SP-28 - The Endodontic-Periodontal Interface: Treatment Considerations of a Clinical Dilemma

Saturday, May 6, 2023

8:30 AM – 9:15 AM CT

Location: McCormick Convention Center Lakeside Center, E353A (Level 3)

Earn 0.75 CE Credits

Speaker(s)

Sami Chogle, D.M.D., B.D.S., M.S.D.

Program Director and Chair
Boston University
Boston, Massachusetts

Disclosure(s): No financial relationships to disclose
Pinelopi Pani, D.D.S., CAGS, M.S.

Clinical Associate Professor
Boston University Henry M. Goldman School of Dental Medicine
Boston, Massachusetts

Disclosure(s): No financial relationships to disclose

Session Host(s)

Steven Richardson, D.MD, M.S. (he/him/his)

Founding Partner
US Endo Partners
Mesa, Arizona

Disclosure(s): US Endo Partners: Employment (Ongoing), Founding Partner (Ongoing), Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing)

The pulp and periodontium have embryonic, anatomic and functional inter-relationships. The simultaneous existence of combined endodontic-periodontal lesions either with or without root damage is a clinical dilemma that can complicate diagnosis, treatment planning as well as affect prognosis . These lesions could be better classified according to root alterations that have direct impact on their treatment, such as presence of fractures, perforations and external root resorption, furcation involvement, anatomical variations and the extent of periodontal destruction around the affected teeth. Management of combined endodontic-periodontal lesions can be challenging especially when severe destruction of the surrounding periodontal tissues is noted. A CBCT scan would be crucial to confirm the extent of both lesions and their possible communication and reveal root anatomic factors that may predispose to a compromised clinical outcome. Understanding the complex pathogenesis of both lesions can determine the therapeutic approach for a successful regenerative treatment outcome.

Learning Objectives:

Contrast classifications of endodontic-periodontal lesions based on root alterations and its effect on prognosis
Discuss appropriate sequence of therapeutic approaches to treat endodontic-periodontal lesions
Review proper diagnostic tools to clinically assess combined endodontic-periodontal lesions