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Article: Volume 46 Number 10 Page 930 - November 2019

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  Dent Update 2019; 46: 930-941

Restorative dentistry:  Assessment and Management of Endo-Periodontal Lesions

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Abstract: Endo-periodontal lesions present a number of challenges for clinicians. These include understanding their underlying aetiology, forming an accurate diagnosis and suitable prognosis and subsequently formulating an effective treatment strategy. This article aims to provide a summary of the literature available in the areas highlighted above, with particular reference to the recent joint American Academy of Periodontology and European Federation of Periodontology (AAP/EFP) world workshop for classification of periodontal and peri-implant diseases.

Clinical relevance: This paper outlines important aspects a clinician must consider, including anatomy, a systematic methodology for assessment and introduction of the new classification of periodontal diseases in diagnosis. Prognosis and formulation of appropriate management strategies are explored.

Author notes: Philippa Hoyle, BChD(Hons), MJDF RCS(Eng), Specialty Registrar in Restorative Dentistry, Charles Clifford Dental Hospital, Sheffield (email:, Manoj Tank, BDS(Brist), MJDF RCS(Eng), MClinDent(Perio), MPerio RCS(Edin), Specialist in Periodontics, Private Practice, Surrey, Hampshire and Wiltshire, Somayeh Modarres-Simmons, BDS(Lon), Dip Endo(Lon), MClinDent(Endo), MEndo RCS(Edin), Specialist in Endodontics, Private Practice, Surrey and Hampshire and Claire Annabel Storey, BDS, MFDS, MSc(Rest Dent), MRes FDS RCS(Eng), Consultant in Restorative Dentistry, Charles Clifford Dental Hospital, Sheffield, Wellesley Road, Sheffield, S10 2SZ, UK.

Objective: To recognize the clinical manifestations of endo-periodontal lesions and, through the use of systematic assessment methods, reach a definitive diagnosis.

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