazd dental students’ awareness and practice regarding diagnosis and treatment of endo-perio lesions in 2020

Evaluation of Yazd dental students’ awareness and practice regarding diagnosis and treatment of endo-perio lesions in 2020

The interaction between the pulp and periodontium

The article considers the phenomenon of functional and anatomical unity of pulp and periodontal tissues. The complex problems arising at presence of various sources of infection are covered. The characteristic features of combined manifestation and course of diseases of apical and marginal periodontitis are described. The historical review of the literature on this subject, the essence of modern concepts of diagnostics and treatment of endoperiolesion is given.

Treatment of Endo-Perio Lesion: in Patient with Chronic Periodontitis

Treatment of Endo-Perio Lesion: in Patient with Chronic Periodontitis

Management in the diagnosis and treatment of Endo-Perio lesions

Management in the diagnosis and treatment of Endo-Perio lesions

Autologous Platelet Concentrate as a Potential Regenerative Biomaterial in the Treatment of EndoPerio Lesion

Autologous Platelet Concentrate as a Potential Regenerative Biomaterial in the Treatment of EndoPerio Lesion

Autologous platelet concentrate as a potential regenerative biomaterial in the treatment of endo-perio lesion

Endo-perio lesions are common clinical finding in the day-to-day dentistry. The treatment approach with respect to periodontal regeneration still remains point at issue. Endodontic treatment not always leads to complete healing of periapical and periodontal tissue. In literature, surgical periodontal intervention along with the use of bone grafts, guided tissue regeneration has been attempted for regeneration. Recently, use of platelet concentrates such as platelet-rich fibrin (PRF) releasing growth factors is extensively used in dentistry for periodontal regeneration. This case report aims at evaluating the efficacy of PRF as regenerative biomaterial in the treatment of Endo-perio lesion.

Comprehensive treatment of endo-perio lesion: A case report

Pulpal infection may cause a tissue destructive process that proceeds from the apical region of a tooth toward the gingival margin. The term “retrograde periodontitis” was suggested in order to differentiate this from marginal periodontitis in which the infection spreads from the gingival margin toward the root apex. Proper diagnosis of the various disorders affecting the periodontium and the pulp is important to exclude unnecessary and even detrimental treatment. This is a clinical case report of an endodontic–periodontic lesion in relation to lower centrals and left lateral incisor. Root canal treatment has been done with the respected teeth six months ago, but the lesion showed no sign of healing. Radiographic examination revealed peri-radicular radiolucency in relation to 31, 41, and 42. Periodontal flap surgery was performed with apicectomy and the defect was filled with bone graft. Patient reviewed for one year which showed uneventful healing and no recurrence of the lesion.

MODERN CONCEPTS OF ETIOLOGY, PATHOGENESIS AND TREATMENT APPROACHES TO ENDO-PERIO LESIONS

A combination ofperiodontitis and pulp or periapical tissues inflammation in one tooth is known as endo-periodontal lesions. Such kind of lesion is serious problem of modern dentistry. It was found that pathogenic microflora of periodontal pocket and root canal of tooth with eno-perio lesion is almost the equal and consist of anaerobic microorganisms. Pathogenic effects have not only microorganisms but also their life products. Apical foramen, lateral and additional canals are physiological ways for pathogens migration. Inflammatory processes in these structures complicate each other. Lack of information among dentists about treatment possibilities of endo-perio lesions is a main reasons of extraction such kind of teeth. Simultaneous elimination of pathogens both from periodontal pocket and root canal is a key factor for effective treatment. Periodontal status is main factor for prognosis of tooth with endo-perio lesion, because of it treatment of endo-perio lesions should consist of two stages: infection elimination and regeneration of tooth-supported structures.