Hemisection a Preservative Approach to Endodontic-Periodontic Lesion

There is a close ontogenetic relationship between apical for a men and accessory and lateral canals with surrounding periodontal tissue. Clinically, this relationship promotes the spread of infection, potentially resulting in typical manifestations of endo–perio osseous lesions. 

Endodontic-Periodontic Lesion
Successful treatment of endo-perio lesions depends on, understanding the pathogenesis, clinical and radiographic manifestations of endodontic and periodontic lesions. True-combined lesions are treated initially as primary endodontic lesions with secondary periodontal involvement, where the treatment and prognosis depends on the degree of involvement of tissue. In such types of lesion, root amputation, hemisection or separation can be considered as a treatment alternative if not all roots are severely involved. The main advantage of such treatment is the conversion of furcation involved multirooted tooth to non-furcated single-root teeth and provide favourable environment for oral hygiene.  PDF LINK>>>>>>>>>>>

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