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The development, diagnosis, prognosis and management strategies for teeth diagnosed with endodontic-periodontal lesions

BDJ Student volume 31, pages 94–99 (2024)Cite this article

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Diagnosis, prognosis, and the range of management strategies for endodontic-periodontal lesions are of interest to the general dentist and the wider multidisciplinary team. Understanding the potentially complex nature of these lesions is key to developing an accurate diagnosis covering both endodontic and periodontal components, which will inform a treatment plan based on current evidence and patient wishes. In simple terms, endodontic-periodontal lesions are those which involve both periodontal and pulpal disease in or around the same tooth. Like many other aspects of dentistry, treatment of these lesions can vary hugely in complexity, with several treatment options available to a patient should they choose to pursue them. Whilst management of some endodontic-periodontal lesions will be within the scope of practice of the General Dental Practitioner, we must not forget our specialist colleagues, whose skillset and knowledge can certainly be drawn upon in appropriate cases.

The complex relationship between the pulp and periodontium was first described in 1964 by Simring and Goldberg.1 Since then, the term ‘endo-perio lesion' (or indeed ‘perio-endo lesion') has been used to describe these potentially complex lesions. Endodontic-periodontal lesions (EPLs) are characterised by the presence of pulpal and periodontal disease in/around the same tooth.2 They are largely thought to be due to inflammatory products found in both the pulp and periodontal tissues. Aetiological factors include those which are microbiological such as bacteria, fungi and viruses, as well as other contributors such as perforations, dental anomalies, trauma and root resorption.3

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  1. University of Central Lancashire, Preston, United Kingdom

    Laura Irving

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  1. Laura Irving
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Correspondence to Laura Irving.

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Irving, L. The development, diagnosis, prognosis and management strategies for teeth diagnosed with endodontic-periodontal lesions. BDJ Student 31, 94–99 (2024). https://doi.org/10.1038/s41406-024-1425-4

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