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Review | Open Access

Expert consensus on the diagnosis and therapy of endo-periodontal lesions

Bin Chen1 , Yanan Zhu2, Minkui Lin3, Yangheng Zhang1, Yanfen Li1, Xiangying Ouyang4, Song Ge5 , Jiang Lin6 , Yaping Pan7 , Yan Xu8, Yi Ding9, Shaohua Ge10 , Faming Chen11 , Zhongchen Song12, Shaoyun Jiang13, Jiang Sun14, Lijun Luo15, Junqi Ling16, Zhi Chen17 , Lin Yue18, Xuedong Zhou19( ), Fuhua Yan1 ( )
Department of Periodontology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, China
Department of Endodontics, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, China
Clinical Research Center for Oral Tissue Deficiency Diseases of Fujian Province & Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
Department of Periodontology, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
School and Hospital of Stomatology, Zunyi Medical University, Zunyi, China
Department of Stomatology, Beijing TongRen Hospital, Capital Medical University, Beijing, China
Department of Periodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China
Department of Periodontology, The Affiliated Stomatological Hospital of Nanjing Medical University, Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, China
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
Department of Periodontology, School and Hospital of Stomatology, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases Jinan, Jinan, China
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, Department of periodontology, School of Stomatology, The Fourth Military Medical University, Xi’an, China
Department of Periodontology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology, Shanghai, China
Department of Periodontology, Stomatological Center, Peking University Shenzhen Hospital, Shenzhen, China
Dalian Stomatological Hospital, Dalian, China
Department of Periodontology, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China
Department of Operative Dentistry and Endodontics, the Affiliated Stomatological Hospital of the Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China
The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Peking University, Beijing, China
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China

These authors contributed equally: Bin Chen, Yanan Zhu, Minkui Lin

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Abstract

Endo-periodontal lesions (EPLs) involve both the periodontium and pulp tissue and have complicated etiologies and pathogenic mechanisms, including unique anatomical and microbiological characteristics and multiple contributing factors. This etiological complexity leads to difficulties in determining patient prognosis, posing great challenges in clinical practice. Furthermore, EPL-affected teeth require multidisciplinary therapy, including periodontal therapy, endodontic therapy and others, but there is still much debate about the appropriate timing of periodontal therapy and root canal therapy. By compiling the most recent findings on the etiology, pathogenesis, clinical characteristics, diagnosis, therapy, and prognosis of EPL-affected teeth, this consensus sought to support clinicians in making the best possible treatment decisions based on both biological and clinical evidence.

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International Journal of Oral Science
Volume 16 Issue 3,
September 2024
Article number: 55
DOI: 10.1038/s41368-024-00320-0

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Cite this article:
Chen B, Zhu Y, Lin M, et al. Expert consensus on the diagnosis and therapy of endo-periodontal lesions. International Journal of Oral Science, 2024, 16(3): 55. https://doi.org/10.1038/s41368-024-00320-0

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Received: 24 March 2024
Revised: 18 June 2024
Accepted: 03 July 2024
Published: 01 September 2024
© The Author(s) 2024

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