Endodontic/Periodontic Interrelationships 2011

Objectives and Goals

  • Be familiar with endo/perio lesions and their diagnosis, treatment, prognosis.
  • Be aware of the effect of periapical/pulpal factors on endo/perio conditions.
  • Be aware of similarities and differences in microflora of perio pockets and canal.

Ingle's Endodontics, 6th Edition pp. 638-659.

1          Mazur B, Massler M. Influence of periodontal disease on the dental pulp. Oral Surg 1964;17:592-603.

2          Rubach WC, Mitchell DF. Periodontal disease, age, and pulp status. Oral Surg 1965;19:482-493.

3          Bender IB, Seltzer S. The effect of periodontal disease on the pulp. Oral Surg 1972;33:458-474.

4          Langeland K, Rodrigues H, Dowden W. Periodontal disease, bacteria, and pulpal histopathology. Oral Surg 1974;37:257-270.

5          Kirkham D. The location and incidence of accessory pulpal canals in periodontal pockets. J Am Dent Assoc 1975;91:353-356.

6          Bergenholtz G, Lindhe J. Effect of experimentally induced marginal periodontitis and periodontal scaling on the dental pulp. J Clin Periodontol 1978;5:59-73.

1          Czarnecki RT, Schilder H. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease. J Endod 1979;5:242-253.

2          Harrington GW. The perio-endo question: differential diagnosis. Dent Clin North Am 1979;23:673-690.

3          Filipowicz F, Umstott P, England M. Vital root resection in maxillary molar teeth: A longitudinal study. J Endod 1984;10:264-268.


4          Kobayashi T, Hayashi A, Yoshikawa R, Okuda K, Hara K. The microbial flora from root canals and periodontal pockets of non-vital teeth associated with advanced periodontitis. Int Endod J 1990;23:100-106.

5          Holland R, Filho JAO, Bernabe PFE, Nery MJ, de Souza V, Berbert A. Effect of root canal status on periodontal healing after surgical injury in dogs. Endod Dent Traumatol 1994;10:77-82.

6          Jansson L, Ehnevid H, Lindskog S, Blomlof L. The influence of endodontic infection on progression of marginal bone loss in periodontitis. J Clin Periodontol 1995;22:729-734.

1          Pecora F, Kim S, Celletti R, Davarpanah M. The guided tissue regeneration principle in endodontic surgery: one-year postoperative results of large periapical lesions. Int Endod J 1995;28:41-46.

2          Paul BF, Hutter JW. The endodontic-periodontal continuum revisited: New insights into etiology, diagnosis and treatment. J Am Dent Assoc 1997;128:1541-1548.

3          Rupf S, Kannengiesser S, Merte K, Pfister W, Sigusch B, Eschrich K. Comparison of profiles of key periodontal pathogens in periodontium and endodontium. Endod Dent Traumatol 2000;16:269-275.

4          Stassen IGK, Hommez GMG, De Bruyn H, De Moor RJG. The relation between apical periodontitis and root-filled teeth in patients with periodontal treatment need. Int Endod J 2006;39:299-308.

5          Kim E, Song J-S, Jung I-Y, Lee S-J, Kim S. Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal-endodontic origin. J Endod 2008;34:546-551.

6          Evidence-based review of clinical studies on periodontics. J Endod 2009;35:1135-1138.