PubMed · 7742098
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B Scheer. 1995-04-22. Unpredictable teeth.. https://doi.org/10.1038/sj.bdj.4808736
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When a periapical lesion communicates with a deep periodontal pocket, the etiology can be either endodontic or periodontal. This article clarifies the relationship between pulpal and periodontal disease and presents a systematic approach to the diagnosis and management of endodontic-periodontal lesions. It also presents a case that demonstrates the successful treatment of teeth that appear to be hopelessly diseased.
Successful management of a tooth that has sustained a transverse root fracture depends on three major factors: the position of the fracture line, the extent of mobility of the coronal segment, and the state of the pulpal tissue. The position of the fracture line and its relationship to the base of the gingival crevice are the most important factors in determining the long-term prognosis for the tooth.