Endo-perio lesions: diagnosis and clinical considerations

Indian J Dent Res. 2010 Oct-Dec;21(4):579-85. doi: 10.4103/0970-9290.74238.


The interrelationship between periodontal and endodontic disease has aroused confusion, queries and controversy. Differentiating between periodontal and endodontic problems can be difficult. A symptomatic tooth may have pain of periodontal and/or pulpal origin. The nature of that pain is often the first clue in determining the etiology of such a problem. Radiographic and clinical evaluation can help clarify the nature of the problem. In some cases, the influence of pulpal pathology may create periodontal involvement. In others, periodontal pathology may create pulpal pathology. This review article discusses the various clinical aspects to be considered for accurately diagnosing and treating endo-perio lesions.

Publication types

  • Review

MeSH terms

  • Clinical Protocols
  • Dental Fistula / diagnosis
  • Dental Pulp Diseases / diagnosis*
  • Dental Pulp Diseases / therapy
  • Diagnosis, Differential
  • Humans
  • Periodontal Diseases / diagnosis*
  • Periodontal Diseases / therapy
  • Periodontal Ligament / pathology
  • Tooth Apex / pathology
  • Toothache / diagnosis