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Table of Contents
Intro; Contents; 1: Lesions of Endodontic Periodontal Origin; References; 2: Etiology and Classification of Endodontic-Periodontal Lesions; 2.1 Introduction; 2.2 Pulpal-Periodontal Routes of Communication; 2.3 The Etiology of Endodontic-Periodontal Lesions; 2.4 Traditional Classifications of Endodontic-Periodontal Lesions; 2.5 Conclusions; References; 3: Endodontic Considerations in the Management of Endodontic-Periodontal Lesions; 3.1 Endodontic Diagnosis: Getting to the "Root" of the Problem; 3.1.1 Medical and Dental History; 3.1.2 Clinical Exam
3.1.3 Endodontic Only or Periodontic Only Lesions3.2 Pulpodentinal Complex; 3.2.1 Dentin Permeability; 3.2.2 Tertiary Dentinogenesis; 3.3 Endo-Perio Lesions; 3.3.1 Advanced Periodontal Disease Causing Pulp Necrosis; 3.4 Endodontic Conditions that Often Involve Periodontal Surgical Intervention; 3.4.1 Perforation; 3.4.2 Recurrent Endodontic Disease; 3.4.3 Split Root and Vertical Root Fracture; 3.4.4 External Cervical Resorption; 3.4.5 Large PA Lesion Treated with Decompression; 3.4.6 Intentional Replantation; 3.4.7 Palatal Radicular Groove
3.5 Other Rare Endodontic Conditions that may Involve Periodontal Structures3.5.1 Pulse Granuloma; 3.5.2 Cemental Tear; 3.5.3 Transient Apical Breakdown and Periapical Cemento-Osseous Dysplasia; 3.6 Summary; 3.6.1 Conclusions; References; 4: Prosthetic Considerations in the Management of Endodontic-Periodontal Lesions; 4.1 Introduction; 4.2 Direct vs. Indirect Restoration; 4.3 Restorations Scheduling and Features; 4.4 Conclusion and Clinical Recommendations; References; 5: Endodontic-Periodontal Lesions: Periodontal Aspects; 5.1 Introduction; 5.2 Purely Periodontal Lesion
5.3 Purely Endodontic Lesion5.4 Endodontic-Periodontal Lesion; 5.5 Conclusions; References; 6: Modern Clinical Procedures in Periodontal Reconstructive Treatment; 6.1 Introduction; 6.2 Biologic Background for Periodontal Regeneration; 6.3 Clinical Outcome; 6.4 Clinical Aspects; 6.4.1 Patient Characteristics; 6.4.2 Defect Configuration; 6.4.3 Tooth Mobility; 6.5 Surgical Technique; 6.5.1 Soft Tissue Considerations; 6.5.2 Combination Therapies; 6.5.3 Free Connective Tissue Grafts in Periodontal Regenerative Procedures; 6.6 Follow-Up and Maintenance
6.7 Endodontic-Periodontal Lesions6.8 Conclusions; References; 7: VRF as an Endodontic Periodontal Lesion; 7.1 Introduction; 7.2 Categorization, Susceptible Teeth, and Clinical Presentation; 7.3 Etiology; 7.4 The Pathogenesis-Histopathology; 7.5 Diagnosis; 7.6 Histopathology; 7.7 Microbiology; 7.8 Management; 7.9 Conclusions; References; 8: Treatment Alternatives Following Extraction of Teeth with Periodontal-Endodontic Lesions; 8.1 Introduction; 8.2 Treatment Alternatives; 8.2.1 Immediate Implant Placement; 8.2.1.1 Primary Soft Tissue Coverage on Immediate Implants Sites; 8.2.2 Early Implant Placement
3.1.3 Endodontic Only or Periodontic Only Lesions3.2 Pulpodentinal Complex; 3.2.1 Dentin Permeability; 3.2.2 Tertiary Dentinogenesis; 3.3 Endo-Perio Lesions; 3.3.1 Advanced Periodontal Disease Causing Pulp Necrosis; 3.4 Endodontic Conditions that Often Involve Periodontal Surgical Intervention; 3.4.1 Perforation; 3.4.2 Recurrent Endodontic Disease; 3.4.3 Split Root and Vertical Root Fracture; 3.4.4 External Cervical Resorption; 3.4.5 Large PA Lesion Treated with Decompression; 3.4.6 Intentional Replantation; 3.4.7 Palatal Radicular Groove
3.5 Other Rare Endodontic Conditions that may Involve Periodontal Structures3.5.1 Pulse Granuloma; 3.5.2 Cemental Tear; 3.5.3 Transient Apical Breakdown and Periapical Cemento-Osseous Dysplasia; 3.6 Summary; 3.6.1 Conclusions; References; 4: Prosthetic Considerations in the Management of Endodontic-Periodontal Lesions; 4.1 Introduction; 4.2 Direct vs. Indirect Restoration; 4.3 Restorations Scheduling and Features; 4.4 Conclusion and Clinical Recommendations; References; 5: Endodontic-Periodontal Lesions: Periodontal Aspects; 5.1 Introduction; 5.2 Purely Periodontal Lesion
5.3 Purely Endodontic Lesion5.4 Endodontic-Periodontal Lesion; 5.5 Conclusions; References; 6: Modern Clinical Procedures in Periodontal Reconstructive Treatment; 6.1 Introduction; 6.2 Biologic Background for Periodontal Regeneration; 6.3 Clinical Outcome; 6.4 Clinical Aspects; 6.4.1 Patient Characteristics; 6.4.2 Defect Configuration; 6.4.3 Tooth Mobility; 6.5 Surgical Technique; 6.5.1 Soft Tissue Considerations; 6.5.2 Combination Therapies; 6.5.3 Free Connective Tissue Grafts in Periodontal Regenerative Procedures; 6.6 Follow-Up and Maintenance
6.7 Endodontic-Periodontal Lesions6.8 Conclusions; References; 7: VRF as an Endodontic Periodontal Lesion; 7.1 Introduction; 7.2 Categorization, Susceptible Teeth, and Clinical Presentation; 7.3 Etiology; 7.4 The Pathogenesis-Histopathology; 7.5 Diagnosis; 7.6 Histopathology; 7.7 Microbiology; 7.8 Management; 7.9 Conclusions; References; 8: Treatment Alternatives Following Extraction of Teeth with Periodontal-Endodontic Lesions; 8.1 Introduction; 8.2 Treatment Alternatives; 8.2.1 Immediate Implant Placement; 8.2.1.1 Primary Soft Tissue Coverage on Immediate Implants Sites; 8.2.2 Early Implant Placement