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Chapter-22 Endodontic Periodontic Interrelationship

BOOK TITLE: Review of Endodontics and Operative Dentistry

Author
1. Garg Nisha
2. Garg Amit
ISBN
9788184483864
DOI
10.5005/jp/books/10735_22
Edition
1/e
Publishing Year
2008
Pages
4
Author Affiliations
1. Ex-Resident, Government Dental College, Patiala, Presently at, Manav Rachna Dental College, Faridabad, Haryana, India, Manav Rachna Dental College, Faridabad, Haryana, India, Government Dental College, Patiala, Sri Sukhmani Dental College and Hospital, Dera Bassi, Mohali, Punjab, India, Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, India
2. Government Dental College, PGIMS, Rohtak, Haryana, India, Manav Rachna Dental College, Faridabad, Haryana, India, Sri Sukhmani Dental College and Hospital, Dera Bassi, Mohali, Punjab, India, Fortis Escorts Heart Institute, New Delhi, India, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York, USA, Perfect Teeth Dental Clinic and Facial Aesthetics Centre, Mohali, Punjab, India, tricitybestdental.in
Chapter keywords

Abstract

The periodontium consists of gingiva, cementum, periodontal ligament and alveolar bone. This is the fact that the periodontium is anatomically interrelated with dental pulp by virtue of apical foramina and lateral canals which create pathways for exchange of noxious agents between these two tissues. When the pulp becomes infected, the disease can progress beyond the apical foramen and affects the PDL. The inflammatory process results in formation of inflammatory tissue, which if not treated can result in resorption of alveolar bone, cementum and dentin. When examining and treating the combined or individual endodontic and periodontal lesions, the clinician must bear in mind that successful treatment depends on a correct diagnosis. Lesion with a combined cause will requires both endodontic and periodontal therapy and endodontic therapy should usually be completed first.

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