🔹Periodontal probing, pulp vitality test and radiographs are the cornerstones for diagnosis and classifying endo-perio lesions.
🔹When fistula with gutta percha point is traced to radiograph apex, then endodontic etiology can be considered.
🔹When fistula with gutta percha point is traced to midroot, then periodontal etiology/ pulpal necrosis in lateral canal can be considered.
🔹A long, narrow pocket in a single tooth in a mouth generally free from periodontal disease is usually associated with primary pulpal disease.Â
🔹A pocket that does not extend to the apical one third of the root in a periodontally diseased mouth indicates primary periodontal origin.
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