Article: Volume 46 Number 8 Page 738 - September 2019

  Dent Update 2019; 46: 738-740  Read article

Case report:  An Unusual Presentation of a Periodontal-Endodontic Lesion

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Abstract: Periodontal-endodontic (perio-endo) lesions involve pulpal and periodontal disease in the same tooth and are seen routinely by dental practitioners. An unusual presentation of a perio-endo lesion in the lower left mandible is demonstrated. It caused significant buccal expansion and perforation of the lingual plate, and was provisionally diagnosed as a malignancy.

Clinical relevance: This case has highlighted the need for clinicians to be aware of the unusual way that periodontal-endodontic lesions may present both clinically and radiographically.

Author notes: Olivia Johnson King, BSc(Hons), BDS(Hons), MFDS RCS(Edin), Dental Core Trainee in Oral Surgery and Clare Steel, BDS, MFDS RCS(Edin), MOralSurg RCS(Eng), Consultant in Oral Surgery, Eastman Dental Hospital, 256 Gray’s Inn Road, London WC1X 8LD, UK, (email:

Objective: To understand the pathophysiology of periodontal-endodontic lesions and the clinical implications of these lesions on the patient. Enhanced CPD DO C


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