ABSTRACT
As long as the prognosis of teeth remains a matter of concern, the endodontic-periodontal relationship will be considered a challenge for the clinician. Many etiologic factors, including bacteria, fungi, and viruses, plus other contributing factors, such as trauma, root resorptions/perforations, and dental malformations, play a role in the co-occurrence of endodontic and periodontal lesions. Whatever the cause, a correct diagnosis on which to base the treatment plan is the key to successful maintenance of the tooth. This article reports the successful endodontic management of a furcation lesion in a mandibular molar that was nonresponsive to a previous periodontal surgical graft. The case had presented a diagnostic challenge for the clinicians, and this article reviews the key points that can lead to a correct diagnosis and treatment planning.
Subject(s)
Bacteria , Diagnosis , Fungi , Molar , Prognosis , Tooth , TransplantsABSTRACT
Endodontic–periodontal lesions present challenges to the clinician as far as diagnosis andprognosis of the involved teeth are concerned. Etiologic factors such as bacteria, fungi,and viruses as well as various contributing factors such as trauma, root resorptions,perforations, and dental malformations play an important role in the development andprogression of such lesions. The relationship between the pulp and periodontium has been extensively studied. The pathways for the spread of bacteria between pulpal and periodontal tissues have been discussed with controversy. This case report presents a successful treatment of a 43 year old systemically healthy male suffering with endoperio lesions of upper right first and second molar teeth.