Management of Endo-Perio lesions by different modalities– A report of two cases.

• vijayalaxmi v malali*

Abstract

The relationship between the pulp and the periodontium has been extensively studied. Pulpal and periodontal infections may exist independently or may lead to involve the other. Both endodontic and periodontal diseases are caused by a mixed anaerobic microorganisms. The diagnosis and management of endo perio lesions differ from those lesions of single causative factor and depend on the degree of involvement of both tissues. They present signs and symptoms, which cannot be easily attributed to or accounted for and require more detailed examination and definitive treatment plan. The treatment outcomes are not readily predictable as of lesions of single origin. Distinguishing the primary etiological factor and overlapping secondary clinical features require thorough knowledge and understanding of the pathology, anatomy, and microbiology with respect to the teeth involved. The primary and secondary etiological factors can have numerous variations and hence makes arriving at a definitive treatment plan complex. However, systematic clinical examination combined with relevant investigations always provides a correct direction toward optimum treatment plan. This paper presents two such cases of endo perio lesions and their successful management by different treatment modalities.

Keywords

Different treatment modalities, endo perio lesions, furcal involvement, hemi section, root canal treatment, prosthetic rehabilitation