The Journal of the American Dental Association
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J Am Dent Assoc, Vol 126, No 4, 473-479.
© 1995 American Dental Association
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Right arrow Periodontics
Journal of the American Dental Association, Vol 126, Issue 4, 473-479
Copyright © 1995 by American Dental Association

CLINICAL PRACTICE

The endodontic-periodontal lesion: a rational approach to treatment



C Solomon, H Chalfin, M Kellert, and P Weseley
Columbia University School of Dental and Oral Surgery, New York, USA.

When a periapical lesion communicates with a deep periodontal pocket, the etiology can be either endodontic or periodontal. This article clarifies the relationship between pulpal and periodontal disease and presents a systematic approach to the diagnosis and management of endodontic-periodontal lesions. It also presents a case that demonstrates the successful treatment of teeth that appear to be hopelessly diseased.




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