Diagnosis and Management of Endodontic-Periodontal Lesions

Relationship between periodontal and pulpal disease was first described by Simmering and Goldberg (1964). After that Endo-Perio lesion is being used as the terminology for describing the lesions due to inflammation and its products found in the tissues of both periodontium and pulp. Studies regarding the relationship between endodontium and periodontium has been done extensively and the queries related to the correct diagnosis, treatment plan and prognosis has been always a raise. A tooth which is symptomatic, may have pain of either pulpal or periodontal origin. In determining the etiology of such problem, the nature of that pain is important. The main purpose of this article is to present the anatomical considerations of pupal and periodontal relationships, the factors initiating the pulpal and periodontal lesions, Biologic effect of pulpal infection on periodontal tissues and periodontal infection on the dental pulp, diagnostic considerations and successful management of tooth with endodontic-periodontal lesions.