Endodontic-Periodontal Lesions: Periodontal Aspects

Nemcovsky, Carlos E.; Guirado, José Luis Calvo; Moses, Ofer

doi:10.1007/978-3-030-10725-3_5

Cited by 3 publications

(1 citation statement)

References 95 publications

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“…Некоторые данные, свидетельствуют о возможном вовлечении в патогенез заболевания также вирусных частиц [22]. Ранее описанные взаимосвязи позволяют объяснить сходство и вза-имодействие, наблюдаемое между микробными популяциями пародонтального кармана и корневого канала, так как до 62,5 % видов бактерий являются общими для обоих участков континуума зуба [23]. Например, пародонтопатогены, такие как Fusobacterium nucleatum, Tannerella forsythia, Prevotella intermedia, которые обычно обнаруживаются в пародонтальных карманах, также обнаруживаются в системе корневых каналах данных зубов [22].…”

Section: Discussionunclassified

Endodontic-periodontal continuum of tooth: Systematic literature review

Ostanina,

Alimukhamedova,

Mitronin

2024

Èndodontiâ today

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INTRODUCTION. The pathogenetic relationship between periodontal and pulp diseases was first described by Simring and Goldberg in 1964. Since then, the term “endodontic-periodontal” lesion (or “endo-perio”) has been used to describe lesions caused by inflammatory products found to varying degrees in both the periodontal and dental pulp tissues. The pulp and periodontium have embryonic, anatomical and functional relationships. The simultaneous presence of changes in pulp tissue and inflammatory periodontal diseases can complicate diagnosis and treatment planning. The etiology, pathogenesis and treatment methods of endodontic-periodontal lesions can vary from quite simple to relatively complex aspects. Knowledge of the basis of concomitant inflammatory processes in the pulp and periodontium is important for making the correct diagnosis.AIM. Carry out a systematic analysis of the literature and summarize the available data on etiopatogenetic relations, diagnostic features and clinical history of endodontic periodontal dental lesions. MATERIAL AND METHODS. A systematic literature analysis was carried out, as well as a manual search in the databases PubMed, Google Search, eLibrary, disserCat, Cyberleninka. Among national and foreign publications corresponding to the topic of this review, 28 publications were selected for systematic analysis, the results of literature review are presented in this article.CONCLUSION. This systematic review found that dental anatomy and the etiology of endodontic periodontal lesions are the basis for difficulties in the diagnosis and treatment of patients with endo-periodontal lesions. Determining the prevalence of infection and the individual characteristics of EPP pathogenesis in patients in this group remains a challenge. In the future, it is necessary to develop new methods of diagnosis, prophylaxis and complex treatment of combined periodontal tissue and tooth pulp, which will improve the prognosis of treatment of injured teeth in the long term.

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Section: Discussionunclassified

Endodontic-periodontal continuum of tooth: Systematic literature review

Ostanina,

Alimukhamedova,

Mitronin

2024

Èndodontiâ today

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Periodontal aspects of endodontic–periodontal lesions

2019

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The problem of primary infection in endo-periodontal lesions: a systematic review

Moiseev,

Kopetsky,

Nikolskaya

et al. 2023

Èndodontiâ today

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The main ways of interrelation of pulp and periodontal tissues are normally the apical openings of the roots of the teeth and additional root canals. In addition, it is important to remember that the bulk of the tooth is dentin, permeated with the smallest dentine tubules, which can also serve as a road in the «endodont-periodontal» system. A doctor who is faced with endo-periodontal lesion (EPL) faces a difficult task, which consists in competent planning of complex treatment and predicting the patient's condition. And one of the main questions that a clinician needs to answer when planning effective prevention and treatment of EPL is «What is primary? ». This systematic review is devoted to the problem of the primacy of infection in EPL, as the most complex and poorly studied.Aim. To summarize the available data on the features of the etiology, pathogenesis, diagnosis and clinical course of EPL.Materials and methods. 3587 publications were found, presented in international lectronic databases: PubMed, Google Search, Ebsco, Embase, Web of Science, ScienceDirect, SciELO and eLibrary from 2000 to 2023. Based on the selection criteria, 65 publications were selected, which included the results of studying the structure of periodontal tissues and tooth pulp, etiology, pathogenesis, as well as the diagnosis and clinical course of EPL. The methodology of this study meets the requirements for systematic reviews and meta-analyses of «PRISMA».Results. The features of pulpo-periodontal relationships are described, data on the prevalence and classification of EPL are presented. Special attention is paid to the etiology of EPL and possible infectious agents involved in the pathogenesis of EPL. The clinical and diagnostic features of the course of EPL and the main approaches to treatment, depending on the primary infection of tissues, are described.Conclusions. The presented detailed systematic analysis showed that the problem of EPL, which has high relevance and significance, has not been studied enough, which does not allow to effectively diagnose, treat, prevent and predict this pathology.

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Endodontic-Periodontal Lesions: Periodontal Aspects

Cited by 3 publications

References 95 publications

Endodontic-periodontal continuum of tooth: Systematic literature review

Endodontic-periodontal continuum of tooth: Systematic literature review

Periodontal aspects of endodontic–periodontal lesions

The problem of primary infection in endo-periodontal lesions: a systematic review

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