Abstract
Diagnosis and management of endodontic-periodontic (endo-perio) lesions often involves interdisciplinary consultation and shared treatment planning. The intimate association between diseases of the pulp and diseases of the periodontium creates areas of significant overlap in expertise among the dental specialties. A practical way to classify endo-perio lesions for treatment planning purposes is to separate into three broad categories: (1) primary endodontic, (2) primary periodontal, and (3) combined endo-perio lesion. The prognosis for successful management is highly dependent on proper initial classification and subsequent sequencing of treatment. The purpose of this chapter is to provide a brief overview of endodontic-periodontic lesions, with a primary focus on endodontic considerations in diagnosis and treatment planning.
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References
Singh P (2011) Endo-perio dilemma: a brief review. Dent Res J 8:39–47
Giovanella LB, Barletta FB, Felippe WT, Bruno KF, Goncalves De Alencar AH, Estrela C (2014) Assessment of oxygen saturation in dental pulp of permanent teeth with periodontal disease. J Endod 40:1927–1931
Morfis A, Sylaras SN, Georgopoulou M et al (1994) Study of the apices of human permanent teeth with the use of a scanning electron microscope. Oral Surg Oral Med Oral Pathol 77:172
Vertucci FJ (1984) Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 58:589
Garberoglio r, Brannstrom M (1976) Scanning electron microscopic investigation of human dentinal tubules. Arch Oral Biol 21:355
Guglielmetti MR, Rosa EF, Lourencao DS, Inoue G, Gomes EF, De Mitcheli G, Mendes FM, Hirata RDC, Hirata MH, Pannuti CM (2014) Detection and quantification of periodontal pathogens in smokers and never smokers with chronic periodontitis by real-time polymerase chain reaction. J Periodontol 85:1442–1449
Rotstein I, Simon JH (2006) The endo-perio lesion: a critical appraisal of the disease condition. Endod Topics 13:34–56
AAE and AAOMR joint position statement. Use of cone beam computed tomography in endodontics—2015/2016 update. American Association of Endodontists. www.aae.org. Accessed 7 Nov 2018
Fayad MI, Johnson BR (eds) (2016) 3D imaging in endodontics—a new era in diagnosis and treatment. Springer, Cham
Ee J, Fayad MI, Johnson BR (2014) Comparison of endodontic diagnosis and treatment planning decisions using cone beam volumetric tomography (CBVT) versus periapical radiography. J Endod 40:910–916
Newton CW et al (2009) Identify and determine the metrics, hierarchy, and predictive value of all the parameters and/or methods used during endodontic diagnosis. J Endod 35:1635–1644
Villa-Chavez CE et al (2013) Predictive value of thermal and electrical dental pulp tests: a clinical study. J Endod 39:965–969
Dastmalchi N et al (2012) Comparison of the efficacy of a custom-made pulse oximeter probe with digital electric pulp tester, cold spray, and rubber cup for assessing pulp vitality. J Endod 38:1182–1186
Jafarzadeh H, Rosenberg PA (2009) Pulse oximetry: a review of a potential aid in endodontic diagnosis. J Endod 35:329–333
Jafarzadeh H (2009) Laser Doppler flowmetry in endodontics: a review. Int Endod J 42:476–490
Walton RE, Leonard LA (1986) Cracked tooth: an etiology for “idiopathic” internal resorption? J Endod 12(4):167–213
Solomon CS, Coffiner MO, Chalfin HE (1986) Herpes zoster revisited: implicated in root resorption. J Endod 12(5):210–213
Neely AL, Thumbigere-Math V, Somerman MJ, Foster BL (2016) A familial pattern of multiple idiopathic cervical root resorption with a 30-year follow-up. J Periodontol 87:426–433
Heithersay GS (1999) Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence Int 30:83–95
Friedman S (1997) Internal bleaching: long-term outcomes and complications. J Am Dent Assoc 128(Suppl):51S–55S
von Arx T et al (2009) Human and feline invasive cervical resorptions: the missing link? Presentation of four cases. J Endod 35:904–913
Gunst V et al (2011) Playing wind instruments as a potential aetiologic cofactor in external cervical resorption: two case reports. Int Endod J 44:268–282
Heithersay GS (1999) Treatment of invasive cervical resorption: an analysis of results using topical application of trichloroacetic acid, curettage, and restoration. Quintessence Int 30(2):96–110
Setzer F, Shah S, Kohli M, Karabucak B, Kim S (2010) Outcome of endodontic surgery: a meta-analysis of the literature—part 1: comparison of traditional root-end surgery and endodontic microsurgery. J Endod 36:1757–1763
Tsesis I et al (2013) Outcomes of surgical endodontic treatment performed by a modern technique: an updated meta-analysis of the literature. J Endod 39:332–339
Kang M et al (2015) Outcome of nonsurgical retreatment and endodontic microsurgery: a meta-analysis. Clin Oral Investig 19:569–582
Kim SG, Solomon C (2011) Cost-effectiveness of endodontic molar retreatment compared with fixed partial dentures and single-tooth implant alternatives. J Endod 37:321–325
Kim S, Kratchman S (2006) Modern endodontic surgery concepts and practice: a review. J Endod 32:601–623
Kim E, Song JS, Jung IY, Lee SJ, Kim S (2008) Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal-endodontic origin. J Endod 34:546–551
Schmidt JC, Walter C, Amato M, Weiger R (2014) Treatment of periodontal-endodontic lesions—a systematic review. J Clin Periodontol 41:779–790
Bigras BR, Johnson BR, BeGole EA, Wenckus CS (2008) Differences in clinical decision making: a comparison between specialists and general dentists. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:963–968
Rass MA (2010) Interim endodontic therapy for alveolar socket bone regeneration of infected hopeless teeth prior to implant therapy. J Oral Implantol 36:37–59
Giannobile WV, Lang NP (2016) Are dental implants a panacea or should we better strive to save teeth? J Dent Res 95(1):5–6
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Johnson, B.R. (2020). Management of Endodontic-Periodontic Lesions. In: Nares, S. (eds) Advances in Periodontal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-12310-9_15
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DOI: https://doi.org/10.1007/978-3-030-12310-9_15
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