Scientific Online Resource System

Varna Medical Forum

Endo-periodontal diseases - Part one - Biological base

Maya Doychinova, Mila Kalinova, Mayya Koleva


Numerous studies confirm the fact that endodontic infections and periodontal disease are the etiological cause in 50% of cases of loss of the tooth. In the course of his professional life every dentist faces repeatedly lesions of endodontic and periodontal origin, as well as such with a mixed etiology and clinical manifestation. The mixed etiology and clinical symptoms are due to the existing embryotic, anatomic-physiological pathway as well as additionally created iatrogenic and non-iatrogenic canals of biological exchange between the two structures situated in extreme proximity.


ендо-пародонтални лезии, пътища за комуникация ендо-перио

Full Text


Adriaens PA, De Boever JA, Loesche WJ. Bacterial invasion of root cementum and radicular dentin of periodontally diseased teeth in humans: A reservoir of periodontopathic bacteria. J Periodontol. 1988;59:222-30.

Ballal NV, Joth V, Bhat K S , Bhat K M. Salvaging a tooth with a deep palatogingival groove: an endo-perio treatment - a case report I Endodontic J 10, 2007, 40, 808-817.

Barboni MG,Zucchelli G. Le relazioni endodontico-parodontali Quaderni Clinici.Milan: Societa Iatliana di Endodonzia, 2006.

Bender IB, Seltzer S. The effect of periodontal disease on the pulp. Oral Surg Oral Med Oral Pathol. 1972;33:458-74.

Bender IB. Factors influencing radiographic appearance of bony lesions. J Endod. 1982;8:161-70.

Bergenholtz, Lindhe J. Effect of experimentally induced marginal periodontitis and periodontal scaling on the dental pulp. J Clin Periodontol. 1978;5:59

Chen SY, Wang HL, Glickman GN. The influence of endodontic treatment upon periodontal wound healing. J Clin Periodontol. 1997; 24:449-56.-73

Cotton WR, Siegel RL. Human pulpal response to citric acid cavity cleanser. J Am Dent Assoc. 1978;96:639-44.

Czarnecki RT, Schilder H. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease. J Endod. 1979;5:242-53.

DeDeus QD. Frequency location and direction of the lateral, secondary and accessory canals. J Endod. 1975;1:361-6.

Gold S, Hasselgren G. Peripheral inflammatory root resorption: A review of literature with case reports. J Clin Periodontol. 1992;19:523-34.

Gold SI, Moskow BS. Perioodntal repair of periapical lesions: The borderland between pulpal and periodontal disease. J Clin Periodontol. 1987;14:251-6.

Grudianov AI, Makeeva MK, Piatgorskaia NV.Modern concepts of etiology, pathogenesis and treatment approaches to endo-perio lesions. Vestn Ross Akad Med Nauk. 2013;

James H. S. Simon,* Dudley H. Glick, Alfred L. Frank The Relationship of Endodontic-Periodontic Lesions J Journal of Periodontology 43,1972; 4 : 202-208

Jansson L, Ehnevid H, Blomlof L, Weintraub A, Lindskog S. Endodontic pathogens in periodontal disease augmentation. J Clin Periodontol. 1995;22:598-602.

Johnson HB, Orban BJ. Interradicular pathology as related to accessory root canals. J Endod. 1948;3:21-5. 10.

Kerekes K, Olsen I. Similarities in microflora of root canals and deep periodontal pockets. Endod Dent Traumatol. 1990;6:1-5.

Kipioti A, Nakou M, Legakis N, Mitis F. Microbiological findings of infected root canals and adjacent periodontal pockets in teeth with advanced periodontitis. Oral Surg Oral Med Oral Pathol. 1984;58:213-20.

Kitchings SK, del Rio CE, Aufdemorte DE, Meffert RM, Lane JJ. The pulpal response to topically applied citric acid. Oral Surg Oral Med Oral Pathol. 1984;58:199-206.

Kobayashi T, Hayashi A, Yoshikawa R, Okuda K, Hara K. The microbial flora from root canals and periodontal pockets of non vital teeth associated with advanced periodontitis. Int Endod J. 1990;23:100-6.

Langeland K, Rodrigues H, Dowden W. Periodontal disease, bacteria and pulpal histopathology. Oral Surg Oral Med Oral Pathol. 1974;37:257-70.

Mandi FA. Histological study of the pulp changes caused by periodontal disease. J Br Endod Soc. 1972;6:80-2.

Mhairi RW. The pathogenesis and treatment of endo-perio lesions. CPD Dent. 2001;2:9-95.

Newman, Takei, Klokkevold, Carranza . 10th ed. Saunders; 2006. Clinical Periodontology; pp. 88-90.

Rahmat A, Barkhordar, Stewart GG. The potential of periodontal pocket formation associated with untreated accessory root canals. Oral Surg Oral Med Oral Pathol. 1990;70:769-72.

Seltzer S, Bender IB, Ziontz M. The interrelationship of pulp and periodontal disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1963;16:147.

Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Clin Periodontol. 1972;43:202.

Singh P Endo-perio dilemma: a brief review. Dent Res J (Isfahan). 2011 Winter;8(1):39-47.

Tanner A, Visconti CR, Holdeman RA, Sundquist G, Socransky SS. Similarity of Wolinella recta strains isolated form periodontal pockets and root canals. J Endod. 1982;8:294-300

Vertucci FJ, Williams RJ. Furcation canals in the human mandibular first molars. Oral Surg. 1990;69:743.

Vishal Anand, Vivek Govila, Minkle Gulati Endo-Perio Lesion: Part I (The Pathogenesis) - A Review Archives of Dental Sciences, 3, 2012;1:3-9.

Yeung S, Clarke N. Pulpal effect of citric acid applied topically to root surfaces. Oral Surg Oral Med Oral Pathol. 1983;56:317-20.

Zehnder M, Gold SI, Hasselgren G. Pathologic interaction in pulpal and periodontal tissues. J Clin Periodontol. 2002;29:663-71.


Font Size