What Is an Endo-Perio Lesion?

An Endo-Perio lesion is a complex dental condition involving both the tooth pulp (endodontic infection) and the supporting gum and bone structures (periodontal disease). These lesions require a combined and carefully planned treatment approach to successfully save the affected tooth.

At Scientific Dental Clinic, Endo-Perio lesions are diagnosed accurately and managed using evidence-based techniques to restore oral health.

Causes of Endo-Perio Lesions

Endo-Perio lesions may develop due to:

• Deep tooth decay reaching the pulp
• Untreated or failed root canal treatment
• Advanced gum disease
• Cracks or fractures in the tooth
• Accessory canals connecting pulp and gums Trauma to the tooth

Early diagnosis is essential for successful treatment.

Signs & Symptoms

Common symptoms include:

  Persistent tooth pain

  Gum swelling or abscess near the tooth

  Deep periodontal pockets

  Pus discharge

  Tooth mobility

  Sensitivity to chewing or pressure

Dental X-rays and clinical tests help confirm the diagnosis.

Treatment Approach

Management depends on the primary source of infection:

Endodontic Phase (Root Canal Treatment)

• Removal of infected pulp
• Disinfection of root canals
• Sealing to prevent reinfection

Periodontal Phase

• Scaling and root planing
• Gum therapy or surgery if required
• Control of infection and inflammation

Treatment is usually done in stages, with close monitoring of healing.

Benefits of Endo-Perio Lesion Management

– Preserves the natural tooth

– Eliminates infection

– Reduces pain and inflammation

– Improves gum and bone health  

– Prevents tooth extraction

Timely treatment significantly improves prognosis.

Healing & Aftercare

After treatment:

• Follow prescribed medications
•  Maintain excellent oral hygiene
•  Avoid chewing on the treated tooth initially
•  Attend follow-up appointments and reviews
•  Consider splinting or restorative support if advised Healing and bone regeneration are monitored over time.

Why Choose Scientific Dental Clinic?

 – Expertise in both endodontic and periodontal care

 – Accurate diagnosis with advanced imaging

 – Step-by-step, conservative treatment approach

 – High standards of hygiene and patient safety

 – Focus on saving natural teeth whenever possible

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Experiencing tooth pain or gum infection?

Contact our dental care team for a detailed evaluation and timely treatment.