Lesâo endo - perio: diagnóstico diferencial E protocolo de tratamento embasado em condutas clínicas atuais - revisão de literatura

Abstract

INTRODUCTION: Periodontal and endodontic diseases can present very similar symptoms, which can make diagnosis and clinical judgment difficult. An accurate diagnosis can help map out the sequence and type of treatment needed. Classifying these diseases helps create a valid grouping, standardizing treatment options, and enabling effective communication between professionals. OBJECTIVES: This study aims to understand, clearly and thoroughly, the causes and ways to correctly differentiate endo-periodontal lesions. It also seeks to gather the most current clinical methods, recommended procedures, and therapeutic approaches that have been used in practice. The intention is to offer dentists information that truly contributes to a more precise diagnosis and the choice of the most appropriate treatment in each situation. METHODOLOGY: The PubMed, Lilacs, Scielo, and Google Scholar databases were used. Initially, 174 studies were identified, of which 13 duplicates were excluded. After a partial reading of 92 studies, 63 did not meet the objectives and were removed. Of the 29 studies analyzed in full, 9 were excluded, resulting in 20 studies that fully met the inclusion criteria. RESULTS: The literature review demonstrates that the ideal treatment involves the association between endodontic and periodontal approaches. CONCLUSION: Even in the face of the challenges posed by endo-periodontal lesions, this literature review offers important alternatives for dentists to conduct treatment effectively. The integration between endodontic and periodontal therapies reduces the need for more invasive treatments, reinforcing the principles of preservation dentistry and increasing the chances of clinical success.