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An endodontic conundrum: the association between pulpal infection and periodontal disease

Lookup NU author(s): Professor Peter Heasman


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This paper reviews the classification of periodontal-endodontic lesions and considers the pathways through which inflammatory lesions or bacteria may communicate between the pulp and the periodontium. Such communications have previously underpinned the classification of periodontal-endodontic lesions but a more up-to-date approach is to focus specifically on those lesions that originate concurrently as pulpal infection (and necrosis) and periodontal disease on the affected teeth. In doing so, both conventional periodontal and endodontic treatments are indicated for the affected teeth, although more complex management strategies may occasionally be indicated.

Publication metadata

Author(s): Heasman PA

Publication type: Article

Publication status: Published

Journal: British Dental Journal

Year: 2014

Volume: 216

Issue: 6

Pages: 275-279

Print publication date: 21/03/2014

ISSN (print): 0007-0610

ISSN (electronic): 1476-5373

Publisher: Nature Publishing Group


DOI: 10.1038/sj.bdj.2014.199


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