Gold S I, Moskow B S
J Clin Periodontol. 1987 May;14(5):251-6. doi: 10.1111/j.1600-051x.1987.tb01528.x.
A series of cases demonstrating the destruction of periapical periodontal structures, without pulpal involvement has been presented. Treatment using both surgery and antibiotics resulted in extensive healing without any concommitant endodontic therapy. The results suggest that lesions affecting the apical periodontium are either periodontal or pulpal in origin. Careful diagnosis allows the maintenance of pulp vitality in cases where apical destruction has a source other than an infected pulp. The commonly held belief that lateral and accessory canals are a significant source of pulpal contamination from deep periodontal pockets has been questioned.
本文呈现了一系列病例，这些病例显示根尖周牙周结构遭到破坏，但牙髓未受影响。采用手术和抗生素治疗后实现了广泛愈合，且未进行任何相应的牙髓治疗。结果表明，影响根尖周组织的病变其起源要么是牙周性的，要么是牙髓性的。仔细诊断可在根尖破坏并非源于感染牙髓的情况下维持牙髓活力。关于侧支根管和副根管是深牙周袋导致牙髓污染的重要来源这一普遍观点受到了质疑。
