The inter-relationship between pulpal and periodontal diseases
primarily occurs via the intimate anatomic and vascular connections
between the pulp and periodontium. These inter-relationships have
been traditionally demonstrated using radiographic, histologic and
clinical criteria. Pulpal and periodontal problems are responsible
for more than 50 % of tooth mortality.Diagnosis is often
challenging because these diseases have been primarily studied as
separate entities, and each primary disease may mimic clinical
characteristics of the other disease. Periodontal disease has been
shown to be related to pulpal disease, and pulpal disease may cause
periodontal lesions that behave differently from chronic
destructive periodontitis. Fortunately, the combined
endodontic-periodontic lesions that affect a single tooth can now
be diagnosed and treated successfully, with a predictable prognosis
in most cases.
General
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