Periodontic- Endodontic Lesions - A ReviewPeriodontic- Endodontic Lesions - A Review.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 2
Abstract
Periodontics-Endodontic lesions arise from inflammation or degeneration of both pulpal and periodontal tissue as a result of the intimate anatomic relationship. Pulpal pathosis can play a major role in the initiation and perpetuation of periodontal attachment loss. Pulpal infection may cause a tissue destructive process that proceeds from 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. Another term, pulpodontic-periodontic syndrome, has been used to define a syndrome involving inflammation or degeneration of pulp with a periodontal pocket adjacent to the same tooth. This syndrome can be initiated by either pulpal or periodontal disease and may manifest pulpal and periodontal symptoms. Pulpal infection has the potential to initiate inflammatory changes in the alveolus at both apical and non-apical locations of teeth. Nevertheless the effect of periodontal disease on the pulpal tissue is controversial. Many examples have been cited and confirmed through animal studies and histological data demonstrating restoration of the periodontal tissues through successful endodontic therapy. Periodontists, being mainly concerned with treating gingival and periodontal disease, have little specialized knowledge about the problems of the diseased pulp. On the other hand, endodontists frequently have a lack of understanding concerning the treatment of the diseased periodontal tissue. It is important to correlate these two entities and treat periodontal endodontic lesions via inter disciplinary approach. The purpose of this article is to review the literature of periodontal-endodontic problems and the management of the same.
Authors and Affiliations
Dr. V. Deepak
Keywords
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