What are the common symptoms of endo-perio lesions?
Common symptoms of endo-perio lesions include tooth pain, swelling or abscess formation, increased tooth mobility, pus discharge, gum inflammation, and sensitivity to hot or cold. Patients may also experience discomfort during chewing and the presence of a sinus tract.
How are endo-perio lesions diagnosed and treated?
Endo-perio lesions are diagnosed through clinical examination, radiographic analysis, pulp vitality tests, and periodontal probing. Treatment involves endodontic therapy for the root canal aspect and periodontal treatment such as scaling, root planing, and possible surgical intervention for the periodontal component. Collaboration between endodontists and periodontists may be required.
Can endo-perio lesions cause tooth loss if left untreated?
Yes, endo-perio lesions can lead to tooth loss if left untreated. The infection and inflammation can progressively damage the surrounding periodontal structures and the tooth's pulp, ultimately compromising the tooth's stability and potentially leading to tooth loss.
What causes endo-perio lesions to develop?
Endo-perio lesions develop due to the interrelationship between endodontic and periodontal pathways, often caused by infections, trauma, or inflammation. Conditions like deep periodontal pockets, root fractures, or untreated dental pulp necrosis can facilitate the spread of infection between the pulp and periodontal tissues, leading to these lesions.
How can endo-perio lesions be prevented?
Endo-perio lesions can be prevented by maintaining good oral hygiene, regular dental check-ups, and professional cleanings. Prompt treatment of dental caries and periodontal diseases is essential. Additionally, proper endodontic procedures and appropriate management of trauma to teeth reduce the risk. Implementing a balanced diet and avoiding harmful habits like smoking also helps.