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An endodontic conundrum: the association between pulpal infection and periodontal disease
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An endodontic conundrum: the association between pulpal infection and periodontal disease
An endodontic conundrum: the association between pulpal infection and periodontal disease
Journal Article

An endodontic conundrum: the association between pulpal infection and periodontal disease

2014
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Overview
Key Points Highlights the anatomical link between the dental pulp and the periodontal ligament. Presents an update on the classification of periodontal-endodontic lesions. Discusses the treatment options for periodontal-endodontic lesions. This paper reviews the classification of periodontal-endodontic lesions and considers the pathways through which inflammatory lesions or bacteria may communicate between the pulp and the periodontium. Such communications have previously underpinned the classification of periodontal-endodontic lesions but a more up-to-date approach is to focus specifically on those lesions that originate concurrently as pulpal infection (and necrosis) and periodontal disease on the affected teeth. In doing so, both conventional periodontal and endodontic treatments are indicated for the affected teeth, although more complex management strategies may occasionally be indicated.