Periodontol 2000. 2017 Jun;74(1):11-39. doi: 10.1111/prd.12188.
Endodontic-periodontal lesions present challenges to the clinician regarding diagnosis, treatment planning and prognosis. Etiologic factors, such as bacteria and viruses, as well as contributing factors, such as trauma, root resorptions, perforations, cracks and dental malformations, play an important role in the development and progression of such lesions. Treatment and prognosis of endodontic-periodontal lesions vary, depending on the etiology, pathogenesis and correct diagnosis of each specific condition. This chapter will appraise the interrelationship between endodontic and periodontal lesions and provide biological and clinical evidence for diagnosis, prognosis and decision-making in the treatment of these conditions.
牙髓-牙周病损给临床医生在诊断、治疗计划和预后方面带来了挑战。病因因素,如细菌和病毒,以及促成因素,如创伤、牙根吸收、穿孔、裂缝和牙齿畸形,在这些病损的发展和进展中起着重要作用。牙髓-牙周病损的治疗和预后因病因、发病机制和每种特定情况的正确诊断而异。本章将评估牙髓和牙周病损之间的相互关系,并为这些疾病的诊断、预后和治疗决策提供生物学和临床证据。