Arte y ciencia en el diagnóstico de la enfermedad periodontal atípica: reporte de caso

Abstract

Pulp and periodontal lesions are the most prevalent in the oral cavity, and are the most frequent causes of den- tal consultation in our environment and in the world. These pathologies are mainly of bacterial etiology, with a polymicrobial flora. The anatomical and histological structures of the periodontal and pulp tissues present interrelationships that must be taken into account in the etiopathology of these processes. The diagnosis of en- doperiodontal lesions is not always clearly defined, which constitutes certain gaps for the diagnosis. The dentist must be trained to perform the differential diagnosis of these two diseases and provide efficient treatment in our patients. A clinical case is reported, where the management of the clinical examination as well as the endope- riodontal anatomy is important to reach the correct diagnosis and its subsequent treatment.