Endoperiodontal lesions: diagnosis first, then treatment and not always tooth extraction: a cross-sectional survey in Spain and a proposal of a clinical treatment protocol
Fecha
2024-01-02Autor
García-Tuñon, Paula
Lafuente Ibáñez de Mendoza, Irene
Estefanía Fresco, Ruth
Marichalar Mendia, Xabier
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Journal of Clinical and Experimental Dentistry. 16(1) : 32-41 (2024)
Resumen
Background: Endoperiodontal lesion (EPL) is defined as a pathological communication between pulpal and periodontal
tissues. Currently, accurate diagnosis and treatment of this pathology are challenging. This study aims to
identify the different endoperiodontal therapies to propose a clinical protocol to simplify and unify the criteria for
EPL treatment.
Material and Methods: Observational cross-sectional study through an electronic survey. This study matches
STROBE guidelines. The anonymous questionnaire contained open-ended and close-ended questions and was
distributed to dentistry professors of the UPV/EHU and different professionals from Spanish associations and
scientific societies. The data collected were analyzed using descriptive and analytical statistics.
Results: A total of 128 responses were obtained, of which 120 were active professionals or had not been so for less
than 5 years. The majority of professionals were women (65.6%) and from the Basque Country (63.9%). A total
of 86.6% reported having complementary studies to a degree or a bachelor’s degree. The treatments performed by
these professionals were similar to those reported in the literature, which started with root canal treatment when
there was an endodontic origin (91.5%), and with basic periodontal treatment when periodontal (51.3%).
Conclusions: Considering the current scientific evidence and the clinical practice of professionals in the treatment of
EPL, we designed a clinical protocol. This protocol needs validation in larger populations and with longer follow-ups.