Endo-Perio Symbiosis

Abstract

Article InfoThe interrelationship between endodontic and periodontal diseases has been a subject of speculation, confusion and controversy for many years. Pulpal and periodontal problems are responsible for more than 50% of tooth mortality today. An endo-perio lesion can have a varied pathogenesis which ranges from quite simple to relatively complex one. These lesions often present challenges to the clinician as far as diagnosis and prognosis of the involved teeth are concerned. It is very essential to make a correct diagnosis so that the appropriate treatment can be provided. To make a correct diagnosis the clinician should have a thorough understanding and scientific knowledge of these lesions and may need to perform restorative, endodontic or periodontal therapy, either singly or in combination to treat them. Therefore, this paper will highlight the diagnostic, clinical guidelines and decision making in the treatment of these lesions from an endodontists point of view to achieve the best outcome.