TOPIC: The periodontal - endodontic

continuum
Abstract:
The tooth, the pulp tissue within it and its supporting structures should be
viewed as one biologic unit. The relationship between the periodontium and
the pulp was first discovered by Simring and Goldberg in 1964. The
periodontium and pulp have embryonic, anatomic and functional
interrelationship.

Three main pathways have been implicated in the development of

periodontal-endodontic lesions, namely :
1. Apical foramen
2. Lateral and accessory canals
3. Dentinal tubules
Periodontal disease is a slowly progressing disease that may have an
atrophic effect on the dental pulp. Periodontal treatments such as root
planing, usage of localized medicaments and periodontal injury or
wounding may accelerate pulpal inflammation and provoke the interrelated
disease process.

Prognosis of combined forms of the lesions is more difficult to predict.

Endodontic therapy is more predictable and completion of this therapy
before periodontal procedures has a positive effect on periodontal
healing. In conclusion, it is essential to understand that in perio-endo
lesions, the endodontic treatment is the more predictable of the two.
However the success of endodontic therapy is dependent on the
completion of periodontal therapy. The complete treatment of both aspects
of perio-endo lesions is essential for successful long-term results.

GUIDED BY: Dr. Arvind Shetty

PRESENTED BY: Dr. Bhavika Murkute
Dr. Zinnia Patel