Endodontic-periodontal lesion: A two-way traffic

Abstract

Endodontic-Periodontal lesions are complicated disease entity, frequently encountered in day-to-day dental practice, difficult to diagnose and treat. The success of management of a combined periodontal and endodontic lesion depends on the elimination of both of the disease processes. In the case of a combined endo-perio lesion, the endodontic therapy results in healing of the endodontic component, while the prognosis of tooth would finally depend on the healing of the periodontal lesion. This literature review aims to assess the causes and consequences of periodontal-endodontic lesions, as well as its clinical, radiographic and microbiological aspects, and presents a comprehensive outline of diagnosis of perio-endo lesions and a sequential treatment protocol to the same.