The endo-perio dilemma: Challenges and treatment approaches- A narrative review

• Author Details:   
• Sandip D Patil ^*
• Himani Patel
• Shivshankar Mithare
• Bhumika Sahu
• Mrugraj Gaigole

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This review explores the diagnostic challenges, classifications, and treatment modalities associated with endo-perio lesions, with an emphasis on recent advancements in the field. The endodontic-periodontal (endo-perio) dilemma poses significant diagnostic and therapeutic challenges in dental practice due to the intricate interplay between the dental pulp and periodontal tissues. Understanding this relationship is critical for formulating effective treatment plans. A comprehensive review of the literature, including insights from foundational studies and recent advancements, was conducted. Topics addressed include etiology, pathophysiology, classification, diagnostic strategies, and treatment modalities for endo-perio lesions. Effective management of endo-perio lesions requires an integrated clinical, radiographic, and microbiological approach. Emerging technologies such as cone-beam computed tomography (CBCT), photodynamic therapy (PDT), and stem cell applications offer promising outcomes. The review highlights the complex interrelationship between pulp and periodontal tissues, emphasizing how each influences the other during disease progression. A multidisciplinary approach incorporating advanced diagnostic tools and innovative therapies is essential to address the complexities of endo-perio lesions and improve treatment outcomes.

Keywords: Endo-perio lesions, Pulp-periodontal interactions, Diagnosis, Regenerative therapies, CBCT, Stem cells