Endodontic Periodontal lesions

There is an intimate anatomic and vascular connections between the pulp and the periodontium of teeth. If problem occurs in any of the structure it may lead to loss of the tooth and its surrounding structure. To diagnose and differentiate between pathology of the pulp and periodontium often challenging. Caries, restorative procedures, chemical and thermal insults, trauma, and periodontal disease leads to degeneration of the pulp tissue which may reach the supporting periodontium, leading to bone loss, tooth mobility, and sometimes sinus tract formation. If this occurs in the apical region, a periradicular lesion forms. If this occurs with crestal extension of the inflammation, a retrograde periodontitis or reverse pocket is formed. This book"endodontic periodontal relationships" basically deals with the intercommunication between pulpal and periodontal tissues,the effects of pulpal disease on the periodontium, periodontal disease and its effects on the pulp, and the classification, differential diagnosis, and management and prognosis of endodontic and periodontal problems.