Keywords
Periodontics
Root canal
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Abstract
Objective: review and discuss the differential diagnosis and treatment of endo-periodontal lesions. Bibliographic review: Endodontic-periodontal lesions affect both the pulp and the periodontium at the same time. As they show similar embryological, anatomical and microbiota similarities, their diagnosis ends up becoming an inspiration for dental surgeons. The dental pulp and periodontal ligament are closely related, having embryonic, anatomical and functional interrelationships. There is greater communication between these two tissues, thus, the occurrence of disease in one of the tissues can be spread to the other, as these connections serve as a way for microorganisms and their by-products to move between the pulp and the periodontium. The endoperio lesion is a condition characterized by the association of periodontal and pulp disease in the same dental element. For the evaluation of the lesion and correct diagnosis and establishment of the best treatment plan, it is necessary to know the methods of classification of endo-perio lesions aiming at a better prognosis. Final considerations: Through this knowledge, the dental surgeon will arrive at the correct diagnosis and treatment, resulting in possible chances of success in the treatment of endodontic-periodontal lesions. Pertaining to the multiplicity of these infections, an interdisciplinary approach between endodontists, periodontists and microbiologists is recommended.
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