Evaluation of role of periodontal pathogens in endodontic periodontal diseases

Das, Abhaya Chandra; Sahoo, Sanjit Kumar; Parihar, Anuj Singh; Bhardwaj, Smita Singh; Babaji, Prashant; Varghese, Joel G

doi:10.4103/jfmpc.jfmpc_725_19

Cited by 18 publications

(7 citation statements)

References 6 publications

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“…71 Bacterial infections in endo-perio lesions seem to be more complicated because endodontic and periodontal pathogens may communicate through the different pathways present. 72,73 According to Zehnder, 74 bacteria found within root canals were present in the periodontal pocket of a tooth with endodontic problems caused by aggressive periodontal disease. In another study, Bacillus pumilus occurred in root canal systems and periodontal pockets, resulting in severe marginal periodontitis.…”

Section: Discussionmentioning

confidence: 99%

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

Makeeva

Даурова

Byakova

et al. 2020

CCIDE

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The pulp and periodontium have obvious relationships that have been described in many studies. Pulp infections may affect periodontal tissues and vice versa. Teeth with endo-perio lesions have a worse prognosis than isolated endodontic or periodontal lesions. Elimination of endodontic and periodontal infections is essential for successful treatment, so co-operation between endodontists and periodontists is necessary. In this clinical case, a 44-year-old male presented with primary periodontal disease with secondary endodontic involvement in his lower right canine because of aggressive periodontitis. There was 10 mm of clinical attachment loss and 8 mm periodontal pocket mesial from the tooth and bone radiolucency periapical and lateral from the root. Periodontal therapy was followed by endodontic treatment. Periodontal therapy included root scaling and planing, treatment of the periodontal pocket with ozone gas, systemic antibiotics, oral hygiene instructions, and chlorhexidine rinsing. Endodontic therapy included root canal instrumentation with rotary endodontic files, irrigation, root canal treatment with ozone gas, and obturation with lateral compaction. Radiographs at a 6-month follow-up appointment showed complete healing of the periapical lesion and alveolar bone lateral to the root. Using an interdisciplinary approach to treat endo-perio lesions provides favorable clinical outcomes. Ozone therapy is beneficial for the successful treatment of endo-perio lesions with narrow periodontal pockets in patients with aggressive periodontitis and poor prognosis.

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Section: Discussionmentioning

confidence: 99%

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

Makeeva

Даурова

Byakova

et al. 2020

CCIDE

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“…In our study, all the teeth but the control case presented bacteria on the root surface and in the root canal system, demonstrating the possibility of bacteria to spread directly from the periodontal pocket to the root canal system, despite the apical foramen was not reached by periodontal lesion. It is well known that periodontal diseases may determine the exposure of other anatomical communications, over the apical segment, between periodontal tissues and the root canal system, with possible invasion of the root canal system from periodontal bacteria and/or their toxic metabolic products [19]. "Retrograde" pulpitis is an inflammatory pulpal condition caused by response to bacterial invasion and toxic products entering through anatomical communications that became exposed to the oral fluids.…”

Section: Discussionmentioning

confidence: 99%

Endodontic Microbial Communities in Apical Periodontitis

Buonavoglia

Zamparini²,

Lanave³

et al. 2023

Journal of Endodontics

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“…In our study, all the teeth but the control case presented bacteria on the root surface and in the root canal system, demonstrating the possibility of bacteria to spread directly from the periodontal pocket to the root canal system, despite the apical foramen was not reached by periodontal lesion. It is well known that periodontal diseases may determine the exposure of other anatomical communications, over the apical segment, between periodontal tissues and the root canal system, with possible invasion of the root canal system from periodontal bacteria and/or their toxic metabolic products [ 18 ]. ‘Retrograde’ pulpitis is an inflammatory pulpal condition caused by response to bacterial invasion and toxic products entering through anatomical communications that became exposed to the oral fluids.…”

Section: Discussionmentioning

confidence: 99%

Analysis of oral microbiota in non-vital teeth and clinically intact external surface from patients with severe periodontitis using Nanopore sequencing: a case study

Buonavoglia

Pellegrini

Lanave

et al. 2023

Journal of Oral Microbiology

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Periodontal diseases include a wide range of pathological conditions, damaging the supporting structures of the teeth. Origin and propagation of periodontal disease is believed to be caused by dysbiosis of the commensal oral microbiota. The aim of this study was to evaluate the presence of bacteria in the pulp cavity of teeth with severe periodontal disease with clinically intact external surface. Periodontal (P) and endodontic (E) tissue samples of root canals from six intact teeth of three patients were sampled for analysis of microbial population using Nanopore technology. Streptococcus was the predominant genus in E samples. Porphyromonas (33.4%, p = 0.047), Tannerella (41.7%, p = 0.042), and Treponema (50.0%, p = 0.0064) were significantly more present in P than in E samples. Some samples (E6 and E1) exhibited a remarkable difference in terms of microbial composition, whilst Streptococcus was a common signature in samples E2 to E5, all which were obtained from the same patient. In conclusion, bacteria were identified on both the root surface and the root canal system, thus demonstrating the possibility of bacteria to spread directly from the periodontal pocket to the root canal system even in the absence of crown’s loss of integrity.

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Evaluation of role of periodontal pathogens in endodontic periodontal diseases

Cited by 18 publications

References 6 publications

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

<p>Treatment of an Endo-Perio Lesion with Ozone Gas in a Patient with Aggressive Periodontitis: A Clinical Case Report and Literature Review</p>

Endodontic Microbial Communities in Apical Periodontitis

Analysis of oral microbiota in non-vital teeth and clinically intact external surface from patients with severe periodontitis using Nanopore sequencing: a case study

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