DOI:

10.37988/1811-153X_2023_4_18

Treatment, prevention and outcomes of endo-periodontal lesions: a modern view

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Authors

  • D.A. Moiseev 1, PhD in Medical Sciences, head of the Simulation technologies in dentistry Lab
    ORCID: 0000-0001-7811-7741
  • I.S. Kopetsky 1, PhD in Medical Sciences, professor of the Therapeutic dentistry Department, director of the Institute of Dentistry
    ORCID: 0000-0002-4723-6067
  • I.A. Nikolskaya 1, PhD in Medical Sciences, professor of the Therapeutic dentistry Department
    ORCID: 0000-0001-8042-2884
  • O.Yu. Guseva 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
  • E.G. Mikhailova 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
    ORCID: 0000-0003-4985-9441
  • D.A. Eremin 1, PhD in Medical Sciences, assistant professor and head of the Maxillofacial dentistry Department
    ORCID: 0000-0003-4077-6359
  • N.N. Patrakova 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
    ORCID: 0009-0005-2019-4636
  • I.V. Pogabalo 1, PhD in Medical Sciences, full professor of the Therapeutic dentistry Department
    ORCID: 0000-0002-3106-6710
  • A.A. Ogloblin 1, senior laboratory technician at the Therapeutic dentistry Department
    ORCID: 0009-0001-4662-6338
  • 1 Pirogov Russian National Research Medical University, 119571, Moscow, Russia

Abstract

Endo-periodontal lesions (EPL) are clinical conditions involving both the tooth pulp and periodontal tissues in the pathological process. There is insufficient data on the effectiveness of the use of different protocols for the treatment and prevention of EPL, there are no diagnostic algorithms that allow the doctor to correctly diagnose. Prognosis plays a key role in treatment planning. The purpose of the study: to summarize the available data on modern methods of treatment and prevention, prognosis of the course and outcomes of EPL.
Materials and methods.
A systematic review of the literature data was carried out, 1721 publications were found, presented in international electronic databases: PubMed, Google Search, Ebsco, Embase, Web of Science, ScienceDirect, SciELO and eLibrary from 2000 to 2023. Based on the selection criteria, 54 publications were selected, which included the results of studying the diagnosis, treatment and prevention, prediction and outcomes of EPL. The methodology of this study meets the requirements for systematic reviews and meta-analyses of «PRISMA».
Results.
Traditional protocols are described, as well as modern approaches to the treatment and prevention of EPL. Special attention is paid to the prediction of the development and outcomes of EPL; prognostic criteria and factors that worsen the outcome of EPL treatment are highlighted.
Conclusion.
The presented detailed systematic analysis showed that the problems of treatment and prevention, prediction and outcomes of EPL are insufficiently studied and represent a difficult task for clinicians. The data obtained during the study can help practicing dentists in determining the prognosis of EPL and the development of comprehensive therapeutic and preventive measures.

Key words:

pulp, periodontal disease, periodontitis, pulpitis, endo-periodontal lesions, treatment, prevention, diagnosis, prognosis

For Citation

[1]
Moiseev D.A., Kopetsky I.S., Nikolskaya I.A., Guseva O.Yu., Mikhailova E.G., Eremin D.A., Patrakova N.N., Pogabalo I.V., Ogloblin A.A. Treatment, prevention and outcomes of endo-periodontal lesions: a modern view. Clinical Dentistry (Russia).  2024; 26 (4): 18—28. DOI: 10.37988/1811-153X_2023_4_18

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Received

July 13, 2023

Accepted

November 21, 2023

Published on

January 16, 2024