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J Clin Periodontol. 2002 Aug;29(8):663-71.

Pathologic interactions in pulpal and periodontal tissues.

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Columbia University, School of Dental and Oral Surgery, Division of Endodontics, New York, NY 10032, USA.


Both endodontic and periodontal disease are caused by a mixed anaerobic infection. The pathways for the spread of bacteria between pulpal and periodontal tissues have been discussed with controversy. This article is an attempt to provide a rational approach to the perio-endo/endo-perio question based on a review of the relevant literature. In the light of evidence, clinical concepts for the diagnosis and treatment of lesions involving both periodontal and pulpal tissues are discussed.

[Indexed for MEDLINE]

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