PERIO - Periodontal Practice Today
PERIO - Periodontal Practice Today 5 (2008), No. 4     4. June 2009
PERIO - Periodontal Practice Today 4 (2007), No. 3  (19.09.2007)

Page 187-192

Is the risk of loss of pulp vitality increased by periodontitis and its treatment?
Gilbert, Angela D
Anatomical links exist between the dental pulp and the periodontium and these include dentinal tubules, accessory canals and the apical foramina. The presence of these structures has led to the assumption that both periodontal disease and periodontal treatment can have a very negative effect on the dental pulp. Examination of the literature produces convincing evidence that the vital pulp is likely to be in danger only if periodontal disease is severe and extends to involve the apical tissues. Epidemiological research demonstrates that very few patients experience such severe disease and thus the effects of periodontal disease and its treatment on the dental pulp have been greatly exaggerated.

Keywords: dental pulp, endodontic disease, periodontal disease