Pulpal and periodontal problems are responsible for more than 50% of tooth mortality today. Endo- Perio lesion can be a challenging case especially when considered in the terms of the origin of the lesion. Combined periodontal and endodontic therapy is essential for the successful healing of a periodontal-endodontic lesion. It has been said that either endodontic or periodontic treatment alone would not lead to a satisfactory prognosis, if both disease entities are present and that both must be considered together. Many dentists consider endodontic and periodontal lesions as separate entities. Combined periodontal-endodontic lesions require both root canal therapy and periodontal treatment to save the tooth involved. Therefore, it is important to correlate these two entities, as confusion exists concerning etiology, diagnosis, and therapy.
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