Decision making in the face of endodontic-periodontal lesions

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35384

Keywords:

Endodontics; Periodontics; Clinical decision-making.

Abstract

This present work was aimed at evaluating the clinical knowledge of general practitioners (GP), attenting a specialization course on Endodontics in the cities of Recife - Brazil and João Pessoa - Brazil, as regards the endo-perio lesions, owing to the difficulties, noticed when stablishing  their diagnosis and, therefore, when performing the therapeutic decision. On this purpose, a questionnaire with three case-reports, concerned with those lesions, was answered by a sample of 54 GPs. During the interviews, they were inquired on their possible diagnosis and treatment, by means of digitalized radiographies and case decriptions. The results revealed a great range of  variation, even higher than what was expected, in reference to the diagnosis and proposed therapies, associated to a low frequency related to the right decision-making. In conclusion, the majority of the interviewed students does not retain the required scientific knowledge towards the studied subject.

References

Abbott, P. (1998). Endodontic management of combined endodontic-periodontal lesions. J N Z Soc Periodontol, 83, 15-28,

Alshawwa, H., Wang, J. F., Liu, M., & Sun, S. F. (2020). Successful management of a tooth with endodontic-periodontal lesion: A case report. World journal of clinical cases, 8(20), 5049–5056.

Anand, P. S., & Nandakumar, K. (2005). Management of periodontitis associated with endodontically involved teeth: a case series. The journal of contemporary dental practice, 6(2), 118–129.

Barkhordar, R. A., & Stewart, G. G. (1990). The potential of periodontal pocket formation associated with untreated accessory root canals. Oral surgery, oral medicine, and oral pathology, 70(6), 769–772.

Bender, I.B.; Seltzer, S. (1972) The effect of periodontal disease on the pulp. Oral Surgery, Oral Medicine, Oral Pathology, 33(3), 458-474

Berg, J. O., Blomlöf, L., & Lindskog, S. (1990). Cellular reactions in pulpal and periodontal tissues after periodontal wound debridement. Journal of clinical periodontology, 17(3), 165–173.

Borba, S. M .C. (2002). Diagnóstico clínico da sensibilidade pulpar em dentes com bolsas periodontais. Rev Bras Cienc Saúde, 6(3), 269-278,.

Britain, S. K., Arx, T., Schenk, R. K., Buser, D., Nummikoski, P. & Cochran, D. L. (2005) The use of guided tissue regeneration principles in endodontic surgery for induced chronic periodontic-endodontic lesions: a clinical, radiographic, and histologic evaluation. Journal of Periodontology, 76, 450–460.

Chambrone, L. A. (1985). Contribuição ao estudo clínico e histológico do envolvimento endo-periodontal em molares humanos. Trabalho de mestrado – Faculdade de Odontologia USP. p.83. São Paulo.

Chang, K. M., & Lin, L. M. (1997). Diagnosis of an advanced endodontic/periodontic lesion: report of a case. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 84(1), 79–81.

De Deus, Q. D. (1992). Endodontia. 5. ed. Ed. Médica e científica Ltda. Rio de Janeiro.

Ehnevid, H. (1993). Periodontal healing in relation to radiographic attachment and endodontic infection. J Periodontol, 64, 1199-204,(a).

Ehnevid, H. (1993) Periodontal healing in teeth with periapical lesions. A clinical retrospective study. J Clin Periodontol, 20, 254-8, (b).

Fachin, E. V .F.; Luisi, S. B.; & Borba, M. G. (1999) Relação pulpo-periodontal: Considerações histológicas e clínicas. JBC j. bras. clin. estet. odontol ; 3(16), 63-69.

Figueiredo, L. C.; Toledo, B. E. C.; & Salvador, S. L. S. (2000) Microbiologia das lesões endoperiodontais. .JBE, J. Bras. Endo/Pério ; 1(3), 13-17.

Gusmão, E.S. (2003) Inter-relação da Periodontia com a Endodontia – Importância do diagnóstico na tomada de decisão terapêutica. Encarte Científico CRO-PE, n.2.

Haueisen, H.; & Heidemann, D. (2002) Hemisection for treatment of an advanced endodontic-periodontal lesion: a case report. Int Endod J, 35(6), 557-72.

Jansson, L. (1995). The influence of endodontic infection on progression of marginal bone loss in periodontitis. J Clin Periodontol, 22(10), 729-34.

Kavarthapu, A., & Malaiappan, S. (2019). Management of periodontic-endodontic lesion in aggressive periodontitis-9 months follow-up: Report of a case. Indian journal of dental research : official publication of Indian Society for Dental Research, 30(1), 149–153.

Kerekes, K.; & Olsen, I. (1990) Similarities in the microfloras of root canals and deep periodontal pockets. Endod Dent Traumatol, 6(1), 1-5.

Kobayashi. (1990) The microbial flora from root canals and periodontal pockets of non-vital teeth associated with advanced periodontitis. Int Endod J, 23(2), 100-6.

Lamberti, P. L. R. (2000). Interrelação endodontia-periodontia. Rev Odontol Univ Santo Amaro, 5(1), 8-12.

Langeland, K.; Rodrigues, H.; & Dowden, W. (1974). Periodontal disease, bacterial and pulp histopathology. Oral Surg, 37, 257-63.

Lascala, N T, & Paiva, J G. (1991). Consideracoes em torno das lesoes pulpo-periodontais. J H 2 ed Sao Paulo : Artes Medicas, Endodontia: Bases para a Pratica Clinica.

Lindhe, J. (1992). Tratado de Periodontologia Clínica. (2. ed.) . Guanabara Koogan..

Martins, A.V. (2004). Aspectos importantes da inter-relação entre Endodontia e Periodontia: uma revisão da literatura. JBE, 5(17), 157-65.

Neto, A.R. (1998) Raciocínio clínico – o processo de decisão diagnóstica e terapêutica. Rev Ass Med Brasil, 44(4), 301-11.

Neves, S. C.; & Barbosa, S. V. (1994) Avaliação radiográfica de lesões endo-perio. RGO, 42(2), 84-86.

Paul, B. F., & Hutter, J. W. (1997). The endodontic-periodontal continuum revisited: new insights into etiology, diagnosis and treatment. Journal of the American Dental Association (1939), 128(11), 1541–1548.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM

Rossi GH. (2002). Abscesos periodontales y apicales: su diagnóstico diferencial. Rev Asoc Odontol Argent.; 90(1), 48-53.

Ruetters, M., Gehrig, H., Kronsteiner, D., Schuessler, D. L., & Kim, T. S. (2022). Prevalence of endo-perio lesions according to the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Disease in a university hospital. Quintessence international (Berlin, Germany : 1985), 53(2), 134–142.

Ruiz L. F.; Mendonça, J. A.; Estrela, C. (2001). Interrelações entre a endodontia e a periodontia. In: ESTRELA C, FIGUEIREDO J. A. P. Endodontia: Princípios Biológicos e Mecânicos. São Paulo: Artes Médicas, 249-291.

Santiago, E. F .A.; Soares, D. S. P.; & Pinto, M. (2005) Estudo retrospectivo sobre a influência da patologia pulpar no nível radiográfico da crista óssea. Rev Port Estom Med Den Cir Maxil, 46(2), 46:93-100

Simon, H .S. J.; Glick, D.; & Frank, A .L. (1972). The relationship of endodontic-periodontic lesions. J Period, 43, 202-8.

Soares, I. J.; Bittencourt, A. Z.; & Tavares, T. (1998). Relações endoperiodontais. In: BERGER, C.R. Endodontia. Ed. Pancast. São Paulo,Ed. Pancast, 241-54.

Sonde, N., & Edwards, M. (2020). Perio-Endo Lesions: A Guide to Diagnosis and Clinical Management. Primary dental journal, 9(4), 45–51.

Tseng, C. C., Harn, W. M., Chen, Y. H., Huang, C. C., Yuan, K., & Huang, P. H. (1996). A new approach to the treatment of true-combined endodontic-periodontic lesions by the guided tissue regeneration technique. Journal of endodontics, 22(12), 693–696.

Torabinejad, M.; & Kiger, R. D. (1985). A histologic evaluation of dental pulp tissue of a patient with periodontal disease. Oral Surg Oral Med Oral Pathol, 59, 198-200.

Torabinejad, M.; & Trope, M. (1997) Inter-relações endodônticas e periodontais. In: WALTON, R.; TORABINEJAD, M. Princípios e Prática em Endodontia. Ed. Santos. São Paulo Cap.26, p.442-56..

Vakalis, S. V. (2005). A pilot study of treatment of periodontal-endodontic lesions. Int Den J, 55(5), 313-8.

Walker, M. R.(2001). The pathogenesis and treatment of endo-perio lesions. CPD Dentistry, 2(3), 91-5.

Weine F S. (1998) Tratamento endodôntico. (5. ed. )Santos. 240-78.

Zuza, E .P.; & Toledo, B. E. C. (2001) A importância das fraturas radiculares verticais no diagnóstico diferencial em relação às lesões periodontais-endodônticas. JBE, 2(6), 216-223.

Published

03/10/2022

How to Cite

TRAVASSOS, R. M. C. .; SILVA, V. C. R. da; PONTES, M. M. de A. .; CARNEIRO, V. S. M. .; NEVES, P. T. de O.; LUZ, L. E. S. . Decision making in the face of endodontic-periodontal lesions. Research, Society and Development, [S. l.], v. 11, n. 13, p. e152111335384, 2022. DOI: 10.33448/rsd-v11i13.35384. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35384. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences