Contemporary aspects of trеatment of endodonal-periodontal lesions

Petrovski, Mihajlo and Veljanovski, Darko and Nikolovski, Bruno and Mladenovski, Marko and Kovacevska, Ivona (2024) Contemporary aspects of trеatment of endodonal-periodontal lesions. Mathews Journal of Dentistry, 8 (2). pp. 1-5. ISSN 2474-6843

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Abstract

Introduction: Infection in pulp tissue may lead to secondary infection in periodontal tissue. On the contrary, severe periodontal disease may initiate or exacerbate inflammatory changes in pulp tissue.
The main goal of this research is to present modern concepts in the treatment of endo-periodontal lesions.
Material and method: To fulfill the main purpose adequate literature research on Pub Med for articles relevant to our topic was done.
Results: Treatment access and prognosis depend primarily on the diagnosis of the specific endodontic and periodontal disease. The main factors to consider for decision-making are pulp vitality and the extent of the periodontal defect. After complete instrumentation, calcium hydroxide should be used as an intracanal medicament. It is an excellent medicament in general, because it is bactericidal, anti-inflammatory and proteolytic; it inhibits resorption; and it favors repair. It is especially effective in endo-perio cases because its temporary obturating action will inhibit periodontal contamination of the instrumented canals.
Conclusion: Therefore, a primary endodontic lesion draining from the attachment apparatus should be initially treated by endodontic therapy. Primary periodontal disease should only be treated by periodontal therapy. In this case, the prognosis depends on the severity of the periodontal disease and the patient's response.

Keywords: periodontium, dental pulp, treatment, endodontic treatment.

Item Type:	Article
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Bruno Nikolovski
Date Deposited:	25 Jul 2024 07:16
Last Modified:	25 Jul 2024 07:16
URI:	https://eprints.ugd.edu.mk/id/eprint/34464

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