牙髓牙周联合病变的处理

Al-Sibassi Ayman, Niazi Sadia Ambreen, Clarke Peter, Adeyemi Adejumoke

School of Dentistry, University of Liverpool, Liverpool, United Kingdom.

Department of Endodontics, Centre of Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King´s College London, London, United Kingdom.

Br Dent J. 2025 Apr;238(7):536-544. doi: 10.1038/s41415-025-8327-x. Epub 2025 Apr 11.

Endodontic-periodontal lesions (EPLs) develop due to the various pathways that allow microbial migration between these two compartments. The authors review the historical and current research on the aetiology, diagnostic pathways, prognostic factors and management strategies for EPLs, emphasising a multidisciplinary approach to managing EPLs. This paper aims to guide clinicians in managing these challenging cases with a combination of endodontic and periodontal therapies.

牙髓牙周联合病变（EPLs）是由于微生物在这两个腔隙之间迁移的多种途径而形成的。作者回顾了关于牙髓牙周联合病变的病因、诊断途径、预后因素和治疗策略的历史及当前研究，强调采用多学科方法来处理牙髓牙周联合病变。本文旨在指导临床医生结合牙髓治疗和牙周治疗来处理这些具有挑战性的病例。