Endodontic-Periodontic Relationship - A Short Review

Abstract

The relationship between periodontal and endodontic disease has been a matter of speculation for many
years. The endodontium and periodontium influence each other during health, function and disease. This
review gives a fair knowledge about several aspects of endo-perio relationship. Their exist three main
pathways of communication between the pulp and periodontium. They are the apical foramen, the accessory
canals and the dentinal tubules. The apical foramen and the lateral canals come under vascular pathways
whereas the dentinal tubule comes under the tubular pathway. The pulp and periodontal tissues are derived
from highly vascular mesenchymal tissues of the tooth germ. The apical foramen and lateral canals maintain
the vascular connection between these tissues throughout the tooth development.