Main reason of the origin of combined disorders endodont and parodont supporting teeth in the system of functioning fixed designs
https://doi.org/10.36377/ET-0140
Abstract
AIM. To determine the etiological factors responsible for the development and progression of combined endodontic-periodontal lesions in abutment teeth supporting functioning fixed prosthetic restorations.
MATERIALS AND METHODS. A total of 88 patients with combined endodontic-periodontal involvement of abutment teeth under functioning fixed prosthetic constructions were clinically examined. The etiological structure of these complex lesions was assessed through a comprehensive approach that included clinical, paraclinical, and statistical methods of investigation.
RESULTS. Analysis revealed several predisposing factors strongly associated with combined endodontic-periodontal lesions beneath fixed prostheses. Deep periodontal pockets exceeding 5 mm, together with chronic destructive periapical processes and advanced alveolar bone resorption, were the most critical contributors. In most cases, lesions were classified as granulomatous periodontitis with a diameter greater than 5 mm. These were accompanied by disturbances in periodontal microcirculation, further accelerating tissue breakdown. The identification of such factors underscores their practical relevance for clinical decision-making in prosthodontics.
CONCLUSIONS. Combined endodontic-periodontal lesions are characterized by diffuse inflammatory destruction of alveolar bone tissue in the projection area of fixed prosthetic constructions. The pathological process is accompanied by a mixed type of resorption involving both interproximal and interradicular septa of teeth serving as abutments.
About the Authors
A. R. Zaripov
Avicenna Tajik State Medical University
Tajikistan
Competing Interests:
Tajikistan
Akbar R. Zaripov – Cand. Sci. (Med.), Associate Professor, Head of the Department of Prosthetic Dentistry
29-31 Sino Str., Dist. Sino, Dushanbe 734003, Republic of Tajikistan
Competing Interests:
The authors report no conflict of interest.
M. A. Esanov
Avicenna Tajik State Medical University
Tajikistan
Competing Interests:
Tajikistan
Mullokhasan A. Esanov – Postgraduate Student of the Department of Prosthetic Dentistry
29-31 Sino Str., Dist. Sino, Dushanbe 734003, Republic of Tajikistan
Competing Interests:
The authors report no conflict of interest.
K. S. Sharipov
Avicenna Tajik State Medical University
Tajikistan
Competing Interests:
Tajikistan
Khurshed S. Sharipov – Cand. Sci. (Med.), Associate Professor of the Department of Prosthetic Dentistry
29-31 Sino Str., Dist. Sino, Dushanbe 734003, Republic of Tajikistan
Competing Interests:
The authors report no conflict of interest.
G. G. Ashurov
Institute of Postgraduate Education in Health Sphere of the Republic of Tajikistan
Tajikistan
Competing Interests:
Tajikistan
Gayur G. Ashurov – Dr. Sci. (Med.), Professor, Head of the Department of Therapeutic Dentistry
59 Somoni Ave, Dushanbe, 734026, Republic of Tajikistan
Competing Interests:
The authors report no conflict of interest.
M. R. Gurezov
Institute of Postgraduate Education in Health Sphere of the Republic of Tajikistan
Tajikistan
Competing Interests:
Tajikistan
Makhmud R. Gurezov – Cand. Sci. (Med.), Associate Professor of the Department of Therapeutic Dentistry
59 Somoni Ave, Dushanbe, 734026, Republic of Tajikistan
Competing Interests:
The authors report no conflict of interest.
A. S. Abdullayev
Samarkand State Medical University
Uzbekistan
Competing Interests:
Uzbekistan
Afzal S. Abdullayev – Cand. Sci. (Med.), Associate Professor, Department of Maxillofacial Surgery
18 Amir Temur ko’chasi Str., Samarqand, 140100, Republic of Uzbekistan
Competing Interests:
The authors report no conflict of interest.
References
1. Iordanishvili A.K., Moroz P.V. Endodontic-parodontal diseases at adults. Bulletin of the Russian Military Medical Academy. 2017;(1):24–27. (In Russ.) Available at: https://journals.eco-vector.com/1682-7392/article/view/12161 (accessed: 13.05.2025).
2. Ashurov G.G., Mukhidinov Sh.D., Tagaeva Sh.O., Ismoilov A.A., Karimov S.M. Clinical and X-ray indices of periodontal and periapical tissues of endontical healed tooth in patients with endodonto-periodontal complications. Avicenna Bulletin. 2019;21(3):443–449. (In Russ.) https://doi.org/10.25005/2074-0581-2019-21-3-443-449
3. Mitronin A.V., Popova V.M., Dashkova O.P., Galieva D.T., Belozerova N.N. Long-term effects of endodontic treatment et endo-perio disease. Endodontics Today. 2017;15(2):37–40. (In Russ.) Available at: https://www.endodont.ru/jour/article/view/65 (accessed: 13.05.2025).
4. Mukhidinov Sh.D., Karimov S.M., Sultanov M.Sh. Analytical estimation of etiopathogenetic mechanism of the development of endo-periapical defeat. Herald of the Institute of Postgraduate Education in Health Sphere. 2019;(1):92–95. (In Russ.)
5. Tagaeva Sh.O. Results of the using autoplasma, saturated trobocity in complex therapy of combined endoperio lesions. Herald of the Institute of Postgraduate Education in Health Sphere. 2021;(2):68–74. (In Russ.)
6. Tagaeva Sh.O. Situational estimation of quality endodontic’s treatments beside patient with combined endo-parodontal defeat. Herald of the Institute of Postgraduate Education in Health Sphere. 2018;(3):69–72. (In Russ.)
7. Tagaeva Sh.O., Takhtakhodzhaeva S.T. Results of the examination and treatment of endo-perio lesions using of cone-beam computerized tomography. Herald of the Institute of Postgraduate Education in Health Sphere. 2018;(1):76–80. (In Russ.)
8. Abbott P. Endodontic management of combined endodontic-periodontal lesions. J N Z Soc Periodontol. 1998;(83):15–28.
9. Belk C.E., Gutmann J.L. Perspectives, controversies and directives on pulpal-periodontal relationships. J Can Dent Assoc. 1990;56(11):1013–1037.
10. Clarke N.G. Periodontal defects of pulpal origin: evidence in early man. Am J Phys Anthropol. 1990;82(3):371–376. https://doi.org/10.1002/ajpa.1330820312
11. Guldener PH. The relationship between periodontal and pulpal disease. Int Endod J. 1985;18(1):41–54. https://doi.org/10.1111/j.1365-2591.1985.tb00417.x
12. Gunter S. Endo perio lesions: background and case reports. Dental IQ. 2019;2:66–73.
13. Hiatt W.H. Pulpal periodontal disease. J Periodontol. 1977;48(9):598–609. https://doi.org/10.1902/jop.1977.48.9.598
14. Trabert K.C., Kang M.K. Diagnosis and management of endodontic-periodontic lesions. 11 th ed. St. Louis: Elsevier; 2022. 312 p.
15. Zehnder M., Gold S.I., Hasselgren G. Pathologic interactions in pulpal and periodontal tissues. J Clin Periodontol. 2002;29(8):663–671. https://doi.org/10.1034/j.1600-051x.2002.290801.x
Review
For citations:
Zaripov A.R., Esanov M.A., Sharipov K.S., Ashurov G.G., Gurezov M.R., Abdullayev A.S. Main reason of the origin of combined disorders endodont and parodont supporting teeth in the system of functioning fixed designs. Endodontics Today. https://doi.org/10.36377/ET-0140
Email this article 