Endo-periodontal Lesions (14.30-15.30)
- The structural and functional relation between endodontium and periodontium is a prerequisite for existence of separate group of “border” or combined lesions the diagnosis and treatment of which often hinder the general dentist. The educational goal of the lesson is to familiarize the audience with the anatomical, physiological and iatrogenic ways and prerequisites for development of combined diseases of endodontium and periodontium, their microbiological component and specific clinical expression. Special attention is paid to the diagnosis and differential diagnosis, made on the basis of modern clinical and paraclinical methods. The conservative, surgical and combined approaches and strategies in the treatment of periodontal lesions with secondary endodontic involvement, endodontic lesions with secondary periodontal involvement, simultaneous endodontic and periodontal lesions and iatrogenic lesions are presented in a systematic way. Some modern treatment modalities that could improve the prognosis of the combined diseases of endodontium and periodontium like ozone therapy, the application of lasers and photodynamic therapy are commented in a critical point of view. The lesson is richly illustrated with more than 30 clinical cases of the author.