Review Article
Volume 19 Issue 2 - 2020
Endo-Perio Decision Making
Mohamed Hany Ahmad Abd Elghany1*, Fadi Salem H Alzahrani2, Saeed Ahmed Al-zharani2, Muhannad Mohammed M Alsahli2, Abdullah Sitr E Aljuaid2 and Mohammed Mana Almutairy2
1Cairo University, Saudi Arabia
2Ministry of Health, Saudi Arabia
*Corresponding Author: Mohamed Hany Ahmad Abd Elghany, Cairo University, Saudi Arabia.
Received: January 04, 2020; Published: January 21, 2020




Abstract

Introduction: In clinical practice, an often-encountered enigma is that of the endo-perio lesion. A source of confusion and dilemma to the dentist. As proper treatment protocol is a necessity for such a commonly encountered problem, also an in-depth knowledge is required in this subject. The approach to the treatment varies according to the etiology and the complexity in each case encountered. The resolution of the lesion also depends on the accurate diagnosis and the correct treatment methodology. There may be multiple treatments required, as in endodontic, periodontic, restorative or also the combination of the same. In this review article, a thoroughly scientific and evidence-based approach will be discussed with regards to the decision making in the challenging case of endo-perio lesions.

Aim of Work: A clear picture and analysis into the etiology and treatment approaches of endo-perio lesions to help the clinician in easy diagnosis and hence correct treatment.

Methodology: This review is using a comprehensive search of PUBMED from 1964 to 2004.

Conclusion: In challenging cases like that of endo-perio lesions, it is necessary that a multidisciplinary approach is undertaken. First and foremost, the etiology of the endo-perio lesion has to be identified which requires accurate diagnostic ability and skill. The treatment varies according to the major cause of the endo-perio lesion. The resolution depends on the complexity of the case if the endodontic cause is the major cause, and efficient root canal treatment helps the prognosis, with periodontic pathology, and even after treatment, the resolution is good with some amount of non-recoverable damage. In the worst-case scenario, extraction remains the only choice. Hence to conclude, it requires substantial knowledge and diagnostic ability followed by correct treatment protocols to treat endo-perio lesions.

Keywords: Multidisciplinary; Etiology; Resolution

References

  1. Simring M and Goldberg M. “The pulpal pocket approach: retrograde periodontitis”. The Journal of Periodontology 35.1 (1964): 22-48.
  2. Rotstein I and Simon JH. “Diagnosis, prognosis, and decision‐making in the treatment of combined periodontal‐endodontic lesions”. Periodontology 2000 34.1 (2004): 165-203.
  3. Simon JH., et al. “The relationship of endodontic‐periodontic lesions”. Journal of Periodontology 43.4 (1972): 202-208.
  4. Chang KM and Lin LM. “Diagnosis of an advanced endodontic/periodontic lesion: report of a case”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 84.1 (1997): 79-81.
  5. Whyman RA. “Endodontic-periodontic lesions. Part I: Prevalence, aetiology, and diagnosis”. The New Zealand Dental Journal 84.377 (1988): 74-77.
  6. Rotstein I and Simon JH. “Diagnosis, prognosis and decision‐making in the treatment of combined periodontal‐endodontic lesions”. Periodontology 2000 34.1 (2004): 165-203.
  7. Solomon C., et al. “The endodontic-periodontal lesion: a rational approach to treatment”. The Journal of the American Dental Association 126.4 (1995): 473-479.
  8. Jew RC., et al. “A histologic evaluation of periodontal tissues adjacent to root perforations filled with Cavity”. Oral Surgery, Oral Medicine, Oral Pathology 54.1 (1982): 124-135.
  9. Oynick J and Oynick T. “Treatment of endodontic perforations”. Journal of Endodontics 11.4 (1985): 191-192.
  10. Rotstein I and Simon JH. “Diagnosis, prognosis and decision‐making in the treatment of combined periodontal‐endodontic lesions”. Periodontology 2000 34.1 (2004): 165-203.
Citation: Mohamed Hany Ahmad Abd Elghany., et al. “Endo-Perio Decision Making". EC Dental Science 19.2 (2020): 01-04.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


August Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the August issue of respective journals and can be viewed in the current issue pages.

Submission Deadline for September Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the September issue of respective journals. Submissions are accepted on/before August 15, 2020.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk