Literature review on endoperiodontal lesions: diagnosis, treatment and prognosis

Endoperiodontal lesions represent a pathological communication between the dental pulp and the periodontium, characterized by diagnostic and prognostic complexity due to contributing factors such as failed endodontic treatments, marginal leakage, and trauma. These lesions may originate from a necrotic pulp affecting the periodontium or from a periodontal pocket invading the pulp. Treatment varies depending on the specific characteristics of each case but generally involves endodontic, periodontal, or combined interventions. Objective: To study the diagnosis, treatment, and prognosis of endoperiodontal diseases.Materials and Methods:A bibliographic review was conducted using specialized books and scientific databases such as Google Scholar, PubMed, and EBSCOhost.Results: Periodontal therapy performed simultaneously with endodontic therapy proved effective in the treatment of endo-periodontal lesions. However, the success rate can increase when techniques such as PRF-TPRF, GTR, diode laser application, and root canal obturation with MTA are added to the treatment.