An accurate diagnosis of endodontic-periodontal lesions can be confusing because there are some lesions that can present with similar signs and symptoms.
Periodontal disease, endodontic infections, or the combination of the two in the form of endo-perio lesions (EPL) account for almost half of all tooth loss cases. The close anatomical and functional relationship between periodontal and endodontic tissues leads to the development of combined EPL. The pulp and periodontium have similar developmental and anatomic source.
The numerous routes that link the two, together with the remarkably similar microbes in the genesis of both disorders, result in a complicated situation that calls for a multidisciplinary approach. Even after several decades of written descriptions of these lesions, identifying and treating them continue to be a difficulty for practitioners. This article's goal is to provide a thorough analysis of the many components of the merged EPL and to highlight the significance of identifying the problem and implementing the best course of action for treating these difficult circumstances.