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Expert consensus on the diagnosis and therapy of endo-periodontal lesionsOACSTPCD

Expert consensus on the diagnosis and therapy of endo-periodontal lesions

英文摘要

Endo-periodontal lesions(EPLs)involve both the periodontium and pulp tissue and have complicated etiologies and pathogenic mechanisms,including unique anatomical and microbiological characteristics and multiple contributing factors.This etiological complexity leads to difficulties in determining patient prognosis,posing great challenges in clinical practice.Furthermore,EPL-affected teeth require multidisciplinary therapy,including periodontal therapy,endodontic therapy and others,but there is still much debate about the appropriate timing of periodontal therapy and root canal therapy.By compiling the most recent findings on the etiology,pathogenesis,clinical characteristics,diagnosis,therapy,and prognosis of EPL-affected teeth,this consensus sought to support clinicians in making the best possible treatment decisions based on both biological and clinical evidence.

Bin Chen;Yan Xu;Yi Ding;Shaohua Ge;Faming Chen;Zhongchen Song;Shaoyun Jiang;Jiang Sun;Lijun Luo;Junqi Ling;Zhi Chen;Yanan Zhu;Lin Yue;Xuedong Zhou;Fuhua Yan;Minkui Lin;Yangheng Zhang;Yanfen Li;Xiangying Ouyang;Song Ge;Jiang Lin;Yaping Pan

Department of Periodontology,Nanjing Stomatological Hospital,Affiliated Hospital of Medical School,Institute of Stomatology,Nanjing University,Nanjing,ChinaDepartment of Periodontology,The Affiliated Stomatological Hospital of Nanjing Medical University,Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Nanjing,ChinaState Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Periodontics,West China Hospital of Stomatology,Sichuan University,Chengdu,ChinaDepartment of Periodontology,School and Hospital of Stomatology,Shandong University&Shandong Key Laboratory of Oral Tissue Regeneration&Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration&Shandong Provincial Clinical Research Center for Oral Diseases Jinan,Jinan,ChinaState Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi International Joint Research Center for Oral Diseases,Department of periodontology,School of Stomatology,The Fourth Military Medical University,Xi'an,ChinaDepartment of Periodontology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine||College of Stomatology,Shanghai Jiao Tong University||National Center for Stomatology||National Clinical Research Center for Oral Diseases||Shanghai Key Laboratory of Stomatology||Shanghai Research Institute of Stomatology,Shanghai,ChinaDepartment of Periodontology,Stomatological Center,Peking University Shenzhen Hospital,Shenzhen,ChinaDalian Stomatological Hospital,Dalian,ChinaDepartment of Periodontology,Stomatological Hospital and Dental School of Tongji University,Shanghai Engineering Research Center of Tooth Restoration and Regeneration,Shanghai,ChinaDepartment of Operative Dentistry and Endodontics,the Affiliated Stomatological Hospital of the Guanghua School of Stomatology,Sun Yat-sen University,Guangzhou,ChinaThe State Key Laboratory Breeding Base of Basic Science of Stomatology(Hubei-MOST)&Key Laboratory of Oral Biomedicine Ministry of Education,School and Hospital of Stomatology,Wuhan University,Wuhan,ChinaDepartment of Endodontics,Nanjing Stomatological Hospital,Affiliated Hospital of Medical School,Institute of Stomatology,Nanjing University,Nanjing,ChinaDepartment of Cariology and Endodontology,Peking University School and Hospital of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Peking University,Beijing,ChinaState Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Cariology and Endodontics,West China Hospital of Stomatology,Sichuan University,Chengdu,ChinaClinical Research Center for Oral Tissue Deficiency Diseases of Fujian Province&Fujian Key Laboratory of Oral Diseases&Fujian Provincial Engineering Research Center of Oral Biomaterial,School and Hospital of Stomatology,Fujian Medical University,Fuzhou,ChinaDepartment of Periodontology,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices,Beijing,ChinaSchool and Hospital of Stomatology,Zunyi Medical University,Zunyi,ChinaDepartment of Stomatology,Beijing TongRen Hospital,Capital Medical University,Beijing,ChinaDepartment of Periodontics,School and Hospital of Stomatology,China Medical University,Shenyang,China

《国际口腔科学杂志(英文版)》 2024 (003)

381-389 / 9

This work was supported by Jiangsu Province Key Research and Development Program(No.BE2022670),the National Key Research and Development Program of China(No.2023YFC2506300),Jiangsu Provincial Medical Key Discipline Cultivation Unit(No.JSDW202246)and Nanjing Medical Science and Technology development Fund(ZKX22054).

10.1038/s41368-024-00320-0

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