Effect of Time Lapse between Endodontic and Periodontal Therapies on the Healing of Concurrent Endodontic-Periodontal Lesions without Communication: A Prospective Randomized Clinical Trial

Gupta, Shilpi; Tewari, Sanjay; Tewari, Shikha; Mittal, Shweta

doi:10.1016/j.joen.2015.02.015

Cited by 19 publications

(26 citation statements)

References 30 publications

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“…Although a general treatment strategy was summarized, the sequence and details of treatment remain controversial. Gupta et al 27 reported that non-surgical periodontal treatment may be conducted simultaneously with endodontic treatment for the management of concurrent endodontic-periodontal lesions without communication. Schmidt et al 28 postulated that a sequential strategy with root canal treatment as a first step is reasonable.…”

Section: Discussionmentioning

confidence: 99%

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

Makeeva

Даурова

Byakova

et al. 2020

CCIDE

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The pulp and periodontium have obvious relationships that have been described in many studies. Pulp infections may affect periodontal tissues and vice versa. Teeth with endo-perio lesions have a worse prognosis than isolated endodontic or periodontal lesions. Elimination of endodontic and periodontal infections is essential for successful treatment, so co-operation between endodontists and periodontists is necessary. In this clinical case, a 44-year-old male presented with primary periodontal disease with secondary endodontic involvement in his lower right canine because of aggressive periodontitis. There was 10 mm of clinical attachment loss and 8 mm periodontal pocket mesial from the tooth and bone radiolucency periapical and lateral from the root. Periodontal therapy was followed by endodontic treatment. Periodontal therapy included root scaling and planing, treatment of the periodontal pocket with ozone gas, systemic antibiotics, oral hygiene instructions, and chlorhexidine rinsing. Endodontic therapy included root canal instrumentation with rotary endodontic files, irrigation, root canal treatment with ozone gas, and obturation with lateral compaction. Radiographs at a 6-month follow-up appointment showed complete healing of the periapical lesion and alveolar bone lateral to the root. Using an interdisciplinary approach to treat endo-perio lesions provides favorable clinical outcomes. Ozone therapy is beneficial for the successful treatment of endo-perio lesions with narrow periodontal pockets in patients with aggressive periodontitis and poor prognosis.

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Section: Discussionmentioning

confidence: 99%

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

Makeeva

Даурова

Byakova

et al. 2020

CCIDE

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“…Major diagnostic criteria are (1) periodontal probing depth (PD) ≥5 mm, (2) clinical attachment level (CAL) ≥3 mm, and (3) patients being aware of pulp symptoms, including spontaneous pain history or having negative or altered pulp vitality tests. Minor diagnostic criteria are (1) red and swollen gums, (2) bleeding on probing, (3) radiographic examination revealing varying degrees of alveolar bone resorption, (4) occlusal discomfort, (5) tooth mobility (TM), (6) discoloration due to pulp necrosis, (7) purulent exudate, and (8) sinus tract [15][16][17].…”

Section: Diagnostic Criteriamentioning

confidence: 99%

“…Professional supragingival oral prophylaxis was also administered. e curative effect was evaluated based on patients' clinical symptoms and parameters at 6 months [16,28,29].…”

Section: Erapeutic Proceduresmentioning

confidence: 99%

Prognostic Factors of Grade 2-3 Endo-Periodontal Lesions Treated Nonsurgically in Patients with Periodontitis: A Retrospective Case-Control Study

Fan

et al. 2020

BioMed Research International

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Background. Endo-periodontal lesions are bacterial infectious diseases involving both the periodontal and pulp tissues with poor outcomes. It is hard for clinicians to predict their prognosis. The aim of this study is to investigate the factors affecting the prognosis of endo-periodontal lesions. Methods. A total of 140 teeth diagnosed with grade 2-3 endo-periodontal lesions in patients with periodontitis were recruited in this study. They were divided into high and low responder groups, according to the clinical symptoms and parameters of the teeth involved after nonsurgical treatment of both the endodontic and periodontal components. Clinical parameters and symptoms were compared before and after treatment, and gender, age, smoking, and all clinical parameters were compared between high and low responder groups using univariate analyses. Logistic regression was applied to evaluate the independent effects on endo-periodontal lesion prognosis. Results. Compared with the clinical parameters at baseline, the values of tooth mobility (TM), periapical index (PAI), and discomfort when chewing were decreased after endodontic therapy, and the values of periodontal probing depth (PD), clinical attachment level (CAL), sulcus bleeding index (SBI), TM, simplified oral hygiene index (OHI-S), full-mouth periodontitis severity, PAI, and discomfort when chewing were decreased after periodontal therapy. Univariate analysis revealed that smoking, PD, CAL, TM, PAI, clinical crown-root ratio (CR), full-mouth periodontitis severities, and the number of root canals were significantly different between the high and low responder groups (P<0.05). The logistic regression analysis showed that smoking, PD, CAL, full-mouth periodontitis severities, and the number of root canals remained significantly associated with grade 2-3 endo-periodontal lesions in patients with periodontitis (P<0.05). Conclusionsand Practical Implications. High PD and CAL, multirooted teeth, smoking, and serious full-mouth periodontitis indicated a poor prognosis for teeth with grade 2-3 endo-periodontal lesions.

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“…True combined lesions demand both endodontic and periodontal regenerative procedures. Without this interdisciplinary treatment method, there will be no satisfactory prognosis, with the success rate dropping to 27-37% as the study conducted by Oh et al reported [22]. As a first step, true combined lesions should be addressed with an endodontic treatment.…”

Section: Treatment Optionsmentioning

confidence: 99%

Endo-perio lesions: diagnosis and interdisciplinary treatment options

Dako

Lazăr

Bică

et al. 2020

Acta Stomatologica Marisiensis Journal

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About 50% of tooth loss is caused by either endodontic infection, periodontal disease or the combination of the two in the form on endo-perio lesions (EPL). Combined EPL develop due to the intimate anatomic and functional relation between endodontic and periodontal tissues. Both the pulp and periodontium share the same embryologic and anatomic origin. The various pathways connecting the two, added up to the extremely alike microorganisms in both illnesses’ etiology, create a complex condition in which interdisciplinary approach is required. Despite numerous decades of literature describing these lesions, they remain a continuous challenge for practitioners in both diagnosing and managing. The purpose of this article is to present a comprehensive review of various aspects of the combined EPL and to emphasize the importance of making a correct diagnosis and adopting the appropriate treatment method in the management of these challenging situations.

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Effect of Time Lapse between Endodontic and Periodontal Therapies on the Healing of Concurrent Endodontic-Periodontal Lesions without Communication: A Prospective Randomized Clinical Trial

Cited by 19 publications

References 30 publications

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

Prognostic Factors of Grade 2-3 Endo-Periodontal Lesions Treated Nonsurgically in Patients with Periodontitis: A Retrospective Case-Control Study

Endo-perio lesions: diagnosis and interdisciplinary treatment options

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