Perio-Endo Lesion | Happy Dentists

What are Perio-Endo Lesions?

Perio=Periodontal (gums+bone), Endo= Endodontics (Inside the tooth)

Perio-Endo Lesion, Primary Endo Secondary Perio, Primary Perio secondary endo

Overview:

The supporting tissues (Gums+Bone) and Pulp tissue (Nerve+Blood supply) are closely related, as a result a disease of one tissue may lead to the involvement of the other. When this occurs, they are called Perio-Endo Lesions. Understanding the cause of which is important to help determine the correct treatment. Your oral health practitioner will be able to help you with this. Generally, though, if it starts in the pulp tissue then moves to the gums it is called Primary Endo and Secondary Perio. Whereas if it starts in the gums then moves to the pulp then it is called Primary Perio and Secondary Endo. Sometimes you can also have a true combined Perio-Endo Lesion whereby both are affected at the same time. Your oral health practitioner will run some tests to determine which type it is and then offer you the appropriate treatment. Often it is involving a combination of the following. Root Canal Treatment (Endodontic Treatment), Periodontal Treatment (Root Debridement) and sometimes specialist referral.

Important Points In This Section

Signs and Symptoms
Treatment

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This page provides general information about dental topics. It does not contain all the known facts of this subject and is not intended to replace personal advice from your dentist. If your not sure about anything on this site, contact us or speak to your local oral health practitioner. Make sure you give your local oral health practitioner your complete medical history and dental history.

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What is Gum Disease?

Learn more about gingivitis and periodontitis

Tooth Anatomy

What makes up your tooth?

Root Canal Treatment

Treatment perform to the inside of an infected tooth to relieve and prevent pain.

A selection of the references used:
Singh P. Endo-perio dilemma: a brief review. Dent Res J (Isfahan). 2011;8(1):39-47.
Shenoy, N., & Shenoy, A. (2010). Endo-perio lesions: Diagnosis and clinical considerations. Indian Journal of Dental Research, 21(4), 579
Simon, J. H., Glick, D. H., & Frank, A. L. (1972). The relationship of endodontic‐periodontic lesions. Journal of periodontology, 43(4), 202-208.
Raja Sunitha, V., Emmadi, P., Namasivayam, A., Thyegarajan, R., & Rajaraman, V. (2008). The periodontal–endodontic continuum: A review. Journal of conservative dentistry: JCD, 11(2), 54.