GİZEM İNCE KUKA, Güher BARUT, HARE GÜRSOY

Classification and current treatment options of endo-perio lesions

Diş ve çevre dokuları incelendiğinde, kök kanallarının ve periodonsiyumun birbiriyle yakın ilişki içinde olduğu belirlenmiştir. Pulpa dokusu ve periodontal ligament arasında anatomik yapılar ve fizyolojik olmayan yollar aracılığıyla enfeksiyon geçişleri olabilmektedir. Bunun sonucunda oluşan endo-perio lezyonlarının teşhisi ve prognozu klinisyenleri oldukça zorlamaktadır. Bu lezyonların etiyolojisinin anlaşılması, tedavi seçeneklerinin zamanlaması ve sıralaması açısından büyük önem taşımaktadır. Birçok vakada endodontik veya periodontal tedavi tek başına yeterli olurken, ikincil olarak endodontik veya periodontal lezyonlar eklendiğinde veya gerçek kombine lezyonların varlığında daha karmaşık tedavi seçeneklerine ihtiyaç duyulmaktadır. Endo-perio lezyonlarının tedavi protokolleri konusunda literatürde yeterli bilgi bulunmamakla birlikte, bu derlemenin amacı güncel ve ileri tedavi planlamalarına dikkat çekmektir.

Endo-perio lesions Endo-perio lezyonların sınıflaması ve güncel tedavi seçenekleri

The root canal and periodontium are in a close relation with each other and cross infection between dental pulp tissue and periodontal ligament may occur by the anatomical structures and non-physiological pathways. Endo-perio lesions are challenging for the clinicians in terms of diagnosis and prognosis. It is important to understand the etiology of the lesions to determine the timing and ordering the treatment procedures. In some cases, endodontic or periodontal treatment is sufficient alone while secondary involvement of endodontic or periodontal lesions or true combined lesions are required more complicated treatment options. There is a lack of knowledge about the treatment protocols concerning endo-perio lesions therefore this review aims to highlight the current and advanced treatment strategies.

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