Abstract

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.

Key points

  • Survival rates of endodontic-periodontal lesion-affected teeth are over 85% at five years. As such, attempts should be made to preserve these teeth where possible.
  • A staged management approach is often appropriate, where non-surgical root canal treatment and subgingival instrumentation is indicated if there are no significant root fractures, perforations or resorptive lesions.
  • Specialist referral is often required due to the need for the use of a dental operating microscope and/or surgical management.
s41415-025-8327-xDownload