Combined periodontic endodontic lesions are localized circumscribed areas of bacterial infection originating from either dental pulp periodontal tissues surrounding the involved tooth or teeth or both source of infection. The effect of periodontal lesions on the pulp can result in atrophic and other degenerative changes like reduction in the number of pulp cells dystrophic mineralization fibrosis reparative dentin formation inflammation and resorption figure 2. Terminology is always a difficult thing in dentistry and endo perio lesions can lead to some confusion this post will look at the basics of these lesions and how to easily classify diagnose and manage them. Endodontic and periodontal lesions can manifest identical symptoms despite originating from separate pathogens and traditional classification has reinforced etiological imprecision in both diagnosis and treatment supported by a thorough analysis of the diagnostic etiopathogenic and clinical . International journal of dentistry is a peer reviewed open access journal that publishes original research articles review articles and clinical studies in all areas of dentistry including periodontal diseases dental implants oral pathology as well as oral and maxillofacial surgery
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