Stomatology ›› 2026, Vol. 46 ›› Issue (3): 230-235.doi: 10.13591/j.cnki.kqyx.2026.03.012

• Review • Previous Articles     Next Articles

Progress of prognostic factors of endo-periodontal lesion

ZHOU Shuai, WANG Yixiang, LIU Shuxin, LI Xiaojun()   

  1. Department of Periodontology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou 310000, China
  • Received:2025-05-12 Online:2026-03-28 Published:2026-03-31

Abstract:

Endo-periodontal lesion (EPL) involves both periodontal and pulpal tissues, often leading to a difficult-to-determine prognosis for the affected tooth and posing significant challenges to clinical practice. The 2018 World Workshop on Periodontal and Peri-implant Diseases and Conditions proposed a new classification standard for EPL. This article starts from the new EPL classification, centers on root damage, full-mouth periodontal condition, and lesion extent, and systematically reviews multiple prognostic factors for EPL-affected teeth by integrating aspects such as anatomical abnormalities (palatogingival grooves, complex root canal systems), systemic factors (diabetes, smoking), dentition condition, and sociopsychological factors. By summarizing recent research, it aims to provide scientific evidence and practical guidance for clinicians in making diagnostic and therapeutic decisions regarding EPL-affected teeth.

Key words: endo-periodontal lesion, prognostic factors, root damage, anatomical abnormalities

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